#31: Troponins: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 2 January 2019

⏱️ 31 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering: * What aspects of the history are concerning in a patient with a positive troponin? (4:00) * What is the difference between the TIMI, GRACE, and HEART scores, and how should we use them in the evaluation of a patient with an elevated serum troponin? (8:42) * How does the change in troponin over time help with diagnosis, and what should we consider in a patient with uptrending troponins but an unremarkable ECG? (14:48) * What can a “negative but detectable” troponin tell you about any patient, not just those with suspected ACS? (21:31) * Pearls Recap (25:26) * Throwback – what are the first-line medications for alcohol use disorder? (28:36) For full transcript of the podcast, show notes and references: https://www.coreimpodcast.com/2019/01/04/5-pearls-on-troponins/ (https://www.coreimpodcast.com/2019/01/04/5-pearls-on-troponins/) Tags: chest pain, cardiology, myocardial infarction, acute coronary syndrome Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

Click on a timestamp to play from that location

0:00.0	This is the core I am five Pearls Podcast brought to you by
0:14.7	clinical correlations bringing you high-yield evidence-based pearls. Today we are
0:19.0	discussing triponums. Thank you to our peer reviewer Dr Ernie Masifari, a cardiologist at the Ohio State University, Wexner Medical Center.
0:28.0	And we are so excited to introduce Dr. Dave Reed of the podcast.
0:31.0	Dave has been leading our 12 lead Thursday series on social media,
0:35.0	so it's really awesome to have him on the podcast.
0:37.2	Great to be here, guys.
0:38.1	Thanks for having me.
0:39.1	And thanks for working on this episode, Dave.
0:40.7	So let's get started with some questions on the Pearls we'll be covering.
0:44.0	Test yourself by pausing after each of the questions.
0:47.0	Remember, the more you test yourself, the deeper your learning gains.
0:51.0	Pearl 1, story behind the Treponin.
0:53.6	What aspects of the story are concerning in a patient with a positive Treponin?
0:57.6	Pearl 2. Risk stratifying calculators.
1:01.6	What's a difference between Timmy, Grace, and Heart Scores?
1:05.4	And how should we use them in the evaluation
1:08.0	of a patient with an elevated Treponents?
1:11.5	Pearl three, trending Trapponents.
1:14.0	How does the change in Trapponan over time help with the diagnosis?
1:18.0	And what should we consider in a patient with an uptrending Trapponin but an unremarkable EKG.
1:25.0	Pearl 4 Prognostics.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Core IM Team, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Core IM Team and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.