4.8 • 1K Ratings
🗓️ 13 November 2019
⏱️ 48 minutes
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0:00.0 | Hi everyone this quorum episode this month will count for |
0:03.9 | ceme credit with ACP yay |
0:06.7 | we will link the exact URL in the show notes so click on the link answer three |
0:10.3 | questions and get ceme credit. And with that, Q the intro. |
0:15.0 | This is Dr. Marty Am Five Pearls podcast. |
0:27.0 | Bringing you High Yield Evidence-based Pearls. |
0:29.3 | Bring you High Yield Evidence-Based Pearls. |
0:32.1 | Today we're discussing Heparin-induced thrombocytopinia, |
0:35.0 | which we're going to affectionately refer to as hit for the remainder of the episode. |
0:39.0 | Right, basically, this is going to be everything an internist ever needed to know about him with a little bit of extra sprinkles on Heparin aha's and Thermosetopenea goodness. |
0:48.6 | Nice. |
0:49.6 | If you look back in the literature a couple decades ago, so before you and I were in practice, the |
0:57.3 | concern was raising awareness about hit. |
0:59.7 | The concern was missing cases of hit. And while that still happens occasionally, I think that we were |
1:06.8 | so zealous with our educational campaign that we sort of pushed the pendulum may be a little bit too far. |
1:15.0 | And so now I think a much more common problem than missing it is |
1:21.0 | over suspecting, over diagnosing, and over-treating it, which can lead to harm in and of itself. |
1:29.0 | That's Dr. Adam Sucre, a hematologist and director of the Penn Comprehensive Hemophilia and |
1:34.4 | thrombosis program. |
1:36.0 | You'll also hear from Dr. Lorry Lincoln, a thrombosis consultant at McMaster University |
1:40.6 | doing the recap. |
1:42.0 | Both were authors of the 2018 American Society of |
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