Start / Core IM | Internal Medicine Podcast / 53 heparin induced thrombocytopenia 5 pearls segment

#53 Heparin-Induced Thrombocytopenia: 5 Pearls Segment

48 min • 13 november 2019

Get CME Credit with ACP! Full Transcript with references and show notes Time Stamps

4:30 What is the daily risk of thrombosis if HIT Is left untreated?
5:40 What happens during platelet activation?
07:11 How long does it take for patients to develop for IgG antibodies to Heparin to form?
09:52 Is HIT common?
10:28 Who is at higher risk for HIT?
11:48 Why does low molecular weight heparin have a lower risk for HIT than unfractionated heparin?
15:30 Approach to thrombocytopenia
17:44 How do medications cause thrombocytopenia?
18:38 With medications, what is the time course between medication initiation and thrombocytopenia?
22:20 What is the sensitivity and specificity of anti-PF4 antibody?
23:58 How does the serotonin-release assay (SRA) work?
29:10 What type of anticoagulant do you choose for treating HIT?
31:58 Why is it important to not use warfarin in patients with platelet counts <150,000?
33:32 What is the treatment duration for a patient has confirmed HIT?
36:29 Dr. Cuker’s story and the "Scarlet H"
39:07 Dr. Linkin’s Recap
42:25 Dr. Linkin’s story
44:37 Pearl 5: Throwback to coronary calcium scores

Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Our Sponsors:
* Check out Eko’s Digital Stethoscope: Get $50 off, plus a FREE custom chest piece cover ($25 value): https://ekohealth.com/COREIM
* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
* Check out Washington Red Raspberries: https://redrazz.org

Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy

Senaste avsnitt

#182 Pleural Effusions: 5 Pearls Segment

9 juli | 36 min

#181 July Stories 3.0

2 juli | 16 min

#180 Beta-Blockers & REDUCE-AMI Trial: Beyond Journal Club Segment with NEJM Group

25 juni | 27 min

#179 Invasive Fungal Disease: 5 Pearls Segment

11 juni | 45 min

#178 Continuous Glucose Monitor (CGM): 5 Pearls Segment

2 juni | 34 min

#53 Heparin-Induced Thrombocytopenia: 5 Pearls Segment

Senaste avsnitt

#182 Pleural Effusions: 5 Pearls Segment

#181 July Stories 3.0

#180 Beta-Blockers & REDUCE-AMI Trial: Beyond Journal Club Segment with NEJM Group

#179 Invasive Fungal Disease: 5 Pearls Segment

#178 Continuous Glucose Monitor (CGM): 5 Pearls Segment

#177 Interventional Radiology (IR) 101: 5 Pearls Segment

#176 Constipation Medications: 5 Pearls Segment

#175 A Revolution in HIV Prevention & The PURPOSE Trials: Beyond Journal Club Segment with NEJM Group

#174 Lp(a) and ASCVD Risk: 5 Pearls Segment

#173 Hypercoagulability Workup: 5 Pearls Segment

#172 Microplastics and Macro CV Health Problems: Beyond Journal Club on APACHe Study with NEJM Group

#171 Hospice Music Therapy: Bonus Episode

#170 ILD and High-Risk Medication Prescribing: Gray Matters Segment

#169 MGUS to Multiple Myeloma Diagnostics and Counseling: 5 Pearls Segment

#168 Immune Checkpoint Inhibitor Adverse Events 2.0: 5 Pearls Segment

#167 Best of YouTube 2024: Anion Gap Metabolic Acidosis, Inhaler Use, Iron Deficiency in Pregnancy

#166 Stress Ulcer Prophylaxis in the ICU and REVISE Trial: Beyond Journal Club with NEJM Group

#165 Peripheral Arterial Disease: 5 Pearls Segment

#164 TPN/PPN Parenteral Nutrition: 5 Pearls Segment

#163 Urine Drug Screening Nuances: 5 Pearls Segment

#162 Hospice 102: Practical Tips and Nuances

#161 Transfusion Thresholds and the MINT Trial: Beyond Journal Club with NEJM Group

#160 Moral Distress Part 2: At the Bedside Segment

#159 Moral Distress Part 1: At the Bedside Segment

#158 Diuretics Resistance Cases

#157 Handoffs: Contingency Planning

#156 Hospice 101: Nuts and Bolts

#155 Microskills: Small Actions, Big Impact

#154 Does Invitation To Screening Colonoscopy Save lives? Beyond Journal Club with NEJM Group on the NordICC Trial

#153 HFpEF: 5 Pearls Segment

#152 Immune Checkpoint Inhibitors & IrAEs 101: 5 Pearls Segment

#151 Cardiorenal Considerations: 5 Pearls Segment

#150 Rhythm Control in Afib: 5 Pearls Segment

#149 Asthma Management and the MANDALA Trial: Beyond Journal Club with NEJM Group

#148 Iron Deficiency Treatment: 5 Pearls Segment

#147 Iron Deficiency: Grey Matters Segment

#146 Tube Feeds: 5 Pearls Segment

#145 Heart Failure in Older Adults & Guardianship: Gray Matter Segment

#144 RSV & What Makes Vaccine Trials Different: Beyond Journal Club on the RENOIR and AReSVi Trials

#143 Hypomagnesemia and Hypophosphatemia: 5 Pearls Segment

#142 Managing Conflict: At the Bedside Segment

#141 Do Steroids Have a Role in Community-Acquired Pneumonia? Beyond Journal Club on the CAPE COD Trial

#140 Bonus Pacemaker & ICDs: 5 Pearls Segment

#139 CKD Staging (Cr vs. Cystatin C, Albuminuria & more): Mind The Gap Segment

#138 Incorporating Cancer Genetics into Your Practice: Lynch Syndrome and Beyond!

#137 Hypokalemia & Potassium Repletion: 5 Pearls Segment

#136 How Did Diabetes Medications Become Obesity Meds? Beyond Journal Club on SURMOUNT-1 Trial

#135 Guideline Directed Medical Therapy Part II: 5 Pearls Segment

#134 Diagnostic Errors & Excellence

#133 Post-Kidney Transplant: 5 Pearls Segment

#132 Does PCI Save Lives in Heart Failure and CAD? Beyond Journal Club on the REVIVED Trial

#131 July Stories 2.0

#130 Cort (ACTH) Stim Test

#129 Steroids: 5 Pearls Segment

#128 Cirrhosis Bleeding Risk, FFP and Indwelling Pleural Catheters: Gray Matters Segments

#127 Radiation Oncology Side Effects: 5 Pearls Segment

#126 Radiation Oncology Part 1: 5 Pearls Segment

#125 Learning Habits, Time Management, and Leadership: Wisdom from Dr. Kelly Graham

#124 A1c & Glucose Measurements: Mind the Gap Segment

#123 Pacemakers & ICDs: 5 Pearls Segment

#122 Kidney Transplant Preparation: 5 Pearls Segment

#121 Trach Care: 5 Pearls Segment

#120 Safety Net Hospitals, A Disproportionate Share Health Affairs Pathways Podcast

#119 A 80F with Melena and AKI also with an Unresolved Pneumonia: Hoofbeats Episode

#118 "Futility": At the Bedside Segment

#117 Atrial Fibrillation: Gray Matters Segment

#116 The Lipid Panel Reimagined: Mind the Gap Segment

#115 Hope: At the Bedside Segment

#114 Alcohol-Associated Hepatitis: 5 Pearls Segment

#113 Aspirin for Primary Prevention: Mind the Gap Segment

#112 ANA (Antinuclear Antibody) Test: 5 Pearls Segment

#111 Discharges with Incidental Findings: Gray Matters Segment

"Best of" | Struggles with with Clinical Reasoning Hoofbeats

#110 Upstanders: Standing Up Against Microaggression: At the Bedside Episode​

#109 Hyponatremia Management Part 1: 5 Pearls Segment

"Best of" | Hyponatremia Diagnostics 5 Pearls

#108 Drug Fever and Antibiotic-Associated Neurotoxicity: Gray Matters Segment

#107 COPD: 5 Pearls Segment

#110 Upstanders: Standing Up Against Microaggression: At the Bedside Episode