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

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

Author: Core IM Team October 5, 2022 Duration: 34:55
Is a positive ANA always significant? What does the titer mean? Is the pattern of the ANA helpful? What patient histories should you not get an ANA for and which aspects of the history would raise suspicion for autoimmunity? How can you use the physical exam to assess likelihood of autoimmune disease? What is the ddx for a positive ANA?Show notes, Transcript and References:  https://www.coreimpodcast.com/2022/10/05/ana-antinuclear-…5-pearls-segment/ (https://www.coreimpodcast.com/2022/10/05/ana-antinuclear-antibody-test-5-pearls-segment/)Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)Sponsor: Visit www.medmastery.com/coreim (http://www.medmastery.com/coreim) for 15% off on all subscriptions. Discount code: “COREIM”Timestamps:* 01:37 (https://www.coreimpodcast.com/?p=25112#) Pearl 1* 03:54 (https://www.coreimpodcast.com/?p=25112#) Pearl 2* 13:53 (https://www.coreimpodcast.com/?p=25112#) Pearl 3* 18:07 (https://www.coreimpodcast.com/?p=25112#) Pearl 4* 29:30 (https://www.coreimpodcast.com/?p=25112#) Pearl 5Tags: IM Core, CoreIM, autoimmune, joint disease, titers, Raynaud's, lupus, Rheumatology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out Quince: https://quince.com/coreim * Use code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Ever find yourself in the middle of a busy day, wondering about the 'why' behind a common treatment or needing a clear way to think through a complex diagnosis? That's the space where Core IM | Internal Medicine Podcast lives. Created by the Core IM Team, this isn't just a lecture series; it's a practical companion for clinicians, students, and anyone curious about the inner workings of medical practice. Each episode is structured into distinct segments that tackle different facets of the clinical world. You'll hear "5 Pearls" for concise, immediately useful takeaways, and "Mind the Gap" explores the evidence and reasoning behind our everyday decisions. When management gets tricky, "Gray Matters" steps in to untangle the thought process, while "Hoofbeats" focuses on sharpening diagnostic acumen. Finally, "At the Bedside" brings it all together, addressing the real and often nuanced challenges faced in patient care. The conversation throughout this podcast is grounded, thoughtful, and driven by a genuine desire to deepen understanding beyond the textbook. It’s about connecting the dots between knowledge and application, making the intricate landscape of internal medicine a bit more navigable, one discussion at a time.
Author: Language: English Episodes: 100

Core IM | Internal Medicine Podcast
Podcast Episodes
#194: Severe Hypertriglyceridemia: 5 Pearls Segment [not-audio_url] [/not-audio_url]

Duration: 38:20
How quickly can triglycerides rise? At what threshold are patients at risk of pancreatitis or cardiovascular adverse outcomes? What do you have to rule out? How do you counsel on lifestyle changes? Which medications do y…
#193 Venous Congestion & VEXUS Interview with Dr. Ross Prager [not-audio_url] [/not-audio_url]

Duration: 34:44
Why is venous congestion not the same as volume overload? How can looking at IVC as well as doppler on the hepatic vein, portal vein, and/or intrarenal vein help? Can venous congestion explain someone's delirium? Or be a…
#192 Debate on First-Line Medications for Diabetes [not-audio_url] [/not-audio_url]

Duration: 36:50
SGLT-2i vs. GLP-1? vs Metformin? How do you balance the cost and coverage of first-line options like metformin, SGLT-2, and GLP-1s? How do you choose between SGLT-2 and GLP-1s for comorbidities like CAD or CKD? And how d…
#191 Hepatorenal Syndrome Part 2 on Management: 5 Pearls Segment [not-audio_url] [/not-audio_url]

Duration: 30:34
What really works when treating HRS? Vasoconstrictors like terlipressin vs. norepinephrine vs. midodrine: how do we decide which to use? Do you give albumin? When do you give Lasix or another diuretic? When is the better…
#190: Hepatorenal Syndrome Part 1: 5 Pearls Segment [not-audio_url] [/not-audio_url]

Duration: 36:11
HRS-AKI vs. other causes of AKI in cirrhosis: What do serum or urine sodium clues, albumin challenges, and shifting diagnostic criteria actually reveal about getting the diagnosis right?🔹 Sponsor: Oakstone CMEUse the cod…
#188 Orthostatic Hypotension Part 2: Gray Matters Segment [not-audio_url] [/not-audio_url]

Duration: 35:35
Medications for orthostatic hypotension! When to initiate treatment, how to use them safely, and what to do when new issues arise during treatment. How do those change if someone has autonomic failure? What do you do whe…
#187 Orthostatic Hypotension Part 1: Gray Matters Segment [not-audio_url] [/not-audio_url]

Duration: 37:20
Learn specific, practical ways to counsel patients on non-pharmacologic interventions. What is our goal with OH treatment? Is it the blood pressure number that matters? How do we avoid missing neurogenic causes of orthos…
#186 Pneumothorax: 5 Pearls Segment [not-audio_url] [/not-audio_url]

Duration: 37:03
Next time you’re squinting at a chest tube, feel confident you know exactly what to look for and why. Hear it explained in a way that really sticks!🔹 Sponsor: Oakstone CME’s ACP MKSAP Audio CompanionUse the code "CORE30"…