Pearls from I.M. Peers
Getting to know GLP-1 receptor agonists
Choosing among glucagon-like peptide-1 (GLP-1) receptor agonists depends on many factors, such as the desired outcome and individual risks among patients.
Being deliberate about spontaneous bacterial peritonitis
Physicians all use diagnostic criteria when trying to determine a patient's condition, but it's important to remember the patients in whom those diagnostic criteria have been validated.
3 physical exam pearls for patients with pain
Pearl No. 1: The Carnett sign can help clinicians determine if imaging is needed to diagnose pain.
Bedside tests for a ‘slam-dunk’ delirium diagnosis
Tests for delirium involve a stepped approach of progressively more difficult questions in an attempt to provoke disorganized thinking.
Applying the ‘ketchup rule’ to diagnosing cirrhosis
Finding cirrhosis requires specifically looking for symptoms that can be easily missed unless a physician is primed to see them.
Improving medication adherence
Asking “How do you take your medicine?” instead of “Do you take your medicine?” is one way to learn more about a patient's ideas, philosophy, and understanding.
Incorporating families into the care team
Involving one member of a patient's family can benefit the patient and boost work efficiency.
POCUS puts focus on the patient encounter
Point-of-care ultrasound has made its way from a niche practice to everyday use in the clinic. One expert explains an acronym she uses to teach clinicians to do a full POCUS exam.
Basal insulin for beginners
It can be tough to start and titrate basal insulin in a patient with type 2 diabetes because of the many options available, but a key number can measure the difference between a patient's bedtime and morning blood glucose values to ease the way.
Get comfortable talking about obesity
Kimberly N. Sims, MD, FACP, explains ways to make obesity counseling easier for patients and for their doctors.
Observe, listen, feel: Going back to Osler
These three skills hold enormous opportunity to strengthen physicians' diagnostic acumen.
Intentionally seek deviations to avoid early anchoring
In a new series, Pearls from I.M. Peers, Maria (Gaby) Frank, MD, FACP, explains how noting variations in expected patterns can help internists avoid early anchoring errors when making a diagnosis.
Diagnosis at 10 paces for bitemporal wasting
In a new series, Pearls from I.M. Peers, Paul Dallas, MD, MACP, explains how making a simple observation in a patient could indicate a serious diagnosis.