The Intern At Work: Internal Medicine

Send us Fan Mail Within this episode we take a deep dive into a fatal infectious disease topic- toxic shock syndrome. Written by Dr. Hosay Said, reviewed by Dr. Tim O'Shea (Infectious Diseases) and Dr. Leslie Martin (General Internal Medicine). Infographic by Rachel Ahle.  Support the show

Send us Fan Mail In this episode, we discuss the common causes and pathophysiology of one of the more ominous reasons for chest pain - aortic dissection. We'll go through clinical presentation, history and physical exam as well as provide information about the JAMA Rational Clinical Exam findings that support the diagnosis. Finally, we'll talk about management of both Type A and Type B d...

Send us Fan Mail Written by: Dr. Conor Bell (Internal Medicine resident)  Reviewed by: Dr. Kumran Khan (Gastroenterology) and Dr. Leslie Martin (General Internal Medicine)  Infographic by: Lucy Lan (Medical Student) Join us this week to learn about celiac disease ! We go deep into the pathophysiology of the disease, discuss an approach to physical examination and investigations, and finally discus...

Send us Fan Mail Time for some neurology! Today, we will focus on the common primary and the dangerous secondary headaches that must be ruled out when your patient has a new onset headache.  Support the show

Send us Fan Mail In this episode, we discuss one of the consequences of alcohol misuse - alcohol induced cardiomyopathy. We'll consider a broad differential to dilated cardiomyopathies, and review the history, physical exam and work-up for dilated cardiomyopathy. We'll then discuss the treatment and management of alcohol induced cardiomyopathy as well as the prognosis of individuals with...

Send us Fan Mail Our first ask a fellow episode of 2021! In this episode, Dr. Melissa  Holdren (rheumatology fellow) takes us through a rare but serious rheumatological diagnosis- granulomatosis with polyangiitis. She discusses the typical signs/symptoms, an approach to diagnosis and acute and chronic management. Special guest host Dr. Jennifer D'Cruz. Infographic by Rachel Ahle.  Support the...

Send us Fan Mail In this episode we discuss acute alcohol intoxication and withdrawal. We go into the pathophysiology of EtOH intoxication, a common approach to patients with intoxication and withdrawal, and an approach to management plans. Finally, we finish off by discussing the JAMA rational clinical exam article "Will this Hospitalized Patient Develop Severe Alcohol Withdrawal Syndrome?”....

Send us Fan Mail In this episode we take you through the presentation and approach to a patient with suspected SLE. We will discuss clinical mainfestations, investigations and management.  Written by: Dr. Haonan Mi (Internal Medicine Resident)  Reviewed by: Dr. Mala Joneja (Rheumatologist) & Dr. Zijing Wu (General Internist)  Infographic by: Shannon Gui Support the show

Send us Fan Mail In this episode we lay out an approach to diagnosis and management of pheochromocytomas. This includes work up, physical exam and peri-operative management.  Written by: Dr. Alexandra Kobza & Dr. Olivia Cook (Internal Medicine Residents)  Reviewed by: Dr. Zubin Punthakee (Endocrinologist) & Dr. Mohamed Panju (General Internist)  Support the show

Send us Fan Mail In this episode we take a deep dive into a rare bleeding disorder- Von Willebrand Disease! We discuss the importance of VW factor, the different types of VWD, common symptoms, pertinent investigations and an approach to management. Check out our associated infographic at www.theinternatwork.com.   Support the show

Send us Fan Mail In this Ask a Fellow episode, we talk to Clinical Associate Dr. Lisa Alexander about Type 1 DM. Learn about pump basics 101, the challenges in transitioning from pediatric to adult care, advances in monitoring Type 1 DM and more!  Support the show

Send us Fan Mail Arthritis affects over 6 million Canadians, that’s 1 in 5, and rheumatoid arthritis specifically affects as much as 1% of the population worldwide. Today's episode discusses how to differentiate RA from other degenerative processes, how to complete a detailed RA history and exam, which tests to order to aid clinical decisions, and an approach to management options! Keep liste...

Send us Fan Mail This short but sweet episode takes you through the approach to understanding warm and cold hemolytic anemia, as well as what to ask on history, and appropriate investigations.  Written by: Dr. Adam Suleman (Internal Medicine Resident Reviewed by: Dr. Eric Tseng (Hematology) & Dr. Yuna Lee (Internal Medicine)  Support the show

Send us Fan Mail In this episode, we discuss the fundamentals of evaluating a patient with a dermatologic emergency. There are four main dermatologic emergencies that we'll cover in this podcast: Drug hypersensitivity syndrome (formerly known as DRESS), SJS/TEN, Serum sickness like reaction (SSLR) and acute generalized exanthematous pustulosis (AGEP). We discuss management for each of the con...

Send us Fan Mail Did you know that about 5-10% of patients with resistant hypertension have a secondary cause that is potentially curable? In this episode, we cover how to work-up a patient for secondary hypertension as well as which patients to suspect a secondary cause. Further, we discuss management of both resistant and secondary hypertension!  Listen to our podcast on adrenal incidentalomas a...

Send us Fan Mail In this episode, we talk about non-tuberculous mycobacterial infections - the most common of which is Mycobacterium Avium Complex (MAC) in North America. Dr. Jessica Kapralik - Respirology Fellow, takes us through the tricky diagnosis, work-up and helps clarify when and who to treat for these often insidious infections.   Support the show

Send us Fan Mail In this episode we discuss an approach to differentiating oropharyngeal from esophageal dysphagia, as well as appropriate investigations and management options. We also cover data on the safety of PPIs and discuss their indications! Written by: Dr. Peter Wang (Internal Medicine Resident), reviewed by: Dr. David Reed (Gastroenterologist) and Dr. Stephen Gauthier (General Internist)...

Send us Fan Mail Join us this week to learn about a deadly blood stream infection - candidemia. We go over the basic microbiology of candida and cover a diagnostic and therapeutic approach to your patient with candidemia. Written by Dr. Nischal Ranganath (internal medicine resident) and reviewed by Dr. Zain Chagla (Infectious Disease Specialist) and Dr. Leslie Martin (General Internal Medicine). ...

Send us Fan Mail What happens when you find a mass lesion on the adrenal gland? We've got answers in in this episode! Dr. Shirley Shuster walks us through the diagnosis, work-up and treatment for an incidentally found adrenal mass.  Podcast written by: Dr. Shirley Shuster (Internal Medicine resident), and reviewed by Dr. Joshua Lakoff (Endocrinologist) and Dr. Steven Montague (General Interni...

Send us Fan Mail Today we take you through our approach to hyper and hypophosphatemia - diagnosis, workup, management, we've got it all!  This episode was written by: Dr. Caitlyn Vlasschaert (Internal Medicine Resident)  Reviewed by: Dr. Matt Lanktree (Nephrologist), Dr. Rachel Holden (Nephrologist), and Dr. Steven Montague (General Internist)  Support the show

Send us Fan Mail Part 2 of our Transitioning to SMR episodes! We're still answering some of your questions from twitter, but also answering some questions that we had when we were going into our second year of internal medicine residency. What do you do when you don't know what to do overnight? What's your best tip for choosing a specialty? How do you maintain wellness? And finally,...

Send us Fan Mail In this episode, we answer your questions about becoming a senior medical resident! Transitioning to your PGY2 year can be daunting, exciting, overwhelming and fun all at once, and we're here to give you some tried and true tips from our executive team to yours. How do I manage many emergency consults at once? How do I incorporate teaching into my day? How do I supervise juni...

Send us Fan Mail Originally released in June 2019.  For our newest interns at work, this podcast is for you! You asked us some questions and we answered! As residents, we talk about resources we like, how to get involved in research and thinking about the subspecialty match as you guys start your newest journey as Internal Medicine residents.  Support the show

Send us Fan Mail Originally released in June 2019.  For our newest interns at work, this is our second Q&A podcast as a follow-up to part 1.  You asked us some questions and we answered! We answer questions about rounding on a team you don't know, attending to an unresponsive patient, a lot about code blues and more! Good luck to our newest doctors on the ward, we're rooting for you!...

Send us Fan Mail Join us on our GIM ask a fellow episode where we discuss VTE in pregnancy with Dr. Amanda Huynh and Dr. Jessica Huynh! We cover several guidelines such as Thrombosis Canada and SOGC and discuss everything from incidence of DVT/PE in pregnancy, to risk factors, to diagnosis and management!  Support the show