The Intern At Work: Internal Medicine

Send us Fan Mail Take a listen to our first obstetric medicine episode where we discuss gestational hypertension and preeclampsia. Did you know that women who have preeclampsia will have an increased risk of developing cardiovascular complications later in life?  This episode was written by Dr. Stephanie Chan (internal medicine resident) and reviewed by Dr. Lisa Nguyen (General Internal Medicine)...

Send us Fan Mail In this episode we cover your approach to the patient with Parkinson's Disease. We discuss key features on history, as well as a focused examination for the features key to this diagnosis.  Written by: Dr. Olivia Geen (Internal Medicine Resident)  Reviewed by: Dr. Sharon Marr (Geriatrician) and Dr. John Neary (General Internist)  Support the show

Send us Fan Mail In this episode, we follow the mantra "in, shift, out!" We talk about the clinical presentation and management of hyperkalemia, and how to treat it swiftly and quickly.  Support the show

Send us Fan Mail This episode we sat down with Dr. Christine Hawkes, neurointerventional fellow to discuss clot retrieval therapy.  We cover indications and contraindications, number needed to treat, and what to consider when approaching a patient with large vessel occlusion.  Support the show

Send us Fan Mail In this episode, we talk about congestive heart failure! From patient assessment to treatment of congestive heart failure exacerbations, we've got it covered. Ever wonder how we choose to dose diuretics? Look no further! Congestive heart failure made easy just for you.  Support the show

Send us Fan Mail In this episode we take you through the approach to a patient with tumour lysis syndrome. We explain the Cairo-Bishop scoring, and cover the treatment of all facets of the syndrome.  Support the show

Send us Fan Mail In this episode, we go through an approach to vasopressors. We talk about the physiology of the receptors they act on, and the scenarios in which we would use the 5 most common vasopressors: Norepinephrine, Vasopressin, Epinephrine, Dopamine and Phenylephrine.  We also introduce our latest initiative Medicine Basecamp - which can be found here at www.theinternatwork.com/basecamp....

Send us Fan Mail Written by Dr. Grace Zhang (internal medicine resident) Reviewed by  Dr. Graeme Quest (Hematopathologist) Dr. Siddhartha Srivastava (General Internist) Infographic by: Lucy Lan (Medical Student) Part 2 of our blood transfusion series goes into acute and delayed transfusion reactions. From fever, to TACO to graft vs. host, we cover it all. Most importantly, ABC's, stop the tra...

Send us Fan Mail Written by Dr. Grace Zhang (internal medicine resident) Reviewed by  Dr. Graeme Quest (Hematopathologist) Dr. Siddhartha Srivastava (General Internist) Infographic by: Lucy Lan (Medical Student) In this episode we go over the indications and typical uses of blood products: including red blood cells, platelets, fibrinogen, PCC and albumin.  Support the show

Send us Fan Mail Respirology Fellow Dr. Alina Blazer takes us through the management of Acute Asthma Exacerbations! This is not your COPD patient, and clinical manifestations and treatment is different for patients with asthma exacerbations. Also, we talk about long-term management and emerging therapies for asthma exacerbation prevention in the future.  As always, extra resources and infographic...

Send us Fan Mail Delirium can be a tricky diagnosis to make! In this episode, we walk you through the diagnosis, etiologies, and management of delirium.  Support the show

Send us Fan Mail In this episode, we talk about the microbiology, clinical manifestations and treatment of one of the oldest diseases in the books - Pneumonia! Support the show

Send us Fan Mail In this episode, we talk about a general approach to lymphadenopathy, with a focus on work-up and treatment for Hodgkin Lymphoma.  Written by: Dr. Oksana Motalo (Internal Medicine Resident) Reviewed by: Dr. Kylie Lepic (Malignant Hematologist), and Dr. John Neary (General Internist) Support the show

Send us Fan Mail In this special episode, we speak with Dr. Isaac Bogoch (Infectious Diseases, University of Toronto, Toronto General Hospital) about the epidemic of the novel coronavirus in 2019. This podcast was recorded on February 5, 2020 and we are seeing new information and learning more about the virus every day. Stay up-to-date with your institutional policies and the news that is coming o...

Send us Fan Mail Feel like your knowledge about the adrenal glands is... insufficient? In today's episode we discuss the approach to a patient with adrenal insufficiency, including primary vs secondary, work up and management.  Written by: Dr. Hernan Franco (Internal Medicine Resident)  Reviewed by: Dr. Meera Luthra (Endocrinologist) and Dr. Kajenny Srivaratharajah (General Internist).  Suppo...

Send us Fan Mail In this episode we sit down with Dr. Roochi Arora (Breast malignancy and melanoma fellow), who takes us through the pertinent components of an approach to breast cancer for the internist. In particular, we go through a case of a patient returning to hospital with metastatic breast cancer- how to manage her potential complications, work up of the malignancy itself, and an overview...

Send us Fan Mail This episode helps us understand the concept of autoimmunity first, taking us through the complex pathophysiology of ulcerative colitis. We then discuss intestinal and extra-intestinal manifestations of the disease and an approach to the acute UC flare.  Written by: Dr. Anthony Sandre (Internal Medicine Resident)  Reviewed by: Dr. Ted Xenodemetropoulos (Gastroenterologist) and Dr....

Send us Fan Mail In this episode, we cover the definition of febrile neutropenia, management, and risk stratification for inpatient vs outpatient treatment.  Written by: Dr. Anna Whalen-Browne (Internal Medicine Resident)  Reviewed by: Dr. Paul Barnfield (Medical Oncology) & Dr. Sara Piran (General Internal Medicine) Support the show

Send us Fan Mail This week we discuss a common E.D presentation- acute monoarthritis! First: rule out septic arthritis. Then: consider other diagnoses such as gout, seronegative arthritis and hemarthrosis. We go through the pathophysiology, diagnostic techniques and management of these common conditions.  Written by: Dr. Teresa Semalulu (Internal Medicine Resident) and Dr. Deborah Koh (Internal Me...

Send us Fan Mail In this episode, we take you through the differential diagnosis for patients presenting with syncope, including common mimickers. We discuss cardiac and non-cardiac causes, and when further investigations are warranted, and more!  Written by: Nikita Malhotra (Cardiology Fellow)  Reviewed by: Dr. Juan Guzman (General Internist), Dr. John Neary (General Internist) and Dr. Craig Ains...

Send us Fan Mail Our medical oncology fellow, Dr. Michelle Nadler, takes us through the diagnostic and therapeutic challenges of treating a cancer of unknown primary.  Support the show

Send us Fan Mail This episode walks you through our approach to perioperative management, with a focus on cardiovascular risk and medications - featuring the most recent CCS guidelines!  Written by: Dr. Jonah Himelfarb (Internal Medicine Resident)  Reviewed by: Dr. Louise Harris (Cardiologist) and Dr. Savannah Cardew (General Internist) Support the show

Send us Fan Mail In this episode, we discuss the etiologies, clinical presentation and treatment of thrombocytosis. From reactive thrombocytosis to autonomous thrombocytosis, we talk about it all. Our medicine minute addresses a World War II era therapy that is no longer used, but might be considered for a specific population! If you haven't already, listen to our accompanying podcast - A Pau...

Send us Fan Mail On this weeks episode we discuss the ins and outs of pulmonary hypertension- from the WHO 5 classifications of pulmonary hypertension, what to look out for on physical exam, diagnostic considerations and new guideline updates in the field.  Written by: Sameer Kushwaha (Internal Medicine Resident) Reviewed by: Dr. John Thenganatt (Respirology) Dr. Gillian Spiegle (General Internal...

Send us Fan Mail Guest Fellow: Dr. Sam Thrall (Geriatric Medicine) Special Guest: Dr. Olivia Geen (Internal Medicine Resident) Host: Dr. Zahra Merali (Internal Medicine Resident)  Episode reviewed by: Dr. Joye St. Onge (Geriatrician) Take a listen to our ask a fellow episode on benzodiazepines! Although they are the 10th most prescribed medication in older adults, these drugs are associated with m...