The Intern At Work: Internal Medicine

Send us Fan Mail Learn to manage a common infectious disease scenarios. This podcast takes you through the clinical presentation and appropriate history and physical, as well as management of diabetic foot infections based on the most recent IDSA guidelines.  Support the show

Send us Fan Mail This episode reviews the management of an outpatient with a bleeding phenotype. How does one grade severity and what tools might we use? What are signs on physical exam that should be assessed? Consider both inherited and acquired bleeding disorders when assessing your patients. Lastly, we discuss the initial management and some evidence behind these management strategies in our m...

Send us Fan Mail Tune in this week to hear about a life threatening illness- meningitis! In this episode, Dr. Katherine Steckham goes over the approach to bacterial meningitis. In addition, we go cover IDSA guidelines, why we use dexamethasone, and what to do if your patient has a beta lactam allergy!  Associated Infographic: www.theinternatwork.com This episode was reviewed by Dr Nishma Singhal (...

Send us Fan Mail Anemia made easy! In this episode we talk about the classification of anemia and some of their leading etiologies. We focus on the assessment and treatment of iron deficiency anemia, and talk briefly about the choosing wisely guidelines for transfusion thresholds in anemic patients.  Support the show

Send us Fan Mail What's red, hot and requesting medical attention? In this episode we talk about cellulitis! From patient assessment to learning about it's most common pathogens and treatment, we give you all the basics to see and treat a patient with cellulitis. As a bonus, we've included five important facts about cellulitis to come in our medicine minute.  Support the show

Send us Fan Mail Does the thought of intubating a sick patient make you anxious? Us too! In this episode, we sit down with Dr. Jessica Spence (Anaesthetist, Critical Care fellow) to discuss her approach to intubation to ensure she optimizes the chances of success. We cover pre-intubation checklists, predictors of challenging airway and more!  Associated infographic can be found at www.theinternatw...

Send us Fan Mail The most common arrhythmia in patients greater than 65 years old! Listen up on how to approach a patient with atrial fibrillation. We take you through managing both the stable and unstable patient, including how to choose between rhythm and rate control, and the indications for anticoagulation.  Support the show

Send us Fan Mail In this episode, we discuss the approach to a sick patient with Acute Respiratory Distress Syndrome. We talk about diagnosis, classification of severity, common triggers and strategies for treatment. Also, tune in to our medicine minute to learn about the evidence behind ECMO in patients with ARDS! Support the show

Send us Fan Mail This week's episode is all about infective endocarditis. We discuss the approach to a patient presenting with suspected endocarditis, review work up, antibiotic therapy and surgical indications, and highlight the updated AHA/ACC prophylaxis guidelines!  Podcast written by: Dr. Liam Finlay (Internal Medicine Resident) Reviewed by: Dr. Zain Chagla (Infectious Disease Specialist...

Send us Fan Mail Drs. Derek Chu and David McCullagh chat with us about the approach to a patient with documented penicillin allergy and the importance of exploring this label in detail. We cover risk stratification, allergy testing and an approach to test dosing. As always, we post an associated infographic at www.theinternatwork.com Guest Fellows: Dr. David McCullagh (Infectious Diseases Fellow,...

Send us Fan Mail To finish off Multiple Myeloma Awareness Month, we have our second episode of a two part series- this one's on Myeloma! We discuss the definitions of smoldering myeloma vs. multiple myeloma as well as a breakdown of the pathophysiology (with our mnemonic CRAB) and a brief overview of treatment. Make sure to listen to our episode on MGUS first.  As always, we have an associate...

Send us Fan Mail It's Myeloma Awareness Month, and to spread the word we are releasing 2 concurrent episodes- MGUS and Myeloma. This week you are in the outpatient GIM clinic and our episode is all about Monoclonal Gammopathy of Undetermined Significance.  We delve deeper into what it means to order SPEP, UPEP, serum immunofixation and serum free light chains, and we overview the Internationa...

Send us Fan Mail This episode is all about the fibroelastic sac surrounding your heart- the pericardium! We discuss the continuum of pericarditis, pericardial effusions and cardiac tamponade- including symptoms/signs to look out for and an approach to management.  As always, we have an associated infographic as well as relevant resources at www.theinternatwork.com. This episode was written by Dr....

Send us Fan Mail Dr. Kim Lewis (Critical Care Fellow, McMaster University) takes us through the approach to a patient with suspected massive pulmonary embolism. Stay tuned for five take home points to remember when treating a patient with this medical emergency as well as recommendations form Thrombosis Canada. As always, we post an associated infographic at www.theinternatwork.com Guest Fellow: D...

Send us Fan Mail This episode is all about an approach to the patient with pituitary adenoma! We discuss signs and symptoms, as well as where to begin with your investigations. Finally, we discuss complications to be aware of post-operatively, and how to manage them.  This episode was written by Dr. Tehmina Ahmad (Internal Medicine Resident), and reviewed by Dr. Jeanette Goguen (Endocrinologist) a...

Send us Fan Mail This episode is all about sepsis! We discuss various identification and risk stratification scores, as well as the work up and management of the patient with sepsis.  As always, we have an associated infographic as well as relevant resources at www.theinternatwork.com. This episode was written by Dr. Laiya Carayannopoulos (Internal Medicine Resident) and reviewed by Dr. Alison Fox...

Send us Fan Mail In this episode, we describe all of the lifestyle and non-insulin pharmacological management of type II diabetes.  As always, we have an associated infographic as well as relevant resources at www.theinternatwork.com. This episode was written by: Dr. Sapna Shah (Internal Medicine Resident) and reviewed by Dr. Shoba Sujana Kumar (Endocrinology) and Dr. Peter Wu (Internal Medicine a...

Send us Fan Mail Dr. Tooba Ali (Rheumatology Fellow, Queen's University) takes us through the approach to a patient with suspected pulmonary renal syndrome and the initial treatment. Stay tuned for five take home points to remember when treating a patient with Pulmonary Renal Syndrome as well as some of the latest evidence around ANCA-associated vasculitis. As always, we post an associated in...

Send us Fan Mail In this episode, we talk about the 5,6,7 rule for classifying pleural effusions, lead you through Light's criteria and consider the broad differential and treatments for pleural effusion! Visit www.theinternatwork.com for the associated infographic.  Episode written by: Dr. Jessica Kapralik (Internal Medicine Resident) Episode Reviewed by: Dr. Andrew Cheung (General Internist...

Send us Fan Mail Today we address a source of anxiety for many a learner - approach to ischemic stroke. In this episode we discuss everything stroke related - physical exam, investigations, acute management, and secondary prevention. Remember to visit www.theinternatwork.com for our infographic and links to relevant resources, including the NIH stroke scale.  Support the show

Send us Fan Mail Today we break down an approach to hemolysis! This episode establishes an approach to diagnosis, clinical and laboratory evaluation and treatment of one of the most fatal hemolytic anemias - TTP.  Thanks to our fellow Dr. Chenchen Hou for taking us through this complex topic.  Visit our website www.theinternatwork.com for an associated infographic. Support the show

Send us Fan Mail A heart that is well conditioned, or well worth worrying about? In this podcast we discuss the physiology, diagnosis, and management of bradyarrythmias! Don't forget to check out www.theinternatwork.com for a summary infographic.  Support the show

Send us Fan Mail A common problem with complex physiology! Learn all about our approach to the diagnosis and management of hypercalcemia.  Be sure to check out www.theinternatwork.com for our accompanying infographic. Support the show

Send us Fan Mail Ascites is the pathologic accumulation of fluid in the abdominal cavity. In this episode, we review the pathophysiology, clinical presentation, diagnosis and management of ascites, with a focus on ascites secondary to liver cirrhosis. Be sure to check out www.theinternatwork.com for our accompanying infographic. Support the show

Send us Fan Mail The first episode in our new "Ask A Fellow" series, geared towards senior level learners. In this episode, we sit down with a fellow and discuss their approach to Blasts in the peripheral blood smear. Be sure to check out www.theinternatwork.com for the associated infographic! Support the show