The Intern At Work: Internal Medicine

Send us Fan Mail In this episode we cover your approach to chronic and acute aortic regurgitation including key physical exam findings and echocardiographic measures.  Written by: Dr. Kate Haichin (Internal Medicine Resident)  Reviewed by: Dr. Nadia Giannetti (Cardiologist) and Dr. Amal Bessissow (General Internist).  Support the show

Send us Fan Mail Take a listen this week for a dive into the world of HLH. We cover primary and secondary HLH, your approach to the diagnosis and workup, as well as management and some info on recent trials.  Support the show

Send us Fan Mail Listen to this episode for a great summary on TB infection and TB disease! We also discuss new updates and Canadian specific guidelines.  Episode written by Dr. Kevin Zhang, PGY2 Internal Medicine and reviewed by Dr. Jane Batt, Respirology and Dr. Kevin Venus, General Internal Medicine. Infographic by Dr. Valerie Kim.  Support the show

Send us Fan Mail In this episode, we review the pathophysiology, clinical presentation, associated diseases, investigations and treatment for the seronegative spondyloarthritides. These include psoriatic arthritis, enteropathic or IBD-associated arthritis, ankylosing spondylitis and reactive arthritis - or PEAR! Written by: Dr. Steven Cho (Internal Medicine Resident) Reviewed by: Dr. Lori Albert (...

Send us Fan Mail In this episode, Dr. Catherine Leurer interviews Dr. Lori Albert about the most common type of inflammatory arthritis - Gout. Dr. Albert discusses the 2020 American College of Rheumatology Guideline for the Management of Gout, with a focus on both acute gout flares and chronic management of patients with gout.  Interviewer: Dr. Catherine Leurer (Geriatrics Subspecialty Fellow) Spe...

Send us Fan Mail In this episode, Dr. Maya Stein interviews Dr. Kevin Singh about the 2016 Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery. Produced and Hosted By: Dr. Maya Stein (Internal Medicine resident) Special Guest: Dr. Kevin Singh (General Internist) Sound Editing by: Dr. Alison Lai (General Inte...

Send us Fan Mail In this episode, Dr. Valerie Kim interviews Dr. Yayi Huang about Thrombosis Canada’s 2021 clinical guides on deep vein thrombosis and pulmonary embolism in the setting of pregnancy. Episode produced and hosted by: Dr. Valerie Kim (Internal Medicine resident) Special Guest: Dr. Yayi Huang (General Internist and Obstetric Internist)  Sound editing by: Dr. Alison Lai (General Interni...

Send us Fan Mail Disclaimer: This episode has nothing to do with Taylor Swift, although, we do love her. There's something in this for all of our trainees this July! Our host Dr. Zahra Merali (General Internist) sits down with Dr. Madeline Stephen (PGY3 Internal Medicine) and Dr. Dr. Mei-Ni Belzile (PGY3 Internal Medicine) to chat about how to navigate the subspecialty match... the discussion...

Send us Fan Mail Confused by all the possible opportunistic infections that patients with HIV may be vulnerable to? Take a listen! Written by: Dr. Valerie Kim (Internal Medicine Resident). Reviewed by: Dr. Nisha Andany (Infectious Disease Specialist) and Dr. Isaac Bogoch (Infectious Disease Specialist and Internal Medicine Physician). Infographic: Also by Dr. Valerie Kim.   Support the show

Send us Fan Mail In this episode, we review the physiology and pathophysiology behind coronary artery disease. We also reviewed the current indications for CABG as per the CCS guidelines. The medicine minute discusses the recently released ISCHEMIA trial. Written by: Dr. Cole Clifford (IM Resident) Reviewed by: Dr. John Janevski (Cardiology) and Dr. Rupal Shah (General Internist) Sound editing by:...

Send us Fan Mail Let's dive into endocrinology this week- to learn about Paget Disease of the Bone! Listen till the end to learn about Sir James Paget himself. This episode was written by Emaad Mohammad (Internal Medicine Resident) and reviewed by Dr. Robyn Houlden (Endocrinology) and Dr. Amelia Wilkinson (General Internal Medicine)  Support the show

Send us Fan Mail In this episode, we cover when to suspect and investigate - or more importantly NOT investigate patients for potential inherited thrombophilias.  Written by: Chloe Gordon (Internal Medicine Resident)  Reviewed by: Dr. Eric Tseng (Hematologist) and Dr. Vicky Tagalakis (General Internist)  Support the show

Send us Fan Mail In this episode, we discuss the clinical presentation, consensus diagnostic criteria and pharmacologic and non-pharmacologic strategies to manage a patient with Postural Orthostatic Tachycardia Syndrome (POTS).  Written by: Dr. David Bobrowski (Internal Medicine Resident) Reviewed by: Dr. Tosin Osuntokun and Dr. Paula Harvey (Cardiologists) and Dr. James Rassos (General Internist)...

Send us Fan Mail In this episode, we discuss the clinical presentation, severity grading, investigations and management for patients presenting with cholecystitis or cholangitis. Our medicine minute discusses a promising new technique for patients with non-operative cholecystitis.  Podcast written by: Drs. Amine Zoughlami  and Ikram Abow-Mohamed (Internal Medicine residents) Reviewed by:  Dr. Cons...

Send us Fan Mail We covered upper GI bleed a few weeks ago, but we'd be remiss if we didn't address the other half of the GI tract! This week we take you through our approach to lower GI bleeding and its management, including recent guideline updates.  Written by: Dr. Ikram Abow-Mohamed & Dr. Amine Zoughlami (Internal Medicine Residents)  Reviewed by: Dr. Alan Barkun (Gastroenterolog...

Send us Fan Mail Written by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Romina Pace (General Internal Medicine). Infographic by Vincent Li (Medical Student).  Support the show

Send us Fan Mail In this episode, we discuss two main causes of hypoxia as well as the utility of the A-a gradient to help determine the underlying etiology. We discuss different methods of oxygen delivery and briefly review etiologies that may cause hypoxia. Our medicine minute discusses the discovery and current controversy regarding pulse oximeters.  Episode written by: Dr. Anna Tyker (Internal...

Send us Fan Mail In this episode, we review the main causes of four different types of shock: hypovolemic, cardiac, obstructive and distributive (or vasoplegic). We discuss both initial assessment and management of a patient in shock, as well as more focused therapies for specific etiologies. Our medicine minute discusses the choice for initial vasopressors as well as the evidence behind current M...

Send us Fan Mail In this episode we cover the history of AKI and an approach to its diagnosis and management. We also cover landmark trials!  Written by: Dr. Thulasie Manokaran (Internal Medicine Resident) Reviewed by: Tyrone Harrison (Nephrologist) and Dr. Michael Fisher (General Internist)  Support the show

Send us Fan Mail Have you heard of the "bubble boy?" In this episode, we outline an approach to hypogammaglobulinemia - a fascinating outpatient medicine topic! Episode written by Dr. Vivian Szeto (Internal Medicine resident) and reviewed by Dr. Rongbo Zhu (Clinical Allergy and Immunology) and Dr. Marko Mrkobrada (General Internal Medicine). Infographic by Dr. Valarie Kim (Internal Medic...

Send us Fan Mail This week we cover an increasingly common diagnosis - eosinophilic esophagitis. We will discuss the clinical presentation, diagnostic criteria, and help you remember the approach to treatment.  Written by: Dr. Michael Scaffidi (Internal Medicine Resident) Reviewed by: Dr. Samir Grover (Gastroenterologist) and Dr. Don Thiwanka Wijeratne (General Internist) Support the show

Send us Fan Mail In this episode, we discuss the clinical presentation, laboratory abnormalities, initial work-up and treatment of TTP. We review the pathophysiology and also how to distinguish TTP from other MAHAs based on the patient's lab findings and clinical presentation. The medicine minute discusses the first known case of TTP and the timeline of discovery of the etiology behind TTP. ...

Send us Fan Mail Today's episode is all about a rare disease that you may encounter on your allergy and immunology rotation! This episode was written by Dr. Candice Luo (Internal Medicine Resident) and reviewed by Dr. Paul Keith (Allergy and Immunology) and Dr. Zahira Khalid (General Internal Medicine). Infographic by Dr. Cailyn Vlasschaert (Internal Medicine Resident).  Support the show

Send us Fan Mail In this episode we take you through all the need-to-knows for your next patient with dilated cardiomyopathy!  Written by: Dr. Jasper Ho (Internal Medicine Resident)  Reviewed by: Dr. Katie Connolly (Cardiologist) and Dr. John Neary (General Internist) Support the show

Send us Fan Mail In this episode, we discuss the approach to a patient with SVC syndrome. This includes considering both malignant and non-malignant causes. Treatment focuses on relief of the obstruction and investigation and management of malignant causes. Our medicine minute discusses a 2021 trial reviewing endovascular therapy for SVC syndrome. Written by: Dr. Samuel Chan (Internal Medicine Res...