The Intern At Work: Internal Medicine

Send us Fan Mail In this episode, we review the clinical presentation, screening guidelines, diagnosis and management of Barrett's Esophagus - one of the risk factors for developing Esophageal Adenocarcinoma. In our medicine minute, we discuss a landmark trial that transitioned treatment for BE from esophagectomy to endoscopic ablation methods.  Podcast written by: Dr. Louis Huynh (Internal M...

Send us Fan Mail It's not always good to have "a thick skin!" Learn all about it in this weeks episode. Written by Dr. Laura Spatafora (Internal Medicine Resident) and reviewed by Dr. Stephanie Garner (Rheumatology) and Dr. Daniel Brandt Vegas (General Internal Medicine).  Infographic by Kiera Liblik (Medical student).  Support the show

Send us Fan Mail In this episode, we discuss the clinical presentation, biochemical mediators and treatment of chronic urticaria. We discuss the importance of a thorough history and physical to identify potential triggers as well as the utility of challenge testing and desensitization for treatment. Tune into our medicine minute to hear about two life threatening kinds of chronic urticaria that re...

Send us Fan Mail In this high yield episode, we review the clinical presentation, up front investigations, immediate and long-term management of patients who present with STEMIs - one of the 5 causes of life-threatening chest pain. Our medicine minute reviews the PLATO trial, which supports the use of ticagrelor over clopidogrel as the second agent in dual anti-platelet therapy in patients with AC...

Send us Fan Mail In this episode we take a deep dive into thalassemia- discussing the types, aetiology ,work up and treatment. This episode was written by Dr. Catherine Lovatt (Internal Medicine Resident) and reviewed by Dr. Madeleine Verhovsek (Hematology) and Dr. Daniel Brandt Vegas (General Internal Medicine). Infographic by Jessica Nguyen.   Support the show

Send us Fan Mail It's that time of year again ! To celebrate our newest Interns on July 1st we have an exclusive Fireside Chat with our team members Drs. Orly Bogler (Toronto Site Co-lead), Claire Browne (Western Site Co-lead), Shannon Gui (Infographic Designer and McMaster Site-Co Lead) and Nafis Hossain (Sound editor). In this episode they talk about how to stay afloat mentally during resid...

Send us Fan Mail It's that time of year again ! To celebrate our newest Interns on July 1st we have an exclusive Fireside Chat with our team members Drs. Orly Bogler (Toronto Site Co-lead), Claire Browne (Western Site Co-lead), Shannon Gui (Infographic Designer and McMaster Site-Co Lead) and Nafis Hossain (Sound editor). In this episode they talk about how they chose internal medicine, how th...

Send us Fan Mail In this episode, we discuss the clinical manifestations, diagnosis and management of peripheral arterial disease. Our medicine minute focuses on emerging evidence for the use of Rivaroxaban following the release of the COMPASS trial in 2020.  Written by: Dr. Palki Bhatt (Internal Medicine) Reviewed by:  Dr. Sonia Anand (Cardiology) and Dr. Kajenny Srivaratharajah (General Internal...

Send us Fan Mail In this episode, we review the two types of HIT, with diagnosis and management on HIT Type II. We go through methods of risk stratification, including the 4T score and review the gold standard testing for diagnosing HIT.  Written by: Dr. Sabrina Allarakhia (Internal Medicine Resident) Reviewed by: Dr. Jennifer Leung (Hematology) and Dr. Steven Montague (General Internal Medicine)...

Send us Fan Mail This episode takes you through a commonly encountered problem that stumps many a clinician! Learn all about primary and secondary causes of eosinophilia, when to investigate for each, and how to do so.  Written by: Dr. Shreyash Dalmia (Hematology Fellow)  Reviewed by: Dr. Siraj Mithoowani (Hematology & Thrombosis) & Dr. John Neary (General Internal Medicine) Support the sh...

Send us Fan Mail In this episode, Dr. Sheliza Halani interviews Dr. Andrew Ha, cardiac electrophysiologist at the University Health Network whose interest and clinical focus is in atrial fibrillation. They discuss the CCS/CHRS Comprehensive Guidelines for the Management of Atrial Fibrillation, released in 2020. Host: Dr. Sheliza Halani Guest: Dr. Andrew Ha Sound Editing: We would like to thank Krz...

Send us Fan Mail In this episode we review the pathophysiology, diagnosis, and approach to the patient with DIC. Listen closely for some key tips on diagnostic scores and the trap of an inappropriately normal fibrinogen!  Written by: Dr. Stefan Jevtic (Internal Medicine Resident), reviewed by Dr. Siraj Mithoowani (Hematologist) and Dr. John Neary (General Internist).   Support the show

Send us Fan Mail In this episode we take you through an approach to the kidney transplant patient presenting with acute allograft dysfunction. We will cover differential, key questions on history, and an overview to management.  Written by Dr. Susan Thanabalasingam (Internal Medicine Resident) Reviewed by Dr. Khaled Shamseddin (Nephrologist) and Dr. David Taylor (General Internist)  Support the sh...

Send us Fan Mail In this episiode, Dr. Sheliza Halani interview Dr. Jameel Abdulrehman (Hematology, Thrombosis) about the latest recommendations in the  CHEST 2021 Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report Host: Dr. Sheliza Halani Guest: Dr. Jameel Abdulrehman, Hematologist, Assistant Professor at University of Toronto Sound Editing: Aliso...

Send us Fan Mail In this episode, we review the etiologies, diagnosis, investigations and management of rhabdomyolysis.  Written by: Dr. Dhruv Krishnan, Internal Medicine Resident Reviewed by: Dr. Audrey Tran (General Internist) and Dr. Samuel Silver (Nephrologist) Sound Editing: Alison Lai Support the show

Send us Fan Mail In this episode we have special guest Dr. Dominic Ng (Endocrinologist) review the 2021 Canadian Cardiovascular Society Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in Adults with our host Dr. Catherine Leurer.  Host: Dr. Catherine Leurer Special Guest: Dr. Dominic Ng (Endocrinologist) Sound Editing: Kryzsztof Kowalik Support the show

Send us Fan Mail You've probably heard a lot about community acquired pneumonia- but what about aspiration pneumonitis, aspiration pneumonia and hospital acquired pneumonia (HAP)? In this episode, we break down these highly relevant etiologies. This episode was written by Shannon Tang (Internal Medicine Resident) and reviewed by Dr. Onofre Moran-Mendoza (Respirology) and Zijing Wu (General In...

Send us Fan Mail In this episode, we go over an approach to one of the two inflammatory bowel diseases- Crohn's disease! Written by Dr. Prem Bhoey (Internal Medicine Resident), Reviewed by Dr. Sawhn Sean Pritchett (Gastroenterology) and Dr. Thiwanka Wijeratne (General Internal Medicine). Infographic by Lucy Lan.  Support the show

Send us Fan Mail In this episode, Dr. Catherine Leurer interviews Dr. Stephanie Poon (Cardiologist) on the 2021 CCS/CHFS Heart Failure Guidelines Update: Defining a New Pharmacologic Standard of Care for Heart Failure With Reduced Ejection Fraction. Host: Dr. Catherine Leurer Guest: Dr. Stephanie Poon (Cardiologist) Sound Editing: Krzysztof Kowalik Support the show

Send us Fan Mail In this episode, we review the pathophysiology and diseases associated with chronic diarrhea. We use the MISO acronym to divide up etiologies as well as our work-up. We review basic treatments as well as approaches to symptom management. As always, we have an associated infographic at www.theinternatwork.com.  Episode written by: Dr. Sechiv Jugnundan (Internal Medicine Resident) R...

Send us Fan Mail In this episode, Dr. Sheliza Halani speaks with Dr. Kevin Venus (General Internist) about the 2020 update to the Hypertension Canada Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension. Host: Dr. Sheliza Halani Sound Editing: Dr. Alison Lai Producers: Dr. Catherine Leurer and Dr. Sheliza Halani Support the show

Send us Fan Mail Take a listen to learn all about cholesterol, lipids and cardiovascular risk prevention! Written by Dr. Parm Khakh (Internal Medicine Resident) and reviewed by Dr. Samir Hazra (Cardiology) and Dr. Steven Montague (General Internal Medicine). Infographic by Rachel Ahle (Physicians Assistant).  Support the show

Send us Fan Mail In this episode, we discuss the CAG/ACG guidelines for management of Dyspepsia, released in 2017 with Dr. Piero Tartaro, Gastroenterologist.  Host: Dr. Catherine Leurer Sound Editing: Krzysztof Kowalik  Producers: Dr. Sheliza Halani and Dr. Catherine Leurer Support the show

Send us Fan Mail In this episode, we have Dr. Malika Sharma, Infectious Diseases physician take us through the 2015 Guidelines to the diagnosis, treatment and management of endocarditis. We also include some of the new 2020 updates as well!  Host: Dr. Sheliza Halani (Internal Medicine Resident) Sound Editing: Alison Lai Produced by: Dr. Sheliza Halani and Dr. Catherine Leurer Support the show

Send us Fan Mail In this episode we discuss the types of angioedema, clues to help differentiate them on history, and the management of patients with a diagnosis of hereditary angioedema.  Written by: Dr. Maggie Jiang (Internal Medicine Resident)  Reviewed by: Dr. Stephen Betschel (Clinical Immunology and Allergy) and Dr. Laura Walker (General Internal Medicine) Support the show