The Intern At Work: Internal Medicine

Send us Fan Mail In this episode, we have Dr. Lisa Dubrofsky (Nephrology, University of Toronto) speaking about the KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Host: Dr. Catherine Leurer (Geriatrics Fellow) Sound editing by:  Krzystof Kowalik Support the show

Send us Fan Mail In this episode we discuss our approach to cystic fibrosis. You will learn about the pathophysiology, diagnosis and new management tools.  Written by: Dr. Rigya Arya (Internal Medicine Resident) Reviewed by: Dr. Elizabeth Tullis (Respirology) and Dr. Michael Fralick (General Internal Medicine Support the show

Send us Fan Mail In this episode, we discuss the different types of lung cancers. We review the common clinical presentation, work-up and diagnosis of lung cancer.  We also discuss an overview of treatment for lung cancer.  Written by: Dr. Coralea Kappel, Internal Medicine Resident Reviewed by: Dr. Peter Ellis (Medical Oncology) and Dr. Daniel Brandt Vegas (General Internal Medicine) Sound Editing...

Send us Fan Mail March is deep vein thrombosis awareness month... and just in time, we have an episode to teach you all about venous thromboembolism! Learn about the pathophysiology, physical examination, laboratory investigations, imaging and management of VTE's in this timely episode. Written by Dr. Danyal Ladha (internal medicine resident) and reviewed by Dr. James Zhang (General Internist...

Send us Fan Mail In this episode, we discuss the etiology, clinical features of mitral regurgitation. Acute, chronic, management of both, we've got it all!  Written by: Dr. Arjun Sharma (Internal Medicine Resident)  Reviewed by: Dr. Siddhartha Srivastava (General Internist) and Dr. Aws Almufleh (Cardiologist) Infographic by: Dr. Shannon Gui (Internal Medicine Resident)  Support the show

Send us Fan Mail In this episode, we review the approach to SVT with a focus on AVRT and AVNRT. We discuss the common clinical manifestations, etiology, investigations and management, with a special medicine minute on the REVERT trial.  Written by: Dr. Chris Olesovsky (Internal Medicine Resident) Reviewed by: Dr. Sean Balmain (Cardiology) and Dr. Pete Wu (General Internal Medicine) Sound Editing b...

Send us Fan Mail In this episode, we review the etiologies, clinical presentation and treatment of hypothyroidism. We also review the clinical presentation and treatment of myxedema coma - a potentially life threatening illness. Written by: Dr. Mohammed Bucheeri (Internal Medicine Resident) Reviewed by: Dr. Robert Silver (Endocrinology) and Dr. Trevor Jamieson (Internal Medicine) Infographic by: L...

Send us Fan Mail This week we discuss the clinical criteria required to diagnose neurological death, and the steps to caring for the neurologically deceased organ donor.  Support the show

Send us Fan Mail In this episode we discuss the clinical manifestations, diagnosis and management of both MSSA and MRSA bacteremia.  Written by: Dr. Helen Genis (Internal Medicine Resident) Reviewed by: Dr. Philip Lam (ID) and Dr. Jonathan Alon (Internal Medicine) Infographic by: Dr. Caitlyn Vlasschaert (Internal Medicine Resident) Sound Editing by: Dr. Nafis Hossain (Internal Medicine Resident) S...

Send us Fan Mail In this episode, we take you through a case-based approach to applying the Beer's List medications. We discuss why medication pharmacokinetics and pharmacodynamics are different in older adults, and cover high risk medications and approach to finding safer alternatives.  Support the show

Send us Fan Mail What does "mad as a hatter" make you think of in medicine? In this episode we go over the nuances of a medical emergency- TCA overdose! Written by Dr. Leah Kosyakovsky (Internal medicine resident at the time of writing, now cardiology fellow). Reviewed by Dr. Pete Wu (General internal medicine and pharmacology/toxicology) and Dr. David Juurlink (General internal medicine...

Send us Fan Mail In this episode, we discuss the mechanisms, consequences and treatment of organophosphate poisoning. We include the three stages of organophosphate poisoning and their associated clinical syndromes. Written by: Dr. William Kennedy (IM resident) Reviewed by: Dr. Jonathan Zipursky (Clinical Pharmacology and Toxicology) and Dr. Jonathan Dean (General Internal Medicine) Sound editing...

Send us Fan Mail In this episode we cover your approach to the management of acute hypertension as well as the work-up of secondary causes.  Support the show

Send us Fan Mail Today we discuss one the most common medical diagnoses- hypertension! We take a deep dive in Hypertension Canada guidelines to discuss the diagnosis, symptoms, signs and treatment of primary hypertension. Written by Dr. Ryan Peters (Internal medicine resident) and reviewed by Dr. Marie Leung (General Internal Medicine) and Dr. Zijing Yu (General Internal Medicine). Infographic by...

Send us Fan Mail This time instead of asking a fellow- we ask an expert attending physician Dr. Samira Jeimy (Allergy and Immunology) all about anaphylaxis in relation to the COVID vaccine! If someone has had a previous allergy to vaccines, can they safely get the mRNA COVID vaccine? If someone has a reaction to dose 1, can they get dose 2 or 3? What is PEG and does this prevent people from gettin...

Send us Fan Mail In this episode, we discuss the various clinical stages and presentation of syphilis as well as their associated treatment. We discuss the approach to diagnosis as well as the various diagnostic tests available. We also review the follow-up strategies to ensure appropriate response to therapy. Our medicine minute discusses the Tuskegee study and how it led to changes in medical bi...

Send us Fan Mail This episode was written by Dr. Anna Liu (Internal Medicine Resident) and reviewed by Dr. Dr. Stan Van Uum (Endocrinologist) and Dr. Kenneth Gilbert (GIM).  Support the show

Send us Fan Mail Did you know that the majority of people colonized with H pylori acquire it during infancy, and in the vast majority of cases infection is asymptomatic? Today we talk about the pathophysiology, history/exam, investigations and management of the world's most common infection- H. pylori! Written by Dr. Sama Anvari (internal medicine resident) and reviewed by Dr. Eric Greenwald...

Send us Fan Mail In this episode, we discuss the diagnosis, management and treatment of hyperthyroidism. We also take a brief detour to talk about the diagnosis and management of thyroid storm. Our medicine minute talks about a randomized control trial that looked at the use of cholestyramine for treatment of hyperthyroidism.  Written by: Dr. Tanisha Birk (Internal Medicine resident) Reviewed by:...

Send us Fan Mail Today we discuss a common outpatient respriology diagnosis- Obstructive sleep apnea! Written by Dr. Jennifer D'Cruz (Internal Medicine Resident), reviewed by and Dr. Alia Kashgari (Respirology) and Dr. Karen Guekers (General Internal Medicine). Sound editing by Nathan Dupnik (Medical Student). Infographic by Rachel Ahle (Medical Student).  Support the show

Send us Fan Mail In this episode we talk about one of the chronic viral hepitides - Hep C! We discuss risk factors, work-up and management which has changed drastically in the past several years! Listen to our medicine minute to hear how a Canadian contributed to the history and treatment of Hep C.  Support the show

Send us Fan Mail There's a toxin in your medicine cabinet... it's called APA, paracetamol, tylenol, or acetaminophen (depending on where you're listening)! Today we take you through the pathophysiology of tylenol toxicity, as well as clues to a patients presentation and acute management Written by Dr. Alisa Lagrotteria (Internal Medicine Resident) and reviewed by Dr. Keith Tsoi (Gas...

Send us Fan Mail In this episode we take a deep dive on methemoglobinemia. We discuss when to suspect it, diagnosis, treatment, and some great medical trivia!  Written by:  Dr. Lorenzo Madrazo (Internal Medicine Resident)  Reviewed by: Dr. Andrew Appleton (General Internal Medicine) and Dr. Wael Haddara (Critical Care) Support the show

Send us Fan Mail This episode we apply our knowledge of the sections of PFTs to specific respiratory pathophysiologic processes.  Support the show

Send us Fan Mail In this episode, we discuss normal respiratory mechanics, indications for PFTs and their main components. Tune in later this week for Part 2 where we will discuss how to interpret them!  Support the show