The Intern At Work: Internal Medicine

Send us Fan Mail In this episode, we review the pathophysiology, clinical presentation and diagnostic approach to ILD - a heterogenous group of lung disorders characterized by diffuse parenchymal lung disease. We will talk briefly about management and treatment, as well as the PANTHER-IPF trial that shaped the treatment of IPF - a subtype of ILD.  Written by: Dr. Jung-In Choi (Internal Medicine Re...

Send us Fan Mail In this episode we cover the approach to a patient with suspected pulmonary fibrosis. This episode discusses history, physical exam, treatments and management of acute exacerbations.  Written by: Dr. Aninditee Das (Internal Medicine Resident)  Reviewed by: Dr. Karen Geukers (Internal Medicine) and Dr. Marco Mura (Respirology)  Support the show

Send us Fan Mail In this episode we take a deep dive into the different anticoagulants! It's more than just warfarin folks.  Written by: Dr. Nicholas Chornenki ( Internal Medicine Resident) Reviewed by: Dr. Janet Lui (hematologist) and Dr. Marie Leung (General Internist) Produced by: Dr. Nafis Hossain (Internal Medicine Resident)  Infographic by: Lucy Lan (Medical Student)  Support the show

Send us Fan Mail In this episode, we discuss the clinical manifestations, investigations and management of acute liver failure. Written by: Dr. Fiona Milne (Internal Medicine Resident) Reviewed by: Dr. Melissa Kelley (Gastroenterologist) and Dr. Zijing Wu (General Internist) Infographic by: Hailey Pineda (Undergraduate Student) Sound Editing by: Nathan Doupnik Support the show

Send us Fan Mail Have you ever wondered why we call it antiphospholipid syndrome? Take a listen to this episode to find out all about why we've named it this, and how to diagnose, investigate and manage patients with APS. Written by: Dr. Stefan Jevtic (IM Resident) Reviewed by: Dr. Mark Crowther (Hematology) and Dr. Serena Gundy (GIM) Sound Editing: Dr. Nafis Hossain (IM Resident) Infographic...

Send us Fan Mail In this episode we discuss the long-term management of congestive heart failure. We cover both reduced and preserved ejection fraction as well as the latest CCS guidelines!  Support the show

Send us Fan Mail What happens when the glomerular filtration system breaks down? This episode is all about nephrotic syndrome. We go through the pathophysiology of the kidney (comparing it to a coffee filter), the key history and physical exam one might expect with this condition, investigations to order and management specifics. Check out the related infographic at www.theinternatwork.com.  Suppo...

Send us Fan Mail What is bronchiectasis? In this episode, we discuss the etiologies of bronchiectasis, the diagnostic work-up of choice and the treatments available for patients with this disease. We also discuss the EMBRACE trial that has led to change in guidelines for treatment of bronchiectasis.  Podcast written by: Drs. Aram Karkar and Yassmin Behzadian (Internal Medicine residents),  Reviewe...

Send us Fan Mail In this episode we cover scales for assessing depth of sedation in the ICU, as well as medications used for analgesia and sedation.  Support the show

Send us Fan Mail In this episode, we discuss the clinical presentation, investigations and management of Variceal bleeds - a type of upper GI bleed that can cause mortality in up to 1/3 of patients with cirrhosis.  Written by: Dr. Maria Mikail (Internal Medicine resident) Reviewed by: Dr. Anouar Teriaky (Gastroenterology) and Dr. Karen Geukers (General Internal Medicine) Sound Editing by: Nathan D...

Send us Fan Mail Time for a respirology "ask a fellow"! In this episode we go through this niche respiratory diagnosis and cover the new 2020 ATS hypersensitivity pneumonitis guidelines. Written by Dr. Dan Gillet (Respirology Fellow) and Dr. Jennifer D'Cruz (Internal Medicine Resident). Reviewed by Dr. Cory Yamashita (Respirology)  Support the show

Send us Fan Mail As internists, we're always scared of surgical complications of our medical procedures. But pneumothoraces can occur for many reasons, and it is essential to know how to recognize and treat them! In this episode, we go over the types of pneumothoraces, approach to diagnosis, investigation and management.  Support the show

Send us Fan Mail In this episode, we review the clinical presentation, diagnostic work-up and management of patients with suspected stable CAD. Our medicine minute this week reviews the indications for early revascularization in patients with stable CAD.  Written by: Dr. Ciara Pendrith (IM Resident) Reviewed by: Dr. Kenneth Melvin (Cardiology) and Drs. Jonathan Ailon (GIM) and Alison Lai (GIM) Sup...

Send us Fan Mail This week we cover our approach to patients with MDS. We discuss signs and symptoms, diagnostic criteria and treatment, and have a great medicine minute about advances in therapy.  Written by: Dr. Eugene Brailovski (Internal Medicine Resident  Reviewed by: Dr. Martina Trinkaus (Hematologist) and Dr. Steve Shumak (General Internist)  Sound editing by: Nathan Doupnik  Support the sh...

Send us Fan Mail What is your approach to an incidental thyroid nodule? This episode takes us through the work up of this common internal medicine issue including key findings on history and physical exam, essential lab values and an approach to work up and management. This episode was written by Samantha Bruzzese and reviewed by Dr. Sara Awad  (Endocrinologist) and Dr. Laura Marcotte (General Int...

Send us Fan Mail A dilemma every internal medicine resident faces is- how do you choose your subspecialty? Join us on this special July episode, where we first catch up with your favourite executive producers and then dive into a panel discussion with 3 Canadian fellows. Zahra asks them about their own paths that led them to choose their subspecialty using your questions from twitter! This episode...

Send us Fan Mail A dilemma every internal medicine resident faces is- how do you choose your subspecialty? Join us on this special July episode, where we first catch up with your favourite executive producers and then dive into a panel discussion with 3 Canadian fellows. Zahra asks them about their own paths that led them to choose their subspecialty using your questions from twitter! This episode...

Send us Fan Mail In this episode we discuss the approach to diagnosis and management of GCA and Polymyalgia Rheumatica.  Written by: Dr. Haonan Mi (Internal Medicine Resident)  Reviewed by: Dr. Tanveer Towheed (Rheumatology) and Dr Zijing Wu (General Internal Medicine) Support the show

Send us Fan Mail In this episode, we talk all about Sarcoidosis. This disease is one of non-caseating granulomas. Though most typically found in the lungs and lymph nodes, Sarcoidosis can be found anywhere in the body. It is associated with two main symptoms - Heerfordt's Syndrome and Lofgren's Syndrome. Tune in to listen to how we diagnosis and treat sarcoidosis. Episode written by: Dr....

Send us Fan Mail This week we discuss the long term management of opioid use disorder, with a focus on opioid agonist therapy.  Written by: Dr. Clara Lu (General Internal Medicine Fellow) Reviewed by: Dr. Lori Regenstreif (Addictions Medicine Specialist) and Dr. Leslie Martin (General Internal Medicine)  Support the show

Send us Fan Mail This week we discuss your approach to a patient with opioid overdose and withdrawal, as well as the management of both conditions including naloxone and buprenorphine.  Support the show

Send us Fan Mail In Part 2 of this Ask a Fellow, Hematology Fellow Dr. Jennifer Teichman and Dr. Heather Vandermeulen discuss why iron deficiency is both underdiagnosed and undertreated in pregnant women. They raise salient points about equity in our health care system and provide suggestions on how to ensure women get more timely access to care for their iron deficiency. Support the show

Send us Fan Mail In this episode, Hematology fellows Dr. Jennifer Teichman and Dr. Heather Vandermeulen discuss how to diagnosis, investigate and treat iron deficiency in pregnancy. This is part 1 of a 2 part episode, so stay tuned for our next episode on how iron deficiency in pregnancy is related to inequities in our health care system.  Support the show

Send us Fan Mail In this episode, we'll discuss how to manage patients with chronic COPD. We'll go through a large variety of interventions and highlight which interventions have a symptomatic benefit and which interventions have a mortality benefit. Our guidelines are based on the GOLD COPD guidelines. Check out our associated infographic at www.theinternatwork.com.  Written by: Dr. Sha...

Send us Fan Mail This week we discuss our approach to deranged liver enzymes, the difference between liver enzymes and liver function tests, and the various patterns of abnormality.  Support the show