Explore every episode of the podcast The Intern At Work: Internal Medicine
| Title | Pub. Date | Duration | |
|---|---|---|---|
| 248. Unplugged - The Platelet Destroying Pathology of ITP | 29 Sep 2024 | 00:16:01 | |
In this episode, we discuss the epidemiology, clinical manifestations, investigations and treatment of ITP. Our medicine minute discusses the Harrington-Hollingsworth Experiment. | |||
| 247. CSIM Special Episode - Top Papers Runners Up Part 1 | 25 Sep 2024 | 00:27:13 | |
In the first of our series leading up to CSIM we sit down with Dr. Raj Hanmiah to discuss the papers that didn't make the cut for the top papers of the year. Keep tuning in to hear the rest and join us as we record live at CSIM during the Top Papers breakfast session on October 17th for the reveal of the top 5 of the year! | |||
| 239. A Liver-Kidney Conundrum - Hepatorenal Syndrome | 02 Jun 2024 | 00:14:57 | |
In this episode, we review the acute presentation of hepatorenal syndrome. We review the nomenclature, epidemiology, clinical presentation, investigations and management of hepatorenal syndrome. Our medicine minute reviews the utility of terlipressin in treatment of HRS. | |||
| 150. A Granular Problem – How to Approach Eosinophilia | 05 Jun 2022 | 00:18:13 | |
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. | |||
| 149. The Internists Guide to Atrial Fibrillation | 03 Jun 2022 | 00:40:57 | |
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. | |||
| 148. In the Eye of the Storm - An Approach to Disseminated Intravascular Coagulation | 29 May 2022 | 00:11:23 | |
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! | |||
| 147. For When Urine Trouble - An approach to Acute Renal Allograft Dysfunction in kidney transplant patients | 22 May 2022 | 00:16:06 | |
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. | |||
| 146. The Internist's Guide to VTE | 19 May 2022 | 00:22:27 | |
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
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| 145. Flush Away the Crush - An Approach to Rhabdomyolysis | 15 May 2022 | 00:14:04 | |
In this episode, we review the etiologies, diagnosis, investigations and management of rhabdomyolysis. | |||
| 144. The Internist's Guide to Dyslipidemia | 10 May 2022 | 00:20:58 | |
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.
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| 143. All Around Us- Approach to Aspiration and HAP | 08 May 2022 | 00:14:44 | |
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 Internal Medicine). Infographic by Lucy Lan (medical student). | |||
| 142. A Scoping Review- Approach to Crohn’s disease | 01 May 2022 | 00:13:01 | |
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. | |||
| 141. The Internist's Guide to Heart Failure with Reduced Ejection Fraction | 28 Apr 2022 | 00:29:48 | |
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. | |||
| 238. Catch a Breath - Tracheostomy 101 | 26 May 2024 | 00:14:32 | |
In this episode, we provide a broad introduction to tracheostomies. This includes indications and contraindications, tracheostomy equipment, procedural options and potential complications of tracheostomies. The medicine minute discusses the TRACMAN trial published in JAMA in 2013. Written by: Drs . Tharaniya Vallipuram (Internal Medicine Resident) and Liang Chen (General Internal Medicine & ICU Fellow) | |||
| 140. The Long Run - An Approach to Chronic Diarrhea | 24 Apr 2022 | 00:13:12 | |
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. | |||
| 139. The Internist's Guide to Chronic Hypertension | 19 Apr 2022 | 00:30:52 | |
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. | |||
| 138. Statin Island- An Approach to Lipids | 17 Apr 2022 | 00:14:38 | |
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). | |||
| 137. The Internist's Guide to Dyspepsia | 14 Apr 2022 | 00:28:05 | |
In this episode, we discuss the CAG/ACG guidelines for management of Dyspepsia, released in 2017 with Dr. Piero Tartaro, Gastroenterologist. | |||
| 136. The Internist's Guide to Infective Endocarditis | 12 Apr 2022 | 00:39:51 | |
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! | |||
| 135. Isn't Life Swell - An Approach to Hereditary Angioedema | 10 Apr 2022 | 00:14:03 | |
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. | |||
| 134. The Internist's Guide to CKD | 07 Apr 2022 | 00:22:44 | |
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. | |||
| 133. Cystic Fibrosis: Unplugged | 03 Apr 2022 | 00:11:09 | |
In this episode we discuss our approach to cystic fibrosis. You will learn about the pathophysiology, diagnosis and new management tools. | |||
| 132. Small and Non-Small Cells - An Approach to Lung Cancer | 27 Mar 2022 | 00:09:28 | |
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. | |||
| 131. What is the Wells' Score? An approach to DVT and PE | 20 Mar 2022 | 00:19:13 | |
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) and Dr. Deborah Siegal (Hematology/Thrombosis). Produced by Nathan Dupnik (Medical student), infographic by Lilly Yu. | |||
| 237. Starting from Scratch - Intrahepatic Cholestasis of Pregnancy | 12 May 2024 | 00:21:50 | |
In this episode, we discuss the presentation, typical timing of onset, investigations and treatment for individuals with intrahepatic cholestasis of pregnancy. We also discuss the potential complications of ICP. | |||
| 130. Going Backwards – An Approach to Mitral Regurgitation | 13 Mar 2022 | 00:14:57 | |
In this episode, we discuss the etiology, clinical features of mitral regurgitation. Acute, chronic, management of both, we've got it all! | |||
| 129. Too Fast, Too Furious - An Approach to SVT | 06 Mar 2022 | 00:14:47 | |
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. | |||
| 128. When it Goes Low, We Go Slow - An Approach to Hypothyroidism | 27 Feb 2022 | 00:14:41 | |
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. | |||
| 127. The Gift of Life - Organ Donation after Neurological Death | 20 Feb 2022 | 00:13:38 | |
This week we discuss the clinical criteria required to diagnose neurological death, and the steps to caring for the neurologically deceased organ donor. | |||
| 126. Good Bug Gone Bad - Staph Aureus Bacteremia | 13 Feb 2022 | 00:13:07 | |
In this episode we discuss the clinical manifestations, diagnosis and management of both MSSA and MRSA bacteremia. | |||
| 125. Medication or Libation? - The Beer's List | 06 Feb 2022 | 00:17:42 | |
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. | |||
| 124. Mad Hatter- TCA Overdose | 30 Jan 2022 | 00:17:21 | |
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 and pharmacology/toxicology). Infographic by Dr. Shannon Gui (Internal Medicine Resident). Produced by Dr. Nafis Houssain (Intern Medicine Resident) | |||
| 123. Sweating the Organophosphates - Organophosphate poisoning | 23 Jan 2022 | 00:12:35 | |
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. | |||
| 122. A Pressing Pressure Problem: Hypertensive Urgency and Emergency | 16 Jan 2022 | 00:12:39 | |
In this episode we cover your approach to the management of acute hypertension as well as the work-up of secondary causes. | |||
| 121. Bursting Pipes: An Approach to Primary Hypertension | 09 Jan 2022 | 00:14:32 | |
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 Dr. Caitlyn Vlasschaert (Internal medicine resident) and produced by Nathan Dupnik (Medical Student). | |||
| 236. When Life Gives you Lemons- Perioperative Diabetes Management | 05 May 2024 | 00:13:37 | |
How can we best prevent diabetic related complications before surgery? Learn all about it in this weeks perioperative episode. This episode was written by Dr. Michael Wong (Internal Medicine Resident) and reviewed by Dr. Robyn Houlden (Endocrinology) and Dr. Kristen Marosi (General Internal Medicine). Infographic by Dr. Valarie Kim (Internal Medicine Resident).
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| 120. Ask a Fellow- Vaccine Anaphylaxis after mRNA SARS-CoV-2 Vaccination | 22 Dec 2021 | 00:30:11 | |
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 getting the vaccine? If a patient comes to me with concerns about vaccine allergy, what should I do? Special guest host Dr. Vivian Szeto (Internal Medicine resident). Infographic by Dr. Shannon Gui (Internal Medicine Resident). | |||
| 119. Syphilis and the Imitation Game | 19 Dec 2021 | 00:17:43 | |
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 bioethics and clinical trial regulations around the world | |||
| 118. Picking Up the Prolactinoma - Approach to Prolactinoma | 12 Dec 2021 | 00:08:01 | |
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). | |||
| 117. The World’s Most Common Infection: An Approach to H Pylori Infection | 05 Dec 2021 | 00:18:50 | |
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 (gastroenterologist) and Dr. John Neary (General Internist). Infographic by Lucy Lan (Medical Student) | |||
| 116. Body on Fire - Approach to Hyperthyroidism | 28 Nov 2021 | 00:17:24 | |
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. | |||
| 115. Take your breath away- Understanding Sleep Apnea | 21 Nov 2021 | 00:18:30 | |
Today we discuss a common outpatient respriology diagnosis- Obstructive sleep apnea! | |||
| 114. A Viral Delay - Hepatitis C | 14 Nov 2021 | 00:17:50 | |
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. | |||
| 113. Toxin in your medicine cabinet- Acetaminophen Toxicity | 07 Nov 2021 | 00:13:21 | |
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 | |||
| 112. Blue Blood - What to do when Methemoglobinemia is the Suspect | 31 Oct 2021 | 00:12:40 | |
In this episode we take a deep dive on methemoglobinemia. We discuss when to suspect it, diagnosis, treatment, and some great medical trivia! | |||
| 111. Approach to Pulmonary Function Tests (Part 2) | 27 Oct 2021 | 00:16:27 | |
This episode we apply our knowledge of the sections of PFTs to specific respiratory pathophysiologic processes. | |||
| 235. Galloping Gangrene - An Approach to Necrotizing Fasciitis | 01 May 2024 | 00:11:48 | |
Written by: Dr. Lori Israelian (Internal Medicine Resident) | |||
| 110. Approach to Pulmonary Function Tests (Part 1) | 24 Oct 2021 | 00:10:55 | |
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! | |||
| 109. A Drop in the Bucket - An Approach to ILD | 03 Oct 2021 | 00:12:49 | |
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. | |||
| 108. Scars that Don't Fade - Pulmonary Fibrosis | 26 Sep 2021 | 00:17:22 | |
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. | |||