The Intern At Work: Internal Medicine
Episodes
201. Special July Episode. ERAS Tour- Tips to Swiftly Go Through The Different Era's of Residency
01 Jul 2023
Contributed by Lukas
Send us a textDisclaimer: This episode has nothing to do with Taylor Swift, although, we do love her. There's something in this for all of our tr...
200. A Window of Opportunity: Preventing and Treating HIV Opportunistic Infections
27 Jun 2023
Contributed by Lukas
Send us a textConfused by all the possible opportunistic infections that patients with HIV may be vulnerable to? Take a listen! Written by: Dr. Valeri...
199. CABG - More than a Vegetable
18 Jun 2023
Contributed by Lukas
Send us a textIn this episode, we review the physiology and pathophysiology behind coronary artery disease. We also reviewed the current indications f...
198. Tearing down and building up: An Aproach to Paget Disease of Bone
11 Jun 2023
Contributed by Lukas
Send us a textLet's dive into endocrinology this week- to learn about Paget Disease of the Bone! Listen till the end to learn about Sir James Pag...
197. Your Learning Is Not in Vein - An Approach to Inherited Thrombophilias
04 Jun 2023
Contributed by Lukas
Send us a textIn this episode, we cover when to suspect and investigate - or more importantly NOT investigate patients for potential inherited thrombo...
196. The Heart has a Mind of its Own - An Approach to POTS
28 May 2023
Contributed by Lukas
Send us a textIn this episode, we discuss the clinical presentation, consensus diagnostic criteria and pharmacologic and non-pharmacologic strategies ...
195. Biliary Off Track - An Approach to Cholecystitis and Cholangitis
21 May 2023
Contributed by Lukas
Send us a textIn this episode, we discuss the clinical presentation, severity grading, investigations and management for patients presenting with chol...
194. It's Lower Than You Think - Lower GI Bleed
14 May 2023
Contributed by Lukas
Send us a textWe 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 w...
193. Not So Sweet Pee- Approach to Central Diabetes Insipidus
08 May 2023
Contributed by Lukas
Send us a textWritten by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Romina Pace (Gener...
192. Go Get the O2 - An Approach to Hypoxia
30 Apr 2023
Contributed by Lukas
Send us a textIn this episode, we discuss two main causes of hypoxia as well as the utility of the A-a gradient to help determine the underlying etiol...
191. You put me in a state of SHOCK
23 Apr 2023
Contributed by Lukas
Send us a textIn this episode, we review the main causes of four different types of shock: hypovolemic, cardiac, obstructive and distributive (or vaso...
190. Urine Trouble! An approach to AKI
16 Apr 2023
Contributed by Lukas
Send us a textIn this episode we cover the history of AKI and an approach to its diagnosis and management. We also cover landmark trials! Written by:...
189. Into the Bubble: Approach to Hypogammaglobulinemia
10 Apr 2023
Contributed by Lukas
Send us a textHave you heard of the "bubble boy?" In this episode, we outline an approach to hypogammaglobulinemia - a fascinating outpatien...
188. Atopy, asthma, and dysphagia - oh my!: An approach to eosinophilic esophagitis
26 Mar 2023
Contributed by Lukas
Send us a textThis week we cover an increasingly common diagnosis - eosinophilic esophagitis. We will discuss the clinical presentation, diagnostic cr...
187. Breaking down the perPLEXing topic of TTP
19 Mar 2023
Contributed by Lukas
Send us a textIn this episode, we discuss the clinical presentation, laboratory abnormalities, initial work-up and treatment of TTP. We review the pat...
186. Ring the Alarm: Mast cell activation syndrome (MCAS)
12 Mar 2023
Contributed by Lukas
Send us a textToday's episode is all about a rare disease that you may encounter on your allergy and immunology rotation! This episode was writte...
185. Two Sizes Too Big - Dilated Cardiomyopathy
05 Mar 2023
Contributed by Lukas
Send us a textIn this episode we take you through all the need-to-knows for your next patient with dilated cardiomyopathy! Written by: Dr. Jasper Ho ...
184. Backed Up - An Approach to SVC Syndrome
26 Feb 2023
Contributed by Lukas
Send us a textIn this episode, we discuss the approach to a patient with SVC syndrome. This includes considering both malignant and non-malignant caus...
183. An Approach to PCOS
19 Feb 2023
Contributed by Lukas
Send us a textAt the intersection of endocrinology and gynaecology is an important topic- polycystic ovarian syndrome! This episode was written by Dr....
182. Matters of the Heart - An approach to myocarditis
12 Feb 2023
Contributed by Lukas
Send us a textIn this episode we break down the lengthy list of causes of myocarditis. We cover guidelines for biopsy and work-up and management appro...
181. Bad Connection- An Approach to Sarcoma
05 Feb 2023
Contributed by Lukas
Send us a textSarcoma's are rare, and sometimes coined the "forgotten cancer." Learn more about sarcoma so that you don't miss thi...
180. The Crimson Cough - A practical approach to hemoptysis
29 Jan 2023
Contributed by Lukas
Send us a textIn this episode we cover a condition that is anxiety provoking for patients and healthcare workers alike. We take you through our approa...
179. When the filters start to falter: An approach to CKD management
22 Jan 2023
Contributed by Lukas
Send us a textIn this episode, we review the staging, management and treatment options for chronic kidney disease. Though most patients may present as...
178. About Damn Spine - Approach To Ankylosing Spondylitis
15 Jan 2023
Contributed by Lukas
Send us a textIn this episode, we review the clinical presentation, specialized physical exam maneuvers, investigations and management of ankylosing s...
177. "Con" Man: An Approach to Primary Hyperaldosteronism
08 Jan 2023
Contributed by Lukas
Send us a textWe're starting off the new year with an outpatient medicine episode! Take a listen to learn more about primary hyperaldosteronism, ...
176. TIAWxRounds Table: Digital Education and The Way Forward
18 Dec 2022
Contributed by Lukas
Send us a textIn this episode, Drs. Michael Fralick and Alison Lai get together to talk about the state of digital education in Internal Medicine acro...
175. The Internist's Guide to C.Difficile
11 Dec 2022
Contributed by Lukas
Send us a textIn this episode, Dr. Sheliza Halani interviews special guest Dr. Alon Vaisman (Infectious Diseases) on the Clinical Practice Guidelines ...
174. The Internist's Guide to VTE (Repeat)
04 Dec 2022
Contributed by Lukas
Send us a textIn this episiode, Dr. Sheliza Halani interview Dr. Jameel Abdulrehman (Hematology, Thrombosis) about the latest recommendations in the ...
173. The Internist's Guide to Atrial Fibrillation (Repeat)
27 Nov 2022
Contributed by Lukas
Send us a textIn this episode, Dr. Sheliza Halani interviews Dr. Andrew Ha, cardiac electrophysiologist at the University Health Network whose interes...
172. The Internist's Guide to Dyslipidemia (Repeat)
20 Nov 2022
Contributed by Lukas
Send us a textIn this episode we have special guest Dr. Dominic Ng (Endocrinologist) review the 2021 Canadian Cardiovascular Society Guidelines for th...
171. The Internist's Guide to Chronic Hypertension (Repeat)
13 Nov 2022
Contributed by Lukas
Send us a textIn this episode, Dr. Sheliza Halani speaks with Dr. Kevin Venus (General Internist) about the 2020 update to the Hypertension Canada Gui...
170. The Internist's Guide to Dyspepsia (Repeat)
06 Nov 2022
Contributed by Lukas
Send us a textIn this episode, we discuss the CAG/ACG guidelines for management of Dyspepsia, released in 2017 with Dr. Piero Tartaro, Gastroenterolog...
169. The Internist's Guide to Heart Failure with Reduced Ejection Fraction (Repeat)
30 Oct 2022
Contributed by Lukas
Send us a textIn this episode, Dr. Catherine Leurer interviews Dr. Stephanie Poon (Cardiologist) on the 2021 CCS/CHFS Heart Failure Guidelines Update:...
168. The Internist's Guide to Infective Endocarditis (Repeat)
23 Oct 2022
Contributed by Lukas
Send us a textIn this episode, we have Dr. Malika Sharma, Infectious Diseases physician take us through the 2015 Guidelines to the diagnosis, treatmen...
167. The Internist's Guide to CKD (Repeat)
16 Oct 2022
Contributed by Lukas
Send us a textIn this episode, we have Dr. Lisa Dubrofsky (Nephrology, University of Toronto) speaking about the KDIGO 2012 Clinical Practice Guidelin...
166. Approach to Parathyroid Adenoma
02 Oct 2022
Contributed by Lukas
Send us a textIn this episode we walk you through the approach to work up, diagnosis and management of parathyroid adenoma, including the guidelines r...
165. A Tale of Two Symptoms... An Approach to Pallative Symptom Management
25 Sep 2022
Contributed by Lukas
Send us a textWritten by Dr. Justin Boyle (Internal Medicine Resident) and reviewed by Dr. Marie Leung (General Internal Medicine) and Dr. Danielle Ka...
164. Happy Gut, Happy Mind - An Approach to IBS
18 Sep 2022
Contributed by Lukas
Send us a textIn this episode, we review the clinical presentation, history and physical examination as well as the ROME-IV diagnostic criteria for a ...
163. Tetany Trouble- Hypocalcemia
11 Sep 2022
Contributed by Lukas
Send us a textWritten by: Dr. Samantha Bruzzese (Internal Medicine Resident) Reviewed by: Dr.Joshua Lakoff (Endocrinology) Dr. Zijing Wu (General I...
162. Putting the Sick in Sicca - Approach to Sjogren's Syndrome
04 Sep 2022
Contributed by Lukas
Send us a textThis week we talk about symptoms that should prompt you to consider Sjogren's, key features on history and physical, and the approp...
161. Hell’s Fire - An Approach to Herpes Zoster
28 Aug 2022
Contributed by Lukas
Send us a textThis episode will take you through all the details about herpes zoster! We cover the approach, when you should take extra concern and re...
160. Stuck in the Middle - An Approach to Achalasia
21 Aug 2022
Contributed by Lukas
Send us a textIn this episode, we review the pathophysiology, history, work-up and management of Achalasia. Our medicine minute discusses the trial &q...
159. Derailed on the Trail - Malignant Emergencies
14 Aug 2022
Contributed by Lukas
Send us a textIn this episode we cover a host of malignant emergencies. We begin with their categorization, then walk through pertinent history detail...
158. Scoping Out for Dysplasia - An Approach to Barrett’s Esophagus
07 Aug 2022
Contributed by Lukas
Send us a textIn this episode, we review the clinical presentation, screening guidelines, diagnosis and management of Barrett's Esophagus - one o...
157. A Thick Skin- Understanding Scleroderma
31 Jul 2022
Contributed by Lukas
Send us a textIt's not always good to have "a thick skin!" Learn all about it in this weeks episode. Written by Dr. Laura Spatafora (In...
156. The Long Itch - An Approach to Chronic Urticaria
24 Jul 2022
Contributed by Lukas
Send us a textIn this episode, we discuss the clinical presentation, biochemical mediators and treatment of chronic urticaria. We discuss the importan...
156. Time is Tissue - An Approach to STEMI
17 Jul 2022
Contributed by Lukas
Send us a textIn this high yield episode, we review the clinical presentation, up front investigations, immediate and long-term management of patients...
155. An Approach to Thalassemia
10 Jul 2022
Contributed by Lukas
Send us a textIn this episode we take a deep dive into thalassemia- discussing the types, aetiology ,work up and treatment. This episode was written b...
154. Special July Episode: IM Fireside Chat- Part 2
04 Jul 2022
Contributed by Lukas
Send us a textIt's that time of year again ! To celebrate our newest Interns on July 1st we have an exclusive Fireside Chat with our team members...
153. Special July Episode: IM Fireside Chat- Part 1
26 Jun 2022
Contributed by Lukas
Send us a textIt's that time of year again ! To celebrate our newest Interns on July 1st we have an exclusive Fireside Chat with our team members...
152. Going Out on a Limb - An Approach to Peripheral Arterial Disease
19 Jun 2022
Contributed by Lukas
Send us a textIn this episode, we discuss the clinical manifestations, diagnosis and management of peripheral arterial disease. Our medicine minute fo...
151. An Approach to HIT
12 Jun 2022
Contributed by Lukas
Send us a textIn this episode, we review the two types of HIT, with diagnosis and management on HIT Type II. We go through methods of risk stratificat...
150. A Granular Problem – How to Approach Eosinophilia
05 Jun 2022
Contributed by Lukas
Send us a textThis episode takes you through a commonly encountered problem that stumps many a clinician! Learn all about primary and secondary causes...
149. The Internists Guide to Atrial Fibrillation
03 Jun 2022
Contributed by Lukas
Send us a textIn this episode, Dr. Sheliza Halani interviews Dr. Andrew Ha, cardiac electrophysiologist at the University Health Network whose interes...
148. In the Eye of the Storm - An Approach to Disseminated Intravascular Coagulation
29 May 2022
Contributed by Lukas
Send us a textIn this episode we review the pathophysiology, diagnosis, and approach to the patient with DIC. Listen closely for some key tips on diag...
147. For When Urine Trouble - An approach to Acute Renal Allograft Dysfunction in kidney transplant patients
22 May 2022
Contributed by Lukas
Send us a textIn this episode we take you through an approach to the kidney transplant patient presenting with acute allograft dysfunction. We will co...
146. The Internist's Guide to VTE
19 May 2022
Contributed by Lukas
Send us a textIn this episiode, Dr. Sheliza Halani interview Dr. Jameel Abdulrehman (Hematology, Thrombosis) about the latest recommendations in the ...
145. Flush Away the Crush - An Approach to Rhabdomyolysis
15 May 2022
Contributed by Lukas
Send us a textIn this episode, we review the etiologies, diagnosis, investigations and management of rhabdomyolysis. Written by: Dr. Dhruv Krishnan, ...
144. The Internist's Guide to Dyslipidemia
10 May 2022
Contributed by Lukas
Send us a textIn this episode we have special guest Dr. Dominic Ng (Endocrinologist) review the 2021 Canadian Cardiovascular Society Guidelines for th...
143. All Around Us- Approach to Aspiration and HAP
08 May 2022
Contributed by Lukas
Send us a textYou've probably heard a lot about community acquired pneumonia- but what about aspiration pneumonitis, aspiration pneumonia and hos...
142. A Scoping Review- Approach to Crohn’s disease
01 May 2022
Contributed by Lukas
Send us a textIn this episode, we go over an approach to one of the two inflammatory bowel diseases- Crohn's disease! Written by Dr. Prem Bhoey (...
141. The Internist's Guide to Heart Failure with Reduced Ejection Fraction
28 Apr 2022
Contributed by Lukas
Send us a textIn this episode, Dr. Catherine Leurer interviews Dr. Stephanie Poon (Cardiologist) on the 2021 CCS/CHFS Heart Failure Guidelines Update:...
140. The Long Run - An Approach to Chronic Diarrhea
24 Apr 2022
Contributed by Lukas
Send us a textIn this episode, we review the pathophysiology and diseases associated with chronic diarrhea. We use the MISO acronym to divide up etiol...
139. The Internist's Guide to Chronic Hypertension
19 Apr 2022
Contributed by Lukas
Send us a textIn this episode, Dr. Sheliza Halani speaks with Dr. Kevin Venus (General Internist) about the 2020 update to the Hypertension Canada Gui...
138. Statin Island- An Approach to Lipids
17 Apr 2022
Contributed by Lukas
Send us a textTake a listen to learn all about cholesterol, lipids and cardiovascular risk prevention! Written by Dr. Parm Khakh (Internal Medicine Re...
137. The Internist's Guide to Dyspepsia
14 Apr 2022
Contributed by Lukas
Send us a textIn this episode, we discuss the CAG/ACG guidelines for management of Dyspepsia, released in 2017 with Dr. Piero Tartaro, Gastroenterolog...
136. The Internist's Guide to Infective Endocarditis
12 Apr 2022
Contributed by Lukas
Send us a textIn this episode, we have Dr. Malika Sharma, Infectious Diseases physician take us through the 2015 Guidelines to the diagnosis, treatmen...
135. Isn't Life Swell - An Approach to Hereditary Angioedema
10 Apr 2022
Contributed by Lukas
Send us a textIn this episode we discuss the types of angioedema, clues to help differentiate them on history, and the management of patients with a d...
134. The Internist's Guide to CKD
07 Apr 2022
Contributed by Lukas
Send us a textIn this episode, we have Dr. Lisa Dubrofsky (Nephrology, University of Toronto) speaking about the KDIGO 2012 Clinical Practice Guidelin...
133. Cystic Fibrosis: Unplugged
03 Apr 2022
Contributed by Lukas
Send us a textIn 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
Contributed by Lukas
Send us a textIn this episode, we discuss the different types of lung cancers. We review the common clinical presentation, work-up and diagnosis of lu...
131. What is the Wells' Score? An approach to DVT and PE
20 Mar 2022
Contributed by Lukas
Send us a textMarch is deep vein thrombosis awareness month... and just in time, we have an episode to teach you all about venous thromboembolism! Lea...
130. Going Backwards – An Approach to Mitral Regurgitation
13 Mar 2022
Contributed by Lukas
Send us a textIn this episode, we discuss the etiology, clinical features of mitral regurgitation. Acute, chronic, management of both, we've got ...
129. Too Fast, Too Furious - An Approach to SVT
06 Mar 2022
Contributed by Lukas
Send us a textIn this episode, we review the approach to SVT with a focus on AVRT and AVNRT. We discuss the common clinical manifestations, etiology, ...
128. When it Goes Low, We Go Slow - An Approach to Hypothyroidism
27 Feb 2022
Contributed by Lukas
Send us a textIn this episode, we review the etiologies, clinical presentation and treatment of hypothyroidism. We also review the clinical presentati...
127. The Gift of Life - Organ Donation after Neurological Death
20 Feb 2022
Contributed by Lukas
Send us a textThis week we discuss the clinical criteria required to diagnose neurological death, and the steps to caring for the neurologically decea...
126. Good Bug Gone Bad - Staph Aureus Bacteremia
13 Feb 2022
Contributed by Lukas
Send us a textIn this episode we discuss the clinical manifestations, diagnosis and management of both MSSA and MRSA bacteremia. Written by: Dr. Hele...
125. Medication or Libation? - The Beer's List
06 Feb 2022
Contributed by Lukas
Send us a textIn this episode, we take you through a case-based approach to applying the Beer's List medications. We discuss why medication pharm...
124. Mad Hatter- TCA Overdose
30 Jan 2022
Contributed by Lukas
Send us a textWhat does "mad as a hatter" make you think of in medicine? In this episode we go over the nuances of a medical emergency- TCA ...
123. Sweating the Organophosphates - Organophosphate poisoning
23 Jan 2022
Contributed by Lukas
Send us a textIn this episode, we discuss the mechanisms, consequences and treatment of organophosphate poisoning. We include the three stages of orga...
122. A Pressing Pressure Problem: Hypertensive Urgency and Emergency
16 Jan 2022
Contributed by Lukas
Send us a textIn this episode we cover your approach to the management of acute hypertension as well as the work-up of secondary causes. Support the ...
121. Bursting Pipes: An Approach to Primary Hypertension
09 Jan 2022
Contributed by Lukas
Send us a textToday we discuss one the most common medical diagnoses- hypertension! We take a deep dive in Hypertension Canada guidelines to discuss t...
120. Ask a Fellow- Vaccine Anaphylaxis after mRNA SARS-CoV-2 Vaccination
22 Dec 2021
Contributed by Lukas
Send us a textThis time instead of asking a fellow- we ask an expert attending physician Dr. Samira Jeimy (Allergy and Immunology) all about anaphylax...
119. Syphilis and the Imitation Game
19 Dec 2021
Contributed by Lukas
Send us a textIn this episode, we discuss the various clinical stages and presentation of syphilis as well as their associated treatment. We discuss t...
118. Picking Up the Prolactinoma - Approach to Prolactinoma
12 Dec 2021
Contributed by Lukas
Send us a textThis episode was written by Dr. Anna Liu (Internal Medicine Resident) and reviewed by Dr. Dr. Stan Van Uum (Endocrinologist) and Dr. Ken...
117. The World’s Most Common Infection: An Approach to H Pylori Infection
05 Dec 2021
Contributed by Lukas
Send us a textDid you know that the majority of people colonized with H pylori acquire it during infancy, and in the vast majority of cases infection ...
116. Body on Fire - Approach to Hyperthyroidism
28 Nov 2021
Contributed by Lukas
Send us a textIn this episode, we discuss the diagnosis, management and treatment of hyperthyroidism. We also take a brief detour to talk about the di...
115. Take your breath away- Understanding Sleep Apnea
21 Nov 2021
Contributed by Lukas
Send us a textToday we discuss a common outpatient respriology diagnosis- Obstructive sleep apnea!Written by Dr. Jennifer D'Cruz (Internal Medici...
114. A Viral Delay - Hepatitis C
14 Nov 2021
Contributed by Lukas
Send us a textIn this episode we talk about one of the chronic viral hepitides - Hep C! We discuss risk factors, work-up and management which has chan...
113. Toxin in your medicine cabinet- Acetaminophen Toxicity
07 Nov 2021
Contributed by Lukas
Send us a textThere's a toxin in your medicine cabinet... it's called APA, paracetamol, tylenol, or acetaminophen (depending on where you&ap...
112. Blue Blood - What to do when Methemoglobinemia is the Suspect
31 Oct 2021
Contributed by Lukas
Send us a textIn this episode we take a deep dive on methemoglobinemia. We discuss when to suspect it, diagnosis, treatment, and some great medical tr...
111. Approach to Pulmonary Function Tests (Part 2)
27 Oct 2021
Contributed by Lukas
Send us a textThis episode we apply our knowledge of the sections of PFTs to specific respiratory pathophysiologic processes. Support the show
110. Approach to Pulmonary Function Tests (Part 1)
24 Oct 2021
Contributed by Lukas
Send us a textIn this episode, we discuss normal respiratory mechanics, indications for PFTs and their main components. Tune in later this week for Pa...
109. A Drop in the Bucket - An Approach to ILD
03 Oct 2021
Contributed by Lukas
Send us a textIn this episode, we review the pathophysiology, clinical presentation and diagnostic approach to ILD - a heterogenous group of lung diso...
108. Scars that Don't Fade - Pulmonary Fibrosis
26 Sep 2021
Contributed by Lukas
Send us a textIn this episode we cover the approach to a patient with suspected pulmonary fibrosis. This episode discusses history, physical exam, tre...
107. Sorting out a bloody mess: an overview of anticoagulation
19 Sep 2021
Contributed by Lukas
Send us a textIn this episode we take a deep dive into the different anticoagulants! It's more than just warfarin folks. Written by: Dr. Nichola...
106: What's the DILI-O: Approach to Acute Liver Failure
12 Sep 2021
Contributed by Lukas
Send us a textIn this episode, we discuss the clinical manifestations, investigations and management of acute liver failure.Written by: Dr. Fiona Miln...
105: So the Clot Thickens - Antiphospholipid Syndrome
05 Sep 2021
Contributed by Lukas
Send us a textHave you ever wondered why we call it antiphospholipid syndrome? Take a listen to this episode to find out all about why we've name...
104. Taking Action on the Ejection Fraction - Chronic Management of Heart Failure
29 Aug 2021
Contributed by Lukas
Send us a textIn this episode we discuss the long-term management of congestive heart failure. We cover both reduced and preserved ejection fraction a...
103. The Leaky Filter- Nephrotic Syndrome
22 Aug 2021
Contributed by Lukas
Send us a textWhat happens when the glomerular filtration system breaks down? This episode is all about nephrotic syndrome. We go through the pathophy...