The Intern At Work: Internal Medicine
Episodes
102. An Emphasis on Bronchiectasis
15 Aug 2021
Contributed by Lukas
Send us a textWhat is bronchiectasis? In this episode, we discuss the etiologies of bronchiectasis, the diagnostic work-up of choice and the treatment...
101. Biting the Bullet - Sedation in the ICU
08 Aug 2021
Contributed by Lukas
Send us a textIn this episode we cover scales for assessing depth of sedation in the ICU, as well as medications used for analgesia and sedation. Sup...
100. The Black Flood: An Approach to Gastro-Esophageal Varices
01 Aug 2021
Contributed by Lukas
Send us a textIn this episode, we discuss the clinical presentation, investigations and management of Variceal bleeds - a type of upper GI bleed that ...
99. Ask a Fellow- Hypersensitivity Pneumonitis
28 Jul 2021
Contributed by Lukas
Send us a textTime for a respirology "ask a fellow"! In this episode we go through this niche respiratory diagnosis and cover the new 2020 A...
98. Under Pressure- Approach to Pneumothorax
25 Jul 2021
Contributed by Lukas
Send us a textAs internists, we're always scared of surgical complications of our medical procedures. But pneumothoraces can occur for many reaso...
97. A Narrowing In the Pipes - An Approach to Stable CAD
18 Jul 2021
Contributed by Lukas
Send us a textIn this episode, we review the clinical presentation, diagnostic work-up and management of patients with suspected stable CAD. Our medic...
96. Broken Factory - An Approach to Myelodysplastic Syndrome
11 Jul 2021
Contributed by Lukas
Send us a textThis week we cover our approach to patients with MDS. We discuss signs and symptoms, diagnostic criteria and treatment, and have a great...
95. A Bump in the Road - An Approach to the Thyroid Nodule
04 Jul 2021
Contributed by Lukas
Send us a textWhat is your approach to an incidental thyroid nodule? This episode takes us through the work up of this common internal medicine issue ...
94. Ask a Fellow- Spilling the Subspecial-TEA (Part 2)
30 Jun 2021
Contributed by Lukas
Send us a textA dilemma every internal medicine resident faces is- how do you choose your subspecialty? Join us on this special July episode, where we...
93. Ask a Fellow- Spilling the Subspecial-TEA (Part 1)
23 Jun 2021
Contributed by Lukas
Send us a textA dilemma every internal medicine resident faces is- how do you choose your subspecialty? Join us on this special July episode, where we...
92. Giant Troubles - Approach to GCA and Polymyalgia Rheumatica
13 Jun 2021
Contributed by Lukas
Send us a textIn this episode we discuss the approach to diagnosis and management of GCA and Polymyalgia Rheumatica. Written by: Dr. Haonan Mi (Inter...
91. The Uninvited Granulomas - An Approach to Sarcoidosis
30 May 2021
Contributed by Lukas
Send us a textIn this episode, we talk all about Sarcoidosis. This disease is one of non-caseating granulomas. Though most typically found in the lung...
90. The Poppy's Curse, Part II - Opioid Use Disorder
23 May 2021
Contributed by Lukas
Send us a textThis week we discuss the long term management of opioid use disorder, with a focus on opioid agonist therapy. Written by: Dr. Clara Lu ...
89. The Poppy's Curse, Part I - Opioid Use Disorder
16 May 2021
Contributed by Lukas
Send us a textThis week we discuss your approach to a patient with opioid overdose and withdrawal, as well as the management of both conditions includ...
88. Ask a Fellow: Iron Deficiency in Pregnancy (Part 2)
12 May 2021
Contributed by Lukas
Send us a textIn Part 2 of this Ask a Fellow, Hematology Fellow Dr. Jennifer Teichman and Dr. Heather Vandermeulen discuss why iron deficiency is both...
87. Ask a Fellow: Iron Deficiency in Pregnancy (Part 1)
05 May 2021
Contributed by Lukas
Send us a textIn this episode, Hematology fellows Dr. Jennifer Teichman and Dr. Heather Vandermeulen discuss how to diagnosis, investigate and treat i...
86. Every Breath You Take - Long Term Management of COPD
02 May 2021
Contributed by Lukas
Send us a textIn this episode, we'll discuss how to manage patients with chronic COPD. We'll go through a large variety of interventions and...
85. Sorting it ALT Out - Approach to Abnormal Liver Enzymes
18 Apr 2021
Contributed by Lukas
Send us a textThis week we discuss our approach to deranged liver enzymes, the difference between liver enzymes and liver function tests, and the vari...
84. A shock to the system- Toxic Shock Syndrome
04 Apr 2021
Contributed by Lukas
Send us a textWithin this episode we take a deep dive into a fatal infectious disease topic- toxic shock syndrome. Written by Dr. Hosay Said, reviewed...
83. Tearing up: An Approach to Aortic Dissection
21 Mar 2021
Contributed by Lukas
Send us a textIn this episode, we discuss the common causes and pathophysiology of one of the more ominous reasons for chest pain - aortic dissection....
82. We Wheat Again- Celiac Disease
07 Mar 2021
Contributed by Lukas
Send us a textWritten by: Dr. Conor Bell (Internal Medicine resident) Reviewed by: Dr. Kumran Khan (Gastroenterology) and Dr. Leslie Martin (General ...
81. Pain in the Brain – An Approach to Headache
21 Feb 2021
Contributed by Lukas
Send us a textTime for some neurology! Today, we will focus on the common primary and the dangerous secondary headaches that must be ruled out when yo...
80. Beyond the Limit - Alcohol Induced Cardiomyopathy
07 Feb 2021
Contributed by Lukas
Send us a textIn this episode, we discuss one of the consequences of alcohol misuse - alcohol induced cardiomyopathy. We'll consider a broad diff...
79. Small Sized, Big Disguise – Shedding a ray of light on GPA
27 Jan 2021
Contributed by Lukas
Send us a textOur first ask a fellow episode of 2021! In this episode, Dr. Melissa Holdren (rheumatology fellow) takes us through a rare but serious...
78. What speeds up must slow down- Alcohol Intoxication and Withdrawal
24 Jan 2021
Contributed by Lukas
Send us a textIn this episode we discuss acute alcohol intoxication and withdrawal. We go into the pathophysiology of EtOH intoxication, a common appr...
77. MDSOAPBRAIN - An Approach to Systemic Lupus Erythematosus
10 Jan 2021
Contributed by Lukas
Send us a textIn this episode we take you through the presentation and approach to a patient with suspected SLE. We will discuss clinical mainfestatio...
76. Pheochromocytomas and the Adrenaline Rush - Approach to Pheochromocytoma
13 Dec 2020
Contributed by Lukas
Send us a textIn this episode we lay out an approach to diagnosis and management of pheochromocytomas. This includes work up, physical exam and peri-o...
75. The Missing Factor - Von Willebrand Disease
29 Nov 2020
Contributed by Lukas
Send us a textIn this episode we take a deep dive into a rare bleeding disorder- Von Willebrand Disease! We discuss the importance of VW factor, the d...
74. Ask a Fellow: Type 1 Diabetes
15 Nov 2020
Contributed by Lukas
Send us a textIn this Ask a Fellow episode, we talk to Clinical Associate Dr. Lisa Alexander about Type 1 DM. Learn about pump basics 101, the challen...
73. A Foray into RA – Rheumatoid Arthritis
01 Nov 2020
Contributed by Lukas
Send us a textArthritis affects over 6 million Canadians, that’s 1 in 5, and rheumatoid arthritis specifically affects as much as 1% of the populati...
72. Not too Hot, Not too Cold - Autoimmune Hemolytic Anemia
18 Oct 2020
Contributed by Lukas
Send us a textThis short but sweet episode takes you through the approach to understanding warm and cold hemolytic anemia, as well as what to ask on h...
71. Dermatologic Emergencies
04 Oct 2020
Contributed by Lukas
Send us a textIn this episode, we discuss the fundamentals of evaluating a patient with a dermatologic emergency. There are four main dermatologic eme...
70. When the pressure stays high, go looking with a closer eye - Resistant Hypertension
20 Sep 2020
Contributed by Lukas
Send us a textDid you know that about 5-10% of patients with resistant hypertension have a secondary cause that is potentially curable? In this episod...
69. Ask a Fellow: Non-Tuberculous Mycobacterial Infections
06 Sep 2020
Contributed by Lukas
Send us a textIn this episode, we talk about non-tuberculous mycobacterial infections - the most common of which is Mycobacterium Avium Complex (MAC) ...
68. Not So Difficult to Swallow - An Approach to Dysphagia
23 Aug 2020
Contributed by Lukas
Send us a textIn this episode we discuss an approach to differentiating oropharyngeal from esophageal dysphagia, as well as appropriate investigations...
67. The Fungus Among Us- Candidemia
09 Aug 2020
Contributed by Lukas
Send us a textJoin us this week to learn about a deadly blood stream infection - candidemia. We go over the basic microbiology of candida and cover a ...
66. Caught Red-Handed: The Adrenal Incidentaloma
26 Jul 2020
Contributed by Lukas
Send us a textWhat happens when you find a mass lesion on the adrenal gland? We've got answers in in this episode! Dr. Shirley Shuster walks us t...
65. Heating the Log Cabin - Phosphate Level Optimization.
12 Jul 2020
Contributed by Lukas
Send us a textToday we take you through our approach to hyper and hypophosphatemia - diagnosis, workup, management, we've got it all! This episo...
64. Calling the SMR: Transitioning to your SMR Year (Part 2)
28 Jun 2020
Contributed by Lukas
Send us a textPart 2 of our Transitioning to SMR episodes! We're still answering some of your questions from twitter, but also answering some que...
63. Calling the SMR: Transitioning to your SMR year (Part 1)
21 Jun 2020
Contributed by Lukas
Send us a textIn this episode, we answer your questions about becoming a senior medical resident! Transitioning to your PGY2 year can be daunting, exc...
62. No More Clerking Around: Part 2!
14 Jun 2020
Contributed by Lukas
Send us a textOriginally released in June 2019. For our newest interns at work, this is our second Q&A podcast as a follow-up to part 1. You ask...
61. No More Clerking Around!
14 Jun 2020
Contributed by Lukas
Send us a textOriginally released in June 2019. For our newest interns at work, this podcast is for you!You asked us some questions and we answered!A...
60. The Clot Thickens- Ask a Fellow: VTE in Pregnancy
07 Jun 2020
Contributed by Lukas
Send us a textJoin us on our GIM ask a fellow episode where we discuss VTE in pregnancy with Dr. Amanda Huynh and Dr. Jessica Huynh! We cover several ...
59. Feeling the Pressure- Hypertension in Pregnancy
24 May 2020
Contributed by Lukas
Send us a textTake a listen to our first obstetric medicine episode where we discuss gestational hypertension and preeclampsia. Did you know that wome...
58. Patterns of Parkinson's - History and examination of the patient with Parkinson's Disease
10 May 2020
Contributed by Lukas
Send us a textIn this episode we cover your approach to the patient with Parkinson's Disease. We discuss key features on history, as well as a fo...
57. In Shift Out - Hyperkalemia
07 May 2020
Contributed by Lukas
Send us a textIn this episode, we follow the mantra "in, shift, out!" We talk about the clinical presentation and management of hyperkalemia...
56. Ask a Fellow: Saving Brain - Endovascular Clot Retrieval
26 Apr 2020
Contributed by Lukas
Send us a textThis episode we sat down with Dr. Christine Hawkes, neurointerventional fellow to discuss clot retrieval therapy. We cover indications ...
55. Congestive Heart Failure
23 Apr 2020
Contributed by Lukas
Send us a textIn this episode, we talk about congestive heart failure! From patient assessment to treatment of congestive heart failure exacerbations,...
54. Spontaneous Combustion - Tumour Lysis Syndrome
12 Apr 2020
Contributed by Lukas
Send us a textIn this episode we take you through the approach to a patient with tumour lysis syndrome. We explain the Cairo-Bishop scoring, and cover...
53. A Tighter Squeeze - An Introduction to Pressors
05 Apr 2020
Contributed by Lukas
Send us a textIn this episode, we go through an approach to vasopressors. We talk about the physiology of the receptors they act on, and the scenarios...
52. Transfusion without Confusion – a Practical Guide to Transfusion Medicine (Part 2)
29 Mar 2020
Contributed by Lukas
Send us a textWritten by Dr. Grace Zhang (internal medicine resident)Reviewed by Dr. Graeme Quest (Hematopathologist)Dr. Siddhartha Srivastava (Gene...
51. Transfusion without Confusion – a Practical Guide to Transfusion Medicine (Part 1)
29 Mar 2020
Contributed by Lukas
Send us a textWritten by Dr. Grace Zhang (internal medicine resident)Reviewed by Dr. Graeme Quest (Hematopathologist)Dr. Siddhartha Srivastava (Gene...
50. Ask a Fellow: Asthma Exacerbation
22 Mar 2020
Contributed by Lukas
Send us a textRespirology Fellow Dr. Alina Blazer takes us through the management of Acute Asthma Exacerbations! This is not your COPD patient, and cl...
49. When the Mind Plays Tricks - An Approach to Delirium
08 Mar 2020
Contributed by Lukas
Send us a textDelirium can be a tricky diagnosis to make! In this episode, we walk you through the diagnosis, etiologies, and management of delirium. ...
48. Community Acquired Pneumonia
02 Mar 2020
Contributed by Lukas
Send us a textIn this episode, we talk about the microbiology, clinical manifestations and treatment of one of the oldest diseases in the books - Pneu...
47. Lumps and Bumps: An Approach to Lymphadenopathy
23 Feb 2020
Contributed by Lukas
Send us a textIn this episode, we talk about a general approach to lymphadenopathy, with a focus on work-up and treatment for Hodgkin Lymphoma. Writt...
46. Coronavirus nCoV-2019: What learners need to know
09 Feb 2020
Contributed by Lukas
Send us a textIn this special episode, we speak with Dr. Isaac Bogoch (Infectious Diseases, University of Toronto, Toronto General Hospital) about the...
45. When Stress Alone Is Not Enough - Adrenal Insufficiency
26 Jan 2020
Contributed by Lukas
Send us a textFeel like your knowledge about the adrenal glands is... insufficient? In today's episode we discuss the approach to a patient with ...
44. The Pink Ribbon- Ask a fellow: Breast Cancer
12 Jan 2020
Contributed by Lukas
Send us a textIn this episode we sit down with Dr. Roochi Arora (Breast malignancy and melanoma fellow), who takes us through the pertinent components...
43. Approach to the Ulcerative Colitis flare
15 Dec 2019
Contributed by Lukas
Send us a textThis episode helps us understand the concept of autoimmunity first, taking us through the complex pathophysiology of ulcerative colitis....
42. The COUNTdown is On - Febrile Neutropenia
01 Dec 2019
Contributed by Lukas
Send us a textIn this episode, we cover the definition of febrile neutropenia, management, and risk stratification for inpatient vs outpatient treatme...
41. A Hot Mess- Acute Monoarthritis
17 Nov 2019
Contributed by Lukas
Send us a textThis week we discuss a common E.D presentation- acute monoarthritis! First: rule out septic arthritis. Then: consider other diagnoses su...
40. Not for the Faint Hearted - Syncope
03 Nov 2019
Contributed by Lukas
Send us a textIn this episode, we take you through the differential diagnosis for patients presenting with syncope, including common mimickers. We dis...
39. Ask a Fellow: The Great Unknown - Cancers of Unknown Primary
20 Oct 2019
Contributed by Lukas
Send us a textOur medical oncology fellow, Dr. Michelle Nadler, takes us through the diagnostic and therapeutic challenges of treating a cancer of unk...
38. Crossing the Bridge - Preparing the Heart for Surgery: Perioperative Cardiac Assessment
06 Oct 2019
Contributed by Lukas
Send us a textThis episode walks you through our approach to perioperative management, with a focus on cardiovascular risk and medications - featuring...
37. The Essentials: An Approach to Thrombocytosis
22 Sep 2019
Contributed by Lukas
Send us a textIn this episode, we discuss the etiologies, clinical presentation and treatment of thrombocytosis. From reactive thrombocytosis to auton...
36. The Little Ventricle That Could- Pulmonary Hypertension
08 Sep 2019
Contributed by Lukas
Send us a textOn this weeks episode we discuss the ins and outs of pulmonary hypertension- from the WHO 5 classifications of pulmonary hypertension, w...
35. Ask a Fellow: Taking the Zzz out of Sleep- Benzodiazepine (Mis)use in Hospital
25 Aug 2019
Contributed by Lukas
Send us a textGuest Fellow: Dr. Sam Thrall (Geriatric Medicine)Special Guest: Dr. Olivia Geen (Internal Medicine Resident)Host: Dr. Zahra Merali (Inte...
34. Crisis in the Suburbs: Approach to Diabetic Foot Infection
11 Aug 2019
Contributed by Lukas
Send us a textLearn to manage a common infectious disease scenarios. This podcast takes you through the clinical presentation and appropriate history ...
33. Find the Leak - The bloody truth about bleeding disorders
28 Jul 2019
Contributed by Lukas
Send us a textThis episode reviews the management of an outpatient with a bleeding phenotype. How does one grade severity and what tools might we use?...
32. A Pain in the Neck - Meningitis
14 Jul 2019
Contributed by Lukas
Send us a textTune in this week to hear about a life threatening illness- meningitis! In this episode, Dr. Katherine Steckham goes over the approach t...
31. Approach to Anemia
07 Jul 2019
Contributed by Lukas
Send us a textAnemia made easy! In this episode we talk about the classification of anemia and some of their leading etiologies. We focus on the asses...
30. Cellulitis
23 Jun 2019
Contributed by Lukas
Send us a textWhat's red, hot and requesting medical attention? In this episode we talk about cellulitis! From patient assessment to learning abo...
29. Ask a Fellow: Ace the Airway - Intubation
09 Jun 2019
Contributed by Lukas
Send us a textDoes the thought of intubating a sick patient make you anxious? Us too! In this episode, we sit down with Dr. Jessica Spence (Anaestheti...
28. The Racing Heart - Atrial Fibrillation
26 May 2019
Contributed by Lukas
Send us a textThe most common arrhythmia in patients greater than 65 years old! Listen up on how to approach a patient with atrial fibrillation. We ta...
27. Not Another PEEP: An Approach to ARDS
12 May 2019
Contributed by Lukas
Send us a textIn this episode, we discuss the approach to a sick patient with Acute Respiratory Distress Syndrome. We talk about diagnosis, classifica...
26. Heart of the Infection - Infective Endocarditis
28 Apr 2019
Contributed by Lukas
Send us a textThis week's episode is all about infective endocarditis. We discuss the approach to a patient presenting with suspected endocarditi...
25. Ask a Fellow: Rash Decisions - Penicillin Allergy
14 Apr 2019
Contributed by Lukas
Send us a textDrs. Derek Chu and David McCullagh chat with us about the approach to a patient with documented penicillin allergy and the importance of...
24. Blood is Thicker Than Water- Multiple Myeloma
31 Mar 2019
Contributed by Lukas
Send us a textTo finish off Multiple Myeloma Awareness Month, we have our second episode of a two part series- this one's on Myeloma! We discuss ...
23. Bad Blood- MGUS (Monoclonal Gammopathy of Undetermined Significance)
24 Mar 2019
Contributed by Lukas
Send us a textIt's Myeloma Awareness Month, and to spread the word we are releasing 2 concurrent episodes- MGUS and Myeloma. This week you are in...
22. A Tight Squeeze- Pericarditis, Pericardial Effusion and Cardiac Tamponade
10 Mar 2019
Contributed by Lukas
Send us a textThis episode is all about the fibroelastic sac surrounding your heart- the pericardium! We discuss the continuum of pericarditis, perica...
21. Ask a Fellow: The Fatal Mismatch- Massive Pulmonary Embolism
24 Feb 2019
Contributed by Lukas
Send us a textDr. Kim Lewis (Critical Care Fellow, McMaster University) takes us through the approach to a patient with suspected massive pulmonary em...
20. Go Look For The Adenoma Please - Pituitary Adenoma
10 Feb 2019
Contributed by Lukas
Send us a textThis episode is all about an approach to the patient with pituitary adenoma! We discuss signs and symptoms, as well as where to begin wi...
19. Dousing the Flames - Sepsis
27 Jan 2019
Contributed by Lukas
Send us a textThis episode is all about sepsis! We discuss various identification and risk stratification scores, as well as the work up and managemen...
18. Sweet Pee - Non-insulin Anti-Hyperglycemic management of Type II Diabetes
13 Jan 2019
Contributed by Lukas
Send us a textIn this episode, we describe all of the lifestyle and non-insulin pharmacological management of type II diabetes. As always, we have an...
17. Ask a Fellow: Pulmonary Renal Syndrome
16 Dec 2018
Contributed by Lukas
Send us a textDr. Tooba Ali (Rheumatology Fellow, Queen's University) takes us through the approach to a patient with suspected pulmonary renal s...
16. Pockets of Fluid - Pleural Effusions
02 Dec 2018
Contributed by Lukas
Send us a textIn this episode, we talk about the 5,6,7 rule for classifying pleural effusions, lead you through Light's criteria and consider the...
15. A Stroke of (Bad) Luck - Ischemic Stroke
18 Nov 2018
Contributed by Lukas
Send us a textToday we address a source of anxiety for many a learner - approach to ischemic stroke. In this episode we discuss everything stroke rela...
14. Ask a Fellow: "Broken Down" - Hemolysis
04 Nov 2018
Contributed by Lukas
Send us a textToday we break down an approach to hemolysis! This episode establishes an approach to diagnosis, clinical and laboratory evaluation and ...
13. Drop the Beat - Bradyarrhythmia
21 Oct 2018
Contributed by Lukas
Send us a textA heart that is well conditioned, or well worth worrying about? In this podcast we discuss the physiology, diagnosis, and management of ...
12. Bones, Stones, Moans and Groans - Hypercalcemia
07 Oct 2018
Contributed by Lukas
Send us a textA common problem with complex physiology! Learn all about our approach to the diagnosis and management of hypercalcemia. Be sure to che...
11. Where salt goes, water follows - Ascites
23 Sep 2018
Contributed by Lukas
Send us a textAscites is the pathologic accumulation of fluid in the abdominal cavity. In this episode, we review the pathophysiology, clinical presen...
10. Ask A Fellow: "Blasted Blasts" - Blasts in the peripheral blood smear
09 Sep 2018
Contributed by Lukas
Send us a textThe first episode in our new "Ask A Fellow" series, geared towards senior level learners. In this episode, we sit down with a ...
9. Bugs in Your Blood- Bacteremia
26 Aug 2018
Contributed by Lukas
Send us a textHave you ever gotten the phone call "your patient has grown gram + cocci in groups"? In this episode, we outline an approach t...
8. When the Pipe Bursts - Upper GI Bleed
12 Aug 2018
Contributed by Lukas
Send us a textHow do you solve a problem like melena? In this episode, we discuss the clinical presentation, management, and investigations for patien...
7. The Engine That Could - DKA
29 Jul 2018
Contributed by Lukas
Send us a textDoes being asked to manage DKA make you nervous and uncomfortable? Well never fear, the Intern At Work has your back! In this episode, w...
6. The Disease of Kings - Gout
15 Jul 2018
Contributed by Lukas
Send us a textIn this episode, it's all about gout! From our residents to yours, we go through a simple approach to gout including clinical prese...
5. A Paucity of Platelets - Thrombocytopenia
01 Jul 2018
Contributed by Lukas
Send us a textIn this episode we talk all about platelets! We outline the physiology of platelets, common etiologies of thrombocytopenia, investigatio...
4. The Tight Valve - Part 2: Aortic Stenosis
17 Jun 2018
Contributed by Lukas
Send us a textDid you enjoy Part 1 of The Tight Valve? If you haven't heard it yet, take a listen to part 1 of The Tight Valve which discusses ev...
3. The Tight Valve - Part 1: Aortic Stenosis
10 Jun 2018
Contributed by Lukas
Send us a textIn this episode we talk about the most common valvular disease - aortic stenosis! In part 1 of 2 on aortic stenosis, we'll talk abo...