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A pan-Canadian learner-generated internal medicine podcast. The Intern at Work is written by residents for residents, and is meant to serve you better on the wards and on call. Disclaimer: This podcast is intended for educational use only and is not intended as the sole resource for clinical management. All scripts are original scripts. Podcasts produced out of Canada and may contain Canadian specific guidelines. Created by: Alison Lai Executive Producers: Laiya Carayannopoulos, Zahra Merali
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You may know an approach to anemia, or thrombocytopenia...but what about when all cell lines are down? Take a listen to our hematology focused episode of pancytopenia! Written by Jia Li (Lily) Liu (Internal Medicine Resident) and Dr. Owen Dan Luo (Internal Medicine Resident) and reviewed by Dr. Laura Habib (Hematologist-Oncologist), and Dr. Natasha…
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In today's episode we take you through our approach to a disease with a wide array of clinical presentations and evolving treatment landscape - hypertrophic obstructive cardiomyopathy. Written by: Dr. Kate Haichin (Internal Medicine Resident) Reviewed by: Dr. Michael Chetrit (Cardiologist) & Dr. John Angelopoulos (General Internist) Support the sho…
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Do you know you valvulopathies? Learn everything there is to know about mitral stenosis! This episode was written by Dr. David Ji (Internal Medicine Resident) and reviewed by Dr. Murray Kornbluth (Cardiology) and Dr. Samuel Mamane (General Internal Medicine). Infographic by Julie Simone (Medical Student). Support the show…
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This week we go through the ultimate in rare diagnoses - PNH. We talk about when to suspect it, how patients may present, and an approach to treatment and management. Bonus points if you can correctly guess how many attempts it took to pronounce "phosphatidylinositol!" Written by: Dr. Angela Dong (Internal Medicine Resident) Reviewed by: Dr. Helena…
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We partnered up with the NephMadness team to release two special episodes on hyponatremia. In this one we take you through a new(er) approach to hyponatremia and its workup. Stay tuned later this week for our Ask a Fellow episode where we cover the latest and greatest controversy on rates of correction! Written by: Dr. Caitlyn Vlasschaert (Internal…
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In both the developed and underdeveloped world, it's important to be aware of common nutritional deficiencies and their manifestations in our adult patients! This episode was written by: Dr. Igor Sljivic (Internal Medicine Resident). Reviewed by: Dr. Andrew Appleton (General Internal Medicine) and Dr. Marko Markobrada (General Internal Medicine). I…
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In this episode, we discuss the physiology and pathophysiology behind acid-base disorders. We then outline a 5 step approach to interpreting acid-base disorders. For reference, please refer to the infographic on our website at www.theinternatwork.com. Written by: Dr. Caroline Najjar, (Internal Medicine Resident) Reviewed by: Dr. Bernard Unikowsky (…
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What is that rare endocrine tumour that can cause watery diarrhea? You may have heard of a VIPoma, but how much do you actually know about it? This episode was written by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Maral Koolian (General Internal Medicine). Infographic by Julia Simone (…
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In this episode, we review the clinical presentation, diagnostic criteria, work-up and management of a patient presenting with Takatsubo (or stress-induced) Cardiomyopathy. Our medicine minute discusses the JAMA discusses the higher incidence of stress cardiomyopathy noted during the COVID-19 pandemic. Written by: Dr. Mehras Motamed (Internal Medic…
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Ever wonder what to do with that finding of an unexpected nodule on chest xray? Here we walk you through the approach including risk stratification, follow-up, and work-up. Written by: Dr. Brandon Luu (Internal Medicine Resident) Reviewed by: Dr. Lee Fidler (Respirologist) and Dr. Laiya Carayannopoulos (Internist & Intensivist) Support the show…
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In this episode, we review the physiology and pathophysiology, etiology, clinical exam, investigations and treatment in patients with splenomegaly. Our medicine minute addresses the COMFORT II trial published in the New England Journal of Medicine in 2012. Written by: Drs. Owen Luo and Jia Li (Lily) Liu (Internal medicine residents) Reviewed by: Dr…
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HFpEF is the lesser talked about, but still equally important type of CHF! We discuss the evidence and give you a run-down on everything you need to know about HFpEF. Written by Dr. Aishwarya Roshan, Internal Medicine resident, and reviewed by Dr. Krishnan Ramanathan, Cardiology and CICU, and Dr. Alison Lai, Internal Medicine. Infographic by Dr. Ca…
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This week we bring you a two-in-one! We cover polycythemia vera and essential thrombocytosis. Written by: Dr. RuiQi (Richard) Chen (Internal Medicine Resident) Reviewed by: Dr. Hassan Sibai (Hematology) and Dr. Christopher Langlois (GIM) Support the showThe Intern At Work tarafından oluşturuldu
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In this episode, we review the epidemiology, diagnostic criteria, investigation and management of hepatitis B. Our medicine minute reviews the current CDC guidelines and recommendations for screening in the general population. Written by: Drs. Amine Zoughlami and Ikram Abow-Mohamed Reviewed by: Dr. Phillip wong (Hepatologist) and Dr. Sanabelle Zaab…
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In this weeks episode you'll learn about two often confused syndromes that cause elevated body temperature! Episode written by Dr. Thomas Kiebalo (Internal Medicine Resident) and reviewed by Dr. Peter Wu (Clinical Pharmacology and Toxicology and General Internal Medicine) and Dr. Gillian Spiegle (General Internal Medicine). Infographic by Dr. Shann…
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You may know what to do with hyperglyecmia- but do you know what to do when the glucose goes low? Learn how to treat this dangerous (and less taught) condition in this weeks episode! This episode was written by Isabel Shamsudeen (Internal Medicine Resident), and reviewed by Dr. Tayyab Khan (Endocrinology) and Dr. Saira Zafar (General Internal Medic…
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In this episode, we review the clinical presentation, classification, investigations, treatment and prognosis of patients with small cell lung cancer. Our medicine minute discusses the CASPIAN trial. Written by: Dr. Craig Rodrigues (Internal Medicine Resident) Reviewed by: Dr. Susanna Cheng (Medical Oncologist) and Dr. Ignazio La Delfa (Internist) …
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Have you ever wondered about how to treat VTE in malignancy? This episode goes over all the ins and outs of this complex and nuanced topic! Written by Dr. Kevin Yijun Fan, Internal Medicine and reviewed by Dr. Helena Dhamko, (Hematology) and Dr. Ed Etchells (General Internal Medicine). Infographic by Valarie Kim (Internal Medicine Resident). Suppor…
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In this episode, we review the etiologies, pathophysiology, investigations and management of macrocytic anemia. Our medicine minute addresses how to best supplement individuals with Vitamin B12 deficiency. Written by: Dr. Haeyong Rho (Internal Medicine Resident) Reviewed by: Dr. Martina Trinkaus (Hematologist) and Dr. Alison Lai (General Internist)…
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In this episode, we provide an overdose of amyloidosis with a specific focus on AL amyloidosis. We include the clinical presentation, investigations, diagnostic criteria and treatment for AL amyloidosis. Episode written by: Dr. Roslyn Mainland (Internal Medicine Resident) Reviewed by: Dr. Zijing Wu (General Internal Medicine) and Dr. Bethany Montei…
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In this episode we walk you through our approach to pancreatitis, including potential etiologies (not just the favourite scorpion bite!), and discuss recent evidence on management. Written by: Dr. Ikram Abow-Mohamed & Dr. Amine Zoughlami (Internal Medicine Residents) Reviewed by: Dr. Constantine Soulelis (Gastroenterologist) & Dr. Sanabelle Zaabat …
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What complications should you watch our for in patients on peritoneal dialysis? Let this once elusive topic become your expertise! This episode was written by Dr. Shareef Akbari (Internal Medicine Resident) and reviewed by Dr. Bogdan Momciu (Nephrology) and Dr. Steven Montague (General Internal Medicine) Infographic by Dr. Caitlyn Vlasschaert (Inte…
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In this episode we cover your approach to chronic and acute aortic regurgitation including key physical exam findings and echocardiographic measures. Written by: Dr. Kate Haichin (Internal Medicine Resident) Reviewed by: Dr. Nadia Giannetti (Cardiologist) and Dr. Amal Bessissow (General Internist). Support the show…
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Listen to this episode for a great summary on TB infection and TB disease! We also discuss new updates and Canadian specific guidelines. Episode written by Dr. Kevin Zhang, PGY2 Internal Medicine and reviewed by Dr. Jane Batt, Respirology and Dr. Kevin Venus, General Internal Medicine. Infographic by Dr. Valerie Kim. Support the show…
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In this episode, we review the pathophysiology, clinical presentation, associated diseases, investigations and treatment for the seronegative spondyloarthritides. These include psoriatic arthritis, enteropathic or IBD-associated arthritis, ankylosing spondylitis and reactive arthritis - or PEAR! Written by: Dr. Steven Cho (Internal Medicine Residen…
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In this episode, Dr. Catherine Leurer interviews Dr. Lori Albert about the most common type of inflammatory arthritis - Gout. Dr. Albert discusses the 2020 American College of Rheumatology Guideline for the Management of Gout, with a focus on both acute gout flares and chronic management of patients with gout. Interviewer: Dr. Catherine Leurer (Ger…
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In this episode, Dr. Maya Stein interviews Dr. Kevin Singh about the 2016 Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery. Produced and Hosted By: Dr. Maya Stein (Internal Medicine resident) Special Guest: Dr. Kevin Singh (General Internist) Sound Editing…
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In this episode, Dr. Valerie Kim interviews Dr. Yayi Huang about Thrombosis Canada’s 2021 clinical guides on deep vein thrombosis and pulmonary embolism in the setting of pregnancy. Episode produced and hosted by: Dr. Valerie Kim (Internal Medicine resident) Special Guest: Dr. Yayi Huang (General Internist and Obstetric Internist) Sound editing by:…
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Disclaimer: This episode has nothing to do with Taylor Swift, although, we do love her. There's something in this for all of our trainees this July! Our host Dr. Zahra Merali (General Internist) sits down with Dr. Madeline Stephen (PGY3 Internal Medicine) and Dr. Dr. Mei-Ni Belzile (PGY3 Internal Medicine) to chat about how to navigate the subspeci…
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Confused by all the possible opportunistic infections that patients with HIV may be vulnerable to? Take a listen! Written by: Dr. Valerie Kim (Internal Medicine Resident). Reviewed by: Dr. Nisha Andany (Infectious Disease Specialist) and Dr. Isaac Bogoch (Infectious Disease Specialist and Internal Medicine Physician). Infographic: Also by Dr. Valer…
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In this episode, we review the physiology and pathophysiology behind coronary artery disease. We also reviewed the current indications for CABG as per the CCS guidelines. The medicine minute discusses the recently released ISCHEMIA trial. Written by: Dr. Cole Clifford (IM Resident) Reviewed by: Dr. John Janevski (Cardiology) and Dr. Rupal Shah (Gen…
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Let's dive into endocrinology this week- to learn about Paget Disease of the Bone! Listen till the end to learn about Sir James Paget himself. This episode was written by Emaad Mohammad (Internal Medicine Resident) and reviewed by Dr. Robyn Houlden (Endocrinology) and Dr. Amelia Wilkinson (General Internal Medicine) Support the show…
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In this episode, we cover when to suspect and investigate - or more importantly NOT investigate patients for potential inherited thrombophilias. Written by: Chloe Gordon (Internal Medicine Resident) Reviewed by: Dr. Eric Tseng (Hematologist) and Dr. Vicky Tagalakis (General Internist) Support the show…
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In this episode, we discuss the clinical presentation, consensus diagnostic criteria and pharmacologic and non-pharmacologic strategies to manage a patient with Postural Orthostatic Tachycardia Syndrome (POTS). Written by: Dr. David Bobrowski (Internal Medicine Resident) Reviewed by: Dr. Tosin Osuntokun and Dr. Paula Harvey (Cardiologists) and Dr. …
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In this episode, we discuss the clinical presentation, severity grading, investigations and management for patients presenting with cholecystitis or cholangitis. Our medicine minute discusses a promising new technique for patients with non-operative cholecystitis. Podcast written by: Drs. Amine Zoughlami and Ikram Abow-Mohamed (Internal Medicine re…
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We 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 we take you through our approach to lower GI bleeding and its management, including recent guideline updates. Written by: Dr. Ikram Abow-Mohamed & Dr. Amine Zoughlami (Internal Medicine Residents) Reviewed by: Dr. Alan Barkun…
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In this episode, we discuss two main causes of hypoxia as well as the utility of the A-a gradient to help determine the underlying etiology. We discuss different methods of oxygen delivery and briefly review etiologies that may cause hypoxia. Our medicine minute discusses the discovery and current controversy regarding pulse oximeters. Episode writ…
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In this episode, we review the main causes of four different types of shock: hypovolemic, cardiac, obstructive and distributive (or vasoplegic). We discuss both initial assessment and management of a patient in shock, as well as more focused therapies for specific etiologies. Our medicine minute discusses the choice for initial vasopressors as well…
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In this episode we cover the history of AKI and an approach to its diagnosis and management. We also cover landmark trials! Written by: Dr. Thulasie Manokaran (Internal Medicine Resident) Reviewed by: Tyrone Harrison (Nephrologist) and Dr. Michael Fisher (General Internist) Support the showThe Intern At Work tarafından oluşturuldu
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Have you heard of the "bubble boy?" In this episode, we outline an approach to hypogammaglobulinemia - a fascinating outpatient medicine topic! Episode written by Dr. Vivian Szeto (Internal Medicine resident) and reviewed by Dr. Rongbo Zhu (Clinical Allergy and Immunology) and Dr. Marko Mrkobrada (General Internal Medicine). Infographic by Dr. Vala…
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This week we cover an increasingly common diagnosis - eosinophilic esophagitis. We will discuss the clinical presentation, diagnostic criteria, and help you remember the approach to treatment. Written by: Dr. Michael Scaffidi (Internal Medicine Resident) Reviewed by: Dr. Samir Grover (Gastroenterologist) and Dr. Don Thiwanka Wijeratne (General Inte…
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In this episode, we discuss the clinical presentation, laboratory abnormalities, initial work-up and treatment of TTP. We review the pathophysiology and also how to distinguish TTP from other MAHAs based on the patient's lab findings and clinical presentation. The medicine minute discusses the first known case of TTP and the timeline of discovery o…
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Today's episode is all about a rare disease that you may encounter on your allergy and immunology rotation! This episode was written by Dr. Candice Luo (Internal Medicine Resident) and reviewed by Dr. Paul Keith (Allergy and Immunology) and Dr. Zahira Khalid (General Internal Medicine). Infographic by Dr. Cailyn Vlasschaert (Internal Medicine Resid…
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In this episode we take you through all the need-to-knows for your next patient with dilated cardiomyopathy! Written by: Dr. Jasper Ho (Internal Medicine Resident) Reviewed by: Dr. Katie Connolly (Cardiologist) and Dr. John Neary (General Internist) Support the showThe Intern At Work tarafından oluşturuldu
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In this episode, we discuss the approach to a patient with SVC syndrome. This includes considering both malignant and non-malignant causes. Treatment focuses on relief of the obstruction and investigation and management of malignant causes. Our medicine minute discusses a 2021 trial reviewing endovascular therapy for SVC syndrome. Written by: Dr. S…
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