The Intern At Work: Internal Medicine

The Intern At Work: Internal Medicine

A pan-Canadian resident for resident 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.Series created by: Alison LaiDeveloped by: Laiya Carayannopoulos, Zahra MeraliOverseen by: Daniel Brandt Vegas... Show More

Episodes

Written by Dr. Grace Zhang (internal medicine resident)

Reviewed by  Dr. Graeme Quest (Hematopathologist)

Dr. Siddhartha Srivastava (General Internist)

Infographic by: Lucy Lan (Medical Student)

Part 2 of our blood transfusion series goes into acute and delayed transfusion reactions. From fever, to TACO to graft vs. host, we cover it all. Most importantly, ABC's, stop the transfusion, call for help, and keep the blood products and ...

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Written by Dr. Grace Zhang (internal medicine resident)

Reviewed by  Dr. Graeme Quest (Hematopathologist)

Dr. Siddhartha Srivastava (General Internist)

Infographic by: Lucy Lan (Medical Student)

In this episode we go over the indications and typical uses of blood products: including red blood cells, platelets, fibrinogen, PCC and albumin. 

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March 21, 2020 25 min

Respirology Fellow Dr. Alina Blazer takes us through the management of Acute Asthma Exacerbations! This is not your COPD patient, and clinical manifestations and treatment is different for patients with asthma exacerbations. Also, we talk about long-term management and emerging therapies for asthma exacerbation prevention in the future. 

As always, extra resources and infographic available at www.theinternatwork.com

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Delirium can be a tricky diagnosis to make! In this episode, we walk you through the diagnosis, etiologies, and management of delirium. 

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In this episode, we talk about a general approach to lymphadenopathy, with a focus on work-up and treatment for Hodgkin Lymphoma. 

Written by: Dr. Oksana Motalo (Internal Medicine Resident)
Reviewed by: Dr. Kylie Lepic (Malignant Hematologist), and Dr. John Neary (General Internist)

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In this special episode, we speak with Dr. Isaac Bogoch (Infectious Diseases, University of Toronto, Toronto General Hospital) about the epidemic of the novel coronavirus in 2019. This podcast was recorded on February 5, 2020 and we are seeing new information and learning more about the virus every day. Stay up-to-date with your institutional policies and the news that is coming out from reputable sources. If you need a place to st...

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Feel like your knowledge about the adrenal glands is... insufficient? In today's episode we discuss the approach to a patient with adrenal insufficiency, including primary vs secondary, work up and management. 

Written by: Dr. Hernan Franco (Internal Medicine Resident) 
Reviewed by: Dr. Meera Luthra (Endocrinologist) and Dr. Kajenny Srivaratharajah (General Internist). 

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In this episode we sit down with Dr. Roochi Arora (Breast malignancy and melanoma fellow), who takes us through the pertinent components of an approach to breast cancer for the internist. In particular, we go through a case of a patient returning to hospital with metastatic breast cancer- how to manage her potential complications, work up of the malignancy itself, and an overview of treatment options. 

Special Guest: Dr. Emily Jacks...

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December 15, 2019 14 min

This episode helps us understand the concept of autoimmunity first, taking us through the complex pathophysiology of ulcerative colitis. We then discuss intestinal and extra-intestinal manifestations of the disease and an approach to the acute UC flare. 

Written by: Dr. Anthony Sandre (Internal Medicine Resident) 
Reviewed by: Dr. Ted Xenodemetropoulos (Gastroenterologist) and Dr. Andrew Cheung (General Internist) 
Infographic by: Dr....

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November 30, 2019 13 min

In this episode, we cover the definition of febrile neutropenia, management, and risk stratification for inpatient vs outpatient treatment. 

Written by: Dr. Anna Whalen-Browne (Internal Medicine Resident) 
Reviewed by: Dr. Paul Barnfield (Medical Oncology) & Dr. Sara Piran (General Internal Medicine)

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November 16, 2019 19 min

This week we discuss a common E.D presentation- acute monoarthritis! First: rule out septic arthritis. Then: consider other diagnoses such as gout, seronegative arthritis and hemarthrosis. We go through the pathophysiology, diagnostic techniques and management of these common conditions. 

Written by: Dr. Teresa Semalulu (Internal Medicine Resident) and Dr. Deborah Koh (Internal Medicine Resident) 

Reviewed by: Dr. John Neary (General...




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On this very special episode of the Intern at Work, we want to take the opportunity to invite you, our listeners, to take part in a research study regarding the use of internal medicine podcasts in postgraduate medical training.

We invite any listeners who are internal medicine residents in their PGY1 or PGY2 year, to take part in this study. Specifically, the investigators are looking for PGY1 or PGY2 Internal Medicine residents wh...

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November 3, 2019 26 min

In this episode, we take you through the differential diagnosis for patients presenting with syncope, including common mimickers. We discuss cardiac and non-cardiac causes, and when further investigations are warranted, and more! 

Written by: Nikita Malhotra (Cardiology Fellow) 
Reviewed by: Dr. Juan Guzman (General Internist), Dr. John Neary (General Internist) and Dr. Craig Ainsworth (Cardiologist) 

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Our medical oncology fellow, Dr. Michelle Nadler, takes us through the diagnostic and therapeutic challenges of treating a cancer of unknown primary. 

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This episode walks you through our approach to perioperative management, with a focus on cardiovascular risk and medications - featuring the most recent CCS guidelines! 

Written by: Dr. Jonah Himelfarb (Internal Medicine Resident) 

Reviewed by: Dr. Louise Harris (Cardiologist) and Dr. Savannah Cardew (General Internist)

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In this episode, we discuss the etiologies, clinical presentation and treatment of thrombocytosis. From reactive thrombocytosis to autonomous thrombocytosis, we talk about it all. Our medicine minute addresses a World War II era therapy that is no longer used, but might be considered for a specific population!

If you haven't already, listen to our accompanying podcast - A Paucity of Platelets, to learn about the opposite disorde...

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On this weeks episode we discuss the ins and outs of pulmonary hypertension- from the WHO 5 classifications of pulmonary hypertension, what to look out for on physical exam, diagnostic considerations and new guideline updates in the field. 

Written by: Sameer Kushwaha (Internal Medicine Resident)
Reviewed by: Dr. John Thenganatt (Respirology)
Dr. Gillian Spiegle (General Internal Medicine)
Infographic by: Caitlyn Vlasschaert (Internal ...

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Guest Fellow: Dr. Sam Thrall (Geriatric Medicine)
Special Guest: Dr. Olivia Geen (Internal Medicine Resident)
Host: Dr. Zahra Merali (Internal Medicine Resident) 
Episode reviewed by: Dr. Joye St. Onge (Geriatrician)

Take a listen to our ask a fellow episode on benzodiazepines! Although they are the 10th most prescribed medication in older adults, these drugs are associated with many negative side effects including delirium and falls. ...

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Learn to manage a common infectious disease scenarios. This podcast takes you through the clinical presentation and appropriate history and physical, as well as management of diabetic foot infections based on the most recent IDSA guidelines. 

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This episode reviews the management of an outpatient with a bleeding phenotype. How does one grade severity and what tools might we use? What are signs on physical exam that should be assessed? Consider both inherited and acquired bleeding disorders when assessing your patients. Lastly, we discuss the initial management and some evidence behind these management strategies in our medicine minute!

Podcast written by: Dr. Ying Ling
Revi...

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