The Intern At Work: Internal Medicine

Latest Episodes:

193. Not So Sweet Pee- Approach to Central Diabetes Insipidus May 07, 2023

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Written by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Romina Pace (General Internal Medicine). Infographic by Vincent Li (Medical Student).

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192. Go Get the O2 - An Approach to Hypoxia Apr 30, 2023

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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 written by: Dr. Anna Tyker (Internal Medicine Resident)
Reviewed by: Dr. Christine D’Arsigny (Respirology and Critical Care) and Dr. Amelia Wilkinson (General Internal Medicine)
Sound editing by: Kiera Liblik (Medical Student)

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191. You put me in a state of SHOCK Apr 23, 2023

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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 as the evidence behind current MAP targets.
Written by: Dr. Krish Bilimoria (Internal Medicine resident)
Reviewed by: Dr. Camille Simard (GIM, OB medicine) and Dr. Jed Lipez (GIM, Critical Care)
Sound editing by: Alison Lai

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190. Urine Trouble! An approach to AKI Apr 16, 2023

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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)

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189. Into the Bubble: Approach to Hypogammaglobulinemia Apr 09, 2023

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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. Valarie Kim (Internal Medicine resident).

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188. Atopy, asthma, and dysphagia - oh my!: An approach to eosinophilic esophagitis Mar 26, 2023

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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 Internist)

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187. Breaking down the perPLEXing topic of TTP Mar 19, 2023

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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 of the etiology behind TTP.
Written by:
Dr. Jodi Chiu (Internal Medicine resident)
Reviewed by:
Dr. Cyrus Hsia (Hematology) and Dr. Rasha Abdul Karim (General Internal Medicine)

Sound editing by:
Margaret Sun (Internal Medicine Resident)

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186. Ring the Alarm: Mast cell activation syndrome (MCAS) Mar 12, 2023

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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 Resident).

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185. Two Sizes Too Big - Dilated Cardiomyopathy Mar 05, 2023

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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)

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184. Backed Up - An Approach to SVC Syndrome Feb 26, 2023

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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. Samuel Chan (Internal Medicine Resident)
Reviewed by: Dr. John Goffin (Medical Oncologist) and Dr. Andrew Cheung (General Internist)
Podcast recorded by: Alison Lai
Infographic by: Jessica Nguyen (Medical Student)

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