The Intern At Work: Internal Medicine

Latest Episodes:

84. A shock to the system- Toxic Shock Syndrome Apr 04, 2021

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Within this episode we take a deep dive into a fatal infectious disease topic- toxic shock syndrome. Written by Dr. Hosay Said, reviewed by Dr. Tim O'Shea (Infectious Diseases) and Dr. Leslie Martin (General Internal Medicine). Infographic by Rachel Ahle.

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83. Tearing up: An Approach to Aortic Dissection Mar 21, 2021

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In this episode, we discuss the common causes and pathophysiology of one of the more ominous reasons for chest pain - aortic dissection. We'll go through clinical presentation, history and physical exam as well as provide information about the JAMA Rational Clinical Exam findings that support the diagnosis. Finally, we'll talk about management of both Type A and Type B dissections both in the acute and chronic phase. Our medicine minute tackles the ADD-RS score - when to use it, and how to interpret it when seeing a patient with a suspected aortic dissection.
Written by: Dr. Leah Kosyakovsky (Intenral Medicine Resident)
Reviewed by: Dr. Stephanie Poon (Cardiology) and Dr. Steve Shumak (General Internist)
Sound editing: Nathan Doupnik
Infographic: Caitlyn Vlasschaert

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82. We Wheat Again- Celiac Disease Mar 07, 2021

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Written by: Dr. Conor Bell (Internal Medicine resident)
Reviewed by: Dr. Kumran Khan (Gastroenterology) and Dr. Leslie Martin (General Internal Medicine)
Infographic by: Lucy Lan (Medical Student)
Join us this week to learn about celiac disease ! We go deep into the pathophysiology of the disease, discuss an approach to physical examination and investigations, and finally discuss management of this common GI condition.

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81. Pain in the Brain – An Approach to Headache Feb 21, 2021

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Time for some neurology! Today, we will focus on the common primary and the dangerous secondary headaches that must be ruled out when your patient has a new onset headache.

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80. Beyond the Limit - Alcohol Induced Cardiomyopathy Feb 07, 2021

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In this episode, we discuss one of the consequences of alcohol misuse - alcohol induced cardiomyopathy. We'll consider a broad differential to dilated cardiomyopathies, and review the history, physical exam and work-up for dilated cardiomyopathy. We'll then discuss the treatment and management of alcohol induced cardiomyopathy as well as the prognosis of individuals with this diagnosis.

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79. Small Sized, Big Disguise – Shedding a ray of light on GPA Jan 27, 2021

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Our first ask a fellow episode of 2021! In this episode, Dr. Melissa Holdren (rheumatology fellow) takes us through a rare but serious rheumatological diagnosis- granulomatosis with polyangiitis. She discusses the typical signs/symptoms, an approach to diagnosis and acute and chronic management. Special guest host Dr. Jennifer D'Cruz. Infographic by Rachel Ahle.

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78. What speeds up must slow down- Alcohol Intoxication and Withdrawal Jan 24, 2021

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In this episode we discuss acute alcohol intoxication and withdrawal. We go into the pathophysiology of EtOH intoxication, a common approach to patients with intoxication and withdrawal, and an approach to management plans. Finally, we finish off by discussing the JAMA rational clinical exam article "Will this Hospitalized Patient Develop Severe Alcohol Withdrawal Syndrome?”. Written by Dr. Nikita-Kiran Singh (internal medicine resident) and edited by Dr. Peter Wu, Internal Medicine and Clinical Pharmacology/Toxicology specialist, and Dr. Gillian Spiegle, General Internal Medicine specialist. Infographic by Dr. Caitlyn Vlasschaert.

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77. MDSOAPBRAIN - An Approach to Systemic Lupus Erythematosus Jan 10, 2021

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In this episode we take you through the presentation and approach to a patient with suspected SLE. We will discuss clinical mainfestations, investigations and management.
Written by: Dr. Haonan Mi (Internal Medicine Resident)
Reviewed by: Dr. Mala Joneja (Rheumatologist) & Dr. Zijing Wu (General Internist)
Infographic by: Shannon Gui

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76. Pheochromocytomas and the Adrenaline Rush - Approach to Pheochromocytoma Dec 13, 2020

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In this episode we lay out an approach to diagnosis and management of pheochromocytomas. This includes work up, physical exam and peri-operative management.
Written by: Dr. Alexandra Kobza & Dr. Olivia Cook (Internal Medicine Residents)
Reviewed by: Dr. Zubin Punthakee (Endocrinologist) & Dr. Mohamed Panju (General Internist)

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75. The Missing Factor - Von Willebrand Disease Nov 29, 2020

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In this episode we take a deep dive into a rare bleeding disorder- Von Willebrand Disease! We discuss the importance of VW factor, the different types of VWD, common symptoms, pertinent investigations and an approach to management. Check out our associated infographic at www.theinternatwork.com.

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