The Intern At Work: Internal Medicine

Latest Episodes:

74. Ask a Fellow: Type 1 Diabetes Nov 15, 2020

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In this Ask a Fellow episode, we talk to Clinical Associate Dr. Lisa Alexander about Type 1 DM. Learn about pump basics 101, the challenges in transitioning from pediatric to adult care, advances in monitoring Type 1 DM and more!

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73. A Foray into RA – Rheumatoid Arthritis Nov 01, 2020

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Arthritis affects over 6 million Canadians, that’s 1 in 5, and rheumatoid arthritis specifically affects as much as 1% of the population worldwide. Today's episode discusses how to differentiate RA from other degenerative processes, how to complete a detailed RA history and exam, which tests to order to aid clinical decisions, and an approach to management options! Keep listening for a history of the first "cortisone" injection.

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72. Not too Hot, Not too Cold - Autoimmune Hemolytic Anemia Oct 18, 2020

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This short but sweet episode takes you through the approach to understanding warm and cold hemolytic anemia, as well as what to ask on history, and appropriate investigations.
Written by: Dr. Adam Suleman (Internal Medicine Resident
Reviewed by: Dr. Eric Tseng (Hematology) & Dr. Yuna Lee (Internal Medicine)

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71. Dermatologic Emergencies Oct 04, 2020

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In this episode, we discuss the fundamentals of evaluating a patient with a dermatologic emergency. There are four main dermatologic emergencies that we'll cover in this podcast: Drug hypersensitivity syndrome (formerly known as DRESS), SJS/TEN, Serum sickness like reaction (SSLR) and acute generalized exanthematous pustulosis (AGEP). We discuss management for each of the conditions - but the most important management point to take away is stop the offending drug!
Written by: Dr. Niko MacLellan
Reviewed by: Dr. Phil Doiron (Dermatology) and Dr. Daniel Brandt Vegas (GIM).

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70. When the pressure stays high, go looking with a closer eye - Resistant Hypertension Sep 20, 2020

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Did you know that about 5-10% of patients with resistant hypertension have a secondary cause that is potentially curable? In this episode, we cover how to work-up a patient for secondary hypertension as well as which patients to suspect a secondary cause. Further, we discuss management of both resistant and secondary hypertension!
Listen to our podcast on adrenal incidentalomas as an adjunct!
Written by: Dr. Claudia Frankfurter (IM resident)
Reviewed by: Dr. Paula Harvey (Cardiology) and Dr. Tom MacMillan (GIM)

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69. Ask a Fellow: Non-Tuberculous Mycobacterial Infections Sep 06, 2020

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In this episode, we talk about non-tuberculous mycobacterial infections - the most common of which is Mycobacterium Avium Complex (MAC) in North America. Dr. Jessica Kapralik - Respirology Fellow, takes us through the tricky diagnosis, work-up and helps clarify when and who to treat for these often insidious infections.

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68. Not So Difficult to Swallow - An Approach to Dysphagia Aug 23, 2020

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In this episode we discuss an approach to differentiating oropharyngeal from esophageal dysphagia, as well as appropriate investigations and management options. We also cover data on the safety of PPIs and discuss their indications!
Written by: Dr. Peter Wang (Internal Medicine Resident), reviewed by: Dr. David Reed
(Gastroenterologist) and Dr. Stephen Gauthier (General Internist).

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67. The Fungus Among Us- Candidemia Aug 09, 2020

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Join us this week to learn about a deadly blood stream infection - candidemia. We go over the basic microbiology of candida and cover a diagnostic and therapeutic approach to your patient with candidemia. Written by Dr. Nischal Ranganath (internal medicine resident) and reviewed by Dr. Zain Chagla (Infectious Disease Specialist) and Dr. Leslie Martin (General Internal Medicine).

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66. Caught Red-Handed: The Adrenal Incidentaloma Jul 26, 2020

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What happens when you find a mass lesion on the adrenal gland? We've got answers in in this episode! Dr. Shirley Shuster walks us through the diagnosis, work-up and treatment for an incidentally found adrenal mass.
Podcast written by: Dr. Shirley Shuster (Internal Medicine resident), and reviewed by Dr. Joshua Lakoff (Endocrinologist) and Dr. Steven Montague (General Internist)

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65. Heating the Log Cabin - Phosphate Level Optimization. Jul 12, 2020

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Today we take you through our approach to hyper and hypophosphatemia - diagnosis, workup, management, we've got it all!
This episode was written by: Dr. Caitlyn Vlasschaert (Internal Medicine Resident)
Reviewed by: Dr. Matt Lanktree (Nephrologist), Dr. Rachel Holden (Nephrologist), and Dr. Steven Montague (General Internist)

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