The Intern At Work: Internal Medicine

Latest Episodes:

24. Blood is Thicker Than Water- Multiple Myeloma Mar 31, 2019

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To finish off Multiple Myeloma Awareness Month, we have our second episode of a two part series- this one's on Myeloma! We discuss the definitions of smoldering myeloma vs. multiple myeloma as well as a breakdown of the pathophysiology (with our mnemonic CRAB) and a brief overview of treatment. Make sure to listen to our episode on MGUS first.
As always, we have an associated infographic as well as relevant resources at www.theinternatwork.com.
This episode was written by Dr. Zahra Merali (Internal Medicine Resident) and reviewed by Dr. Laura Habib (Malignant Hematology Fellow), Dr. Mohammed Aljama (Malignant Hematologist) and Dr. Rajendar Hanmiah (General Internist). Infographic by Nikhita Singhal.

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23. Bad Blood- MGUS (Monoclonal Gammopathy of Undetermined Significance) Mar 24, 2019

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It's Myeloma Awareness Month, and to spread the word we are releasing 2 concurrent episodes- MGUS and Myeloma. This week you are in the outpatient GIM clinic and our episode is all about Monoclonal Gammopathy of Undetermined Significance. We delve deeper into what it means to order SPEP, UPEP, serum immunofixation and serum free light chains, and we overview the International Myeloma Working Group definitions of MGUS.
As always, we have an associated infographic as well as relevant resources at www.theinternatwork.com.
This episode was written by Dr. Zahra Merali (Internal Medicine Resident) and reviewed by Dr. Laura Habib (Malignant Hematology Fellow), Dr. Mohammed Aljama (Malignant Hematologist) and Dr. Rajendar Hanmiah (General Internist). Infographic by Nikhita Singhal.

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22. A Tight Squeeze- Pericarditis, Pericardial Effusion and Cardiac Tamponade Mar 10, 2019

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This episode is all about the fibroelastic sac surrounding your heart- the pericardium! We discuss the continuum of pericarditis, pericardial effusions and cardiac tamponade- including symptoms/signs to look out for and an approach to management.
As always, we have an associated infographic as well as relevant resources at www.theinternatwork.com.
This episode was written by Dr. David Dorian (Internal Medicine Resident) and reviewed by Dr. Ken Melvin (Cardiologist), Dr. Rupal Shah (General Internist) and Dr. Nadine Abdullah (General Internist).

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21. Ask a Fellow: The Fatal Mismatch- Massive Pulmonary Embolism Feb 24, 2019

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Dr. Kim Lewis (Critical Care Fellow, McMaster University) takes us through the approach to a patient with suspected massive pulmonary embolism. Stay tuned for five take home points to remember when treating a patient with this medical emergency as well as recommendations form Thrombosis Canada.
As always, we post an associated infographic at www.theinternatwork.com
Guest Fellow: Dr. Kim Lewis (Critical Care Fellow, McMaster University)
Faculty reviewer: Dr. Waleed Alhazzani (Intensivist and Gastroenterologist)

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20. Go Look For The Adenoma Please - Pituitary Adenoma Feb 10, 2019

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This episode is all about an approach to the patient with pituitary adenoma! We discuss signs and symptoms, as well as where to begin with your investigations. Finally, we discuss complications to be aware of post-operatively, and how to manage them.
This episode was written by Dr. Tehmina Ahmad (Internal Medicine Resident), and reviewed by Dr. Jeanette Goguen (Endocrinologist) and Dr. Shital Gandhi (General Internist). Our associated infographic can be found at www.theinternatwork.com

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19. Dousing the Flames - Sepsis Jan 27, 2019

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This episode is all about sepsis! We discuss various identification and risk stratification scores, as well as the work up and management of the patient with sepsis.
As always, we have an associated infographic as well as relevant resources at www.theinternatwork.com.
This episode was written by Dr. Laiya Carayannopoulos (Internal Medicine Resident) and reviewed by Dr. Alison Fox-Robichaud (Intensivist, President of Canadian Sepsis Foundation), Dr. Waleed Alhazzani (Intensivist and Gastroenterologist, Methodology Chair of Surviving Sepsis Campaign), and Dr. Rebecca Kruisselbrink (Internist and Intensivist).

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18. Sweet Pee - Non-insulin Anti-Hyperglycemic management of Type II Diabetes Jan 13, 2019

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In this episode, we describe all of the lifestyle and non-insulin pharmacological management of type II diabetes.
As always, we have an associated infographic as well as relevant resources at www.theinternatwork.com.
This episode was written by:
Dr. Sapna Shah (Internal Medicine Resident) and reviewed by Dr.Shoba Sujana Kumar (Endocrinology) and Dr. Peter Wu (Internal Medicine and Clinical Pharmacology and Toxicology)

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17. Ask a Fellow: Pulmonary Renal Syndrome Dec 16, 2018

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Dr. Tooba Ali (Rheumatology Fellow, Queen's University) takes us through the approach to a patient with suspected pulmonary renal syndrome and the initial treatment. Stay tuned for five take home points to remember when treating a patient with Pulmonary Renal Syndrome as well as some of the latest evidence around ANCA-associated vasculitis.
As always, we post an associated infographic at www.theinternatwork.com
Guest Fellow: Dr. Tooba Ali (Rheumatology Fellow, Queen's University)
Faculty reviewer: Dr. Christian Pagnoux (Rheumatologist, University of Toronto)

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16. Pockets of Fluid - Pleural Effusions Dec 02, 2018

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In this episode, we talk about the 5,6,7 rule for classifying pleural effusions, lead you through Light's criteria and consider the broad differential and treatments for pleural effusion!
Visit www.theinternatwork.com for the associated infographic.
Episode written by: Dr. Jessica Kapralik (Internal Medicine Resident)
Episode Reviewed by: Dr. Andrew Cheung (General Internist)

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15. A Stroke of (Bad) Luck - Ischemic Stroke Nov 18, 2018

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Today we address a source of anxiety for many a learner - approach to ischemic stroke. In this episode we discuss everything stroke related - physical exam, investigations, acute management, and secondary prevention. Remember to visit www.theinternatwork.com for our infographic and links to relevant resources, including the NIH stroke scale.

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