The Intern At Work: Internal Medicine

A case-based guide to tracheostomy emergencies, from early accidental decannulation and mucus plugging to false passages, stenosis, and laryngectomy airway challenges. The discussion also covers catastrophic bleeding, infection, tension pneumothorax, and meal-related desaturation suggesting a tracheoesophageal fistula, concluding with a practical ABC-based rescue algorithm.

Send us Fan MailOsteoarthritis may not just be inevitable wear and tear of a joint. In this episode, we break down osteoarthritis, exploring joint mechanics, clinical presentation, and relevant investigations. Written by Dr. Aarabi Thayaparan (Internal Medicine resident at Queen's University). Reviewed by Dr. Tanveer Towheed (Rheumatologist at Queen's University) and Dr. Lindsay Anderson (General Internist at Queen's University).Support the show

Send us Fan MailIn this episode, we break down an approach to proteinuria, focusing on the interpretation of the urine dipstick, the urine ACR, and the urine PCR. Written by Dr. Ishmam Bhuiyan (Internal Medicine Resident at UBC). Reviewed by Dr. Teresa Tai (General Internist at Royal Columbian Hospital and clinical instructor in the Department of Medicine at UBC) and Dr. Adeera Levin (Nephrologist at St. Paul's Hospital and clinical professor at the Department of Medicine at UBC).Support the show

Send us Fan MailIn this episode, we discuss updates to diagnosing and managing Acute Respiratory Distress Syndrome (ARDS). Written by Dr. Jason Vaillancourt (Internal Medicine Resident) and Dr. Muralie Vignarajah (Internal Medicine Resident). Reviewed by Dr. Christine D’Arsigny (Critical Care Physician) and Dr. David Maslove (General Internal Medicine and Critical Care Physician). Support the show

A clear walkthrough of the eight-step heme pathway and how feedback control keeps it in balance. A concise guide to the different porphyria types and which toxic intermediates matter. Practical triggers, red flags, and how attacks present are highlighted. Testing pitfalls and timely urine ALA/PBG testing are discussed. Acute treatments, prophylaxis strategies, and emerging RNAi therapy are covered.

Send us Fan MailIn this episode, we discuss an approach to the acute management of anaphylaxis. Written by Dr. Jen Zheng (Internal Medicine Resident). Reviewed by Dr. Raymond Mak, (Allergist and Clinical Immunologist) and Dr. Matthew Brooks, (General Internist).Support the show

A concise guide to bone biology and the RANK-RANKL pathway. Risk factors from aging, hormones, meds and lifestyle are highlighted. Practical screening rules and fracture risk calculators are explained. Treatment options cover antiresorptives, anabolic agents, sequencing, and monitoring. Lifestyle, calcium, vitamin D, and a recent zoledronic acid trial are discussed.

Send us Fan MailIn this episode, we discuss how to recognize and manage Behçet's Disease. Written by Dr. Oswald Chen (Internal Medicine Resident). Reviewed by Dr. Alexa Smith, (Rheumatologist) and Dr. Allen Tran, (General Internist).Support the show

Send us Fan MailIn this episode, we discuss how to identify and manage the acute complications of sickle cell disease. Written by Dr. Yi Hui Luo (Internal Medicine Resident). Reviewed by Dr. Véronique Naessens (Hematologist) and Dr. Sanabelle Zaabat (General Internist). Support the show

A clinical deep dive into drug-induced interstitial lung disease with a focus on causes, common offending medications, and varied presentations. Imaging and diagnostic criteria are reviewed along with steps to exclude other causes. Practical management tips cover acute treatment, when to stop a drug, and considerations for rechallenge and fibrosis care.