The Intern At Work: Internal Medicine

Send us a textIn this episode we cover your approach to the patient with Parkinson's Disease. We discuss key features on history, as well as a focused examination for the features key to this diagnosis. Written by: Dr. Olivia Geen (Internal Medicine Resident) Reviewed by: Dr. Sharon Marr (Geriatrician) and Dr. John Neary (General Internist) Support the show

Send us a textIn this episode, we follow the mantra "in, shift, out!" We talk about the clinical presentation and management of hyperkalemia, and how to treat it swiftly and quickly. Support the show

Send us a textThis episode we sat down with Dr. Christine Hawkes, neurointerventional fellow to discuss clot retrieval therapy. We cover indications and contraindications, number needed to treat, and what to consider when approaching a patient with large vessel occlusion. Support the show

Send us a textIn this episode, we talk about congestive heart failure! From patient assessment to treatment of congestive heart failure exacerbations, we've got it covered. Ever wonder how we choose to dose diuretics? Look no further! Congestive heart failure made easy just for you. Support the show

Send us a textIn this episode we take you through the approach to a patient with tumour lysis syndrome. We explain the Cairo-Bishop scoring, and cover the treatment of all facets of the syndrome. Support the show

Exploring vasopressors and their clinical use, including key receptors and common types like Norepinephrine, Vasopressin, Epinephrine, Dopamine, and Phenylephrine. Introduction to Medicine Base Camp for emergency case management scenarios.

In this engaging discussion, Grace Zhang, an internal medicine resident and writer, shares her insights on transfusion medicine. She dives into the complexities of acute and delayed transfusion reactions, explaining symptoms like fever and TACO. Grace emphasizes the crucial steps for managing these reactions, detailing the importance of halting transfusions, calling for help, and preserving evidence for the blood bank. This practical guide is essential for any medical professional looking to enhance their transfusion care skills.

Dr. Grace Zhang, Dr. Graeme Quest, Dr. Siddhartha Srivastava, and Lucy Lan discuss blood transfusions including indications, blood types, platelet transfusions, and comprehensive guides for managing coagulopathies and trauma cases. They explore the historical origins and modern advancements in transfusion medicine, emphasizing the importance of judicious use and maintaining a balanced ratio of blood components.

Dr. Alina Blazer, Respirology Fellow, discusses managing Acute Asthma Exacerbations, highlighting differences from COPD, clinical manifestations, treatment strategies. Focus on long-term management, emerging therapies for prevention. Case study of a 35-year-old woman with severe exacerbation, importance of early intervention, IV magnesium use, evolving strategies like non-invasive ventilation. Decision-making on intubation, managing exacerbations with new biologic agents, Benralizumab, and collaboration in the ED for effective care.

Explore the intricacies of diagnosing and managing delirium in healthcare settings, focusing on types of delirium, diagnostic approaches, triggers, management strategies, and long-term effects. Learn about the impact of delirium on patients and medical professionals, along with the importance of collateral history, identifying triggers, and utilizing non-pharmacologic approaches for treatment.