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The Intern At Work: Internal Medicine

Latest episodes

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Oct 6, 2019 • 14min

38. Crossing the Bridge - Preparing the Heart for Surgery: Perioperative Cardiac Assessment

Send us a textThis episode walks you through our approach to perioperative management, with a focus on cardiovascular risk and medications - featuring the most recent CCS guidelines! Written by: Dr. Jonah Himelfarb (Internal Medicine Resident) Reviewed by: Dr. Louise Harris (Cardiologist) and Dr. Savannah Cardew (General Internist)Support the show
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Sep 22, 2019 • 17min

37. The Essentials: An Approach to Thrombocytosis

Send us a textIn this episode, we discuss the etiologies, clinical presentation and treatment of thrombocytosis. From reactive thrombocytosis to autonomous thrombocytosis, we talk about it all. Our medicine minute addresses a World War II era therapy that is no longer used, but might be considered for a specific population!If you haven't already, listen to our accompanying podcast - A Paucity of Platelets, to learn about the opposite disorder - Thrombocytopenia!Support the show
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7 snips
Sep 8, 2019 • 16min

36. The Little Ventricle That Could- Pulmonary Hypertension

Delve into the classifications, diagnostic procedures, and management strategies for pulmonary hypertension in this episode. Learn about the importance of a comprehensive diagnostic workup for guiding treatment decisions.
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Aug 25, 2019 • 36min

35. Ask a Fellow: Taking the Zzz out of Sleep- Benzodiazepine (Mis)use in Hospital

Send us a textGuest Fellow: Dr. Sam Thrall (Geriatric Medicine)Special Guest: Dr. Olivia Geen (Internal Medicine Resident)Host: Dr. Zahra Merali (Internal Medicine Resident) Episode reviewed by: Dr. Joye St. Onge (Geriatrician)Take a listen to our ask a fellow episode on benzodiazepines! Although they are the 10th most prescribed medication in older adults, these drugs are associated with many negative side effects including delirium and falls. We discuss Choosing Wisely Canada guidelines and the Beers List, as well as deprescribing methods and the EMPOWER trial. Sam also tells us about useful facts relating to commonly used sleeping aids and drugs used for aggressive behaviour. Lessons learned: Start low, go slow. Support the show
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Aug 11, 2019 • 15min

34. Crisis in the Suburbs: Approach to Diabetic Foot Infection

Send us a textLearn to manage a common infectious disease scenarios. This podcast takes you through the clinical presentation and appropriate history and physical, as well as management of diabetic foot infections based on the most recent IDSA guidelines. Support the show
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Jul 28, 2019 • 12min

33. Find the Leak - The bloody truth about bleeding disorders

Send us a textThis episode reviews the management of an outpatient with a bleeding phenotype. How does one grade severity and what tools might we use? What are signs on physical exam that should be assessed? Consider both inherited and acquired bleeding disorders when assessing your patients. Lastly, we discuss the initial management and some evidence behind these management strategies in our medicine minute!Podcast written by: Dr. Ying LingReviewed by: Dr. Michelle Shozlberg and Dr. Jonathan AilonAs always, we have associated resources and infographics at www.theinternatwork.com.Support the show
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Jul 14, 2019 • 14min

32. A Pain in the Neck - Meningitis

Send us a textTune in this week to hear about a life threatening illness- meningitis! In this episode, Dr. Katherine Steckham goes over the approach to bacterial meningitis. In addition, we go cover IDSA guidelines, why we use dexamethasone, and what to do if your patient has a beta lactam allergy! Associated Infographic: www.theinternatwork.comThis episode was reviewed by Dr Nishma Singhal (Infectious diseases) and Dr. John Neary (internal medicine). Support the show
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Jul 7, 2019 • 10min

31. Approach to Anemia

Send us a textAnemia made easy! In this episode we talk about the classification of anemia and some of their leading etiologies. We focus on the assessment and treatment of iron deficiency anemia, and talk briefly about the choosing wisely guidelines for transfusion thresholds in anemic patients. Support the show
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Jun 23, 2019 • 7min

30. Cellulitis

Send us a textWhat's red, hot and requesting medical attention? In this episode we talk about cellulitis! From patient assessment to learning about it's most common pathogens and treatment, we give you all the basics to see and treat a patient with cellulitis. As a bonus, we've included five important facts about cellulitis to come in our medicine minute. Support the show
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Jun 9, 2019 • 28min

29. Ask a Fellow: Ace the Airway - Intubation

Dr. Jessica Spence, an Anaesthetist and Critical Care fellow, discusses her approach to intubation, covering pre-intubation checklists, predictors of challenging airway, essential components for successful intubation, medication selection, use of paralytics, patient positioning, and the importance of team communication and thorough patient assessment

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