The Intern At Work: Internal Medicine

Send us a textThe most common arrhythmia in patients greater than 65 years old! Listen up on how to approach a patient with atrial fibrillation. We take you through managing both the stable and unstable patient, including how to choose between rhythm and rate control, and the indications for anticoagulation. Support the show

Exploring ARDS, its pathophysiology, diagnosis, severity grading, causes, and management strategies like ventilatory techniques and ECMO. Debate over the effectiveness of ECMO in severe ARDS patients as a last-resort option.

Send us a textThis week's episode is all about infective endocarditis. We discuss the approach to a patient presenting with suspected endocarditis, review work up, antibiotic therapy and surgical indications, and highlight the updated AHA/ACC prophylaxis guidelines! Podcast written by: Dr. Liam Finlay (Internal Medicine Resident)Reviewed by: Dr. Zain Chagla (Infectious Disease Specialist) and Dr. Leslie Martin (General Internist) Infographic by:  Howard Ong (Medical Student)Support the show

Send us a textDrs. Derek Chu and David McCullagh chat with us about the approach to a patient with documented penicillin allergy and the importance of exploring this label in detail. We cover risk stratification, allergy testing and an approach to test dosing. As always, we post an associated infographic at www.theinternatwork.comGuest Fellows: Dr. David McCullagh (Infectious Diseases Fellow, McMaster University) and Dr. Derek Chu (Allergy and Immunology Fellow, McMaster University) Hosts: Zahra Merali and Laiya Carayannopoulos Support the show

Send us a textTo 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. Support the show

Send us a textIt'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. Support the show

Learn about pericarditis, pericardial effusions, and cardiac tamponade in this episode. Understand their causes, symptoms, treatment options, and complications. Dive into case studies for a better grasp on managing pericardial disorders.

Send us a textDr. 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.comGuest Fellow: Dr. Kim Lewis (Critical Care Fellow, McMaster University)Faculty reviewer: Dr. Waleed Alhazzani (Intensivist and Gastroenterologist) Support the show

Send us a textThis 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 Support the show

Send us a textThis 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). Support the show