
The Intern At Work: Internal Medicine
A pan-Canadian learner-generated internal medicine podcast. The Intern at Work is written by residents for residents, and is meant to serve you better on the wards and on call. Disclaimer: This podcast is intended for educational use only and is not intended as the sole resource for clinical management. All scripts are original scripts. Podcasts produced out of Canada and may contain Canadian specific guidelines. Created by: Alison Lai Executive Producers: Laiya Carayannopoulos, Zahra Merali
Latest episodes

Mar 11, 2024 • 20min
227. An Apple a Day- Nutritional Deficiencies
Send us a textIn both the developed and underdeveloped world, it's important to be aware of common nutritional deficiencies and their manifestations in our adult patients! This episode was written by: Dr. Igor Sljivic (Internal Medicine Resident). Reviewed by: Dr. Andrew Appleton (General Internal Medicine) and Dr. Marko Markobrada (General Internal Medicine). Infographic by: Julia Simone (Medical Student)Support the show

Mar 3, 2024 • 12min
226. Don't Ignore IgG4 - Approach to IgG4 Related Disease
Exploring the immune-mediated nature of IgG4 related diseases, diagnostic approach, comprehensive workup required for diagnosis, treatment strategies including B cell targeted therapy, and classification criteria for IgG4-related disease

Feb 25, 2024 • 14min
225. Down to the Basics - An Approach to Acid Base Disorders
Dr. Caroline Najjar, Dr. Bernard Unikowsky, and Dr. Jesse Popov discuss acid-base disorders in a 5-step approach. They explore the physiological basis, compensation mechanisms, anion gap calculation, and identifying mixed acid-base disorders. Highlights include respiratory and renal system roles, metabolic alkalosis, anion gap metabolic acidosis, and diagnosing concurrent processes affecting pH balance.

Feb 11, 2024 • 11min
224. An Uncontrollable Leak- The Approach to a VIPoma
Exploring the rare VIPoma tumor that causes watery diarrhea, with emphasis on diagnostic cues and clinical assessment. Discussing treatment options and the benefits of peptide receptor radionuclide therapy for improving survival rates.

Feb 4, 2024 • 14min
223. A Broken Heart - An Approach to Takatsubo Cardiomyopathy
Send us a textIn this episode, we review the clinical presentation, diagnostic criteria, work-up and management of a patient presenting with Takatsubo (or stress-induced) Cardiomyopathy. Our medicine minute discusses the JAMA discusses the higher incidence of stress cardiomyopathy noted during the COVID-19 pandemic. Written by: Dr. Mehras Motamed (Internal Medicine resident)Reviewed y: Dr. Dennis Ko (Interventional Cardiologist) and Dr. David Juurlink (General Internist, Clinical Pharmacologist) Support the show

Jan 28, 2024 • 9min
222. I Am An Island - Approach to Solitary Pulmonary Nodule
Approach to solitary pulmonary nodule discussed, including etiologies, risk stratification and management. Covers malignancy, non-malignant causes, benign tumors, rounded out electasis, bronchogenic cysts, and pulmonary AVMs. Comprehensive approach to assessing and managing nodules, including diagnosis criteria, patient history and examination, identifying malignant findings, workup and management factors, guidelines for low-risk and high-risk nodules, and importance of shared decision-making.

Jan 21, 2024 • 12min
221. Red Pulp, White Pulp - An approach to splenomegaly
Dr. Gizelle Popradi, a hematologist, and Dr. Samuel Mamane, a general internist, discuss the physiology, etiology, and treatment of splenomegaly. They cover topics such as different causes of splenomegaly, diagnostic approaches, treatment options including chemotherapy and surgical interventions, and the importance of identifying underlying causes for appropriate management.

Jan 14, 2024 • 15min
220. Little Room for Relaxation- Heart Failure Preserved Ejection Fraction
This podcast discusses heart failure preserved ejection fraction (HFpEF), its diagnosis, comorbid conditions, and physical examination findings. It also explores the management options, challenges, and limited therapeutic recommendations for improving outcomes. Additionally, it highlights the results of two randomized trials studying the impact of SGL-II inhibitors on heart failure with preserved ejection fraction.

Dec 17, 2023 • 11min
219. One Carbon Too Few - An approach to Methanol Toxicity
Send us a textWritten by: Dr. Sarah Hammond (Internal Medicine Resident) Reviewed by: Dr. Marko Skrtic (Nephrology) and Dr. Zijing Wu (General Internal Medicine Support the show

Dec 10, 2023 • 13min
218. From Leeches to Personalized Medicine - Approaches to Polycythemia Vera and Essential Thrombocythemia
From the rise and fall of bloodletting in the 19th century to the current use of precision medicine, this podcast explores polycythemia vera and essential thrombocytosis. It covers the prevalence, characteristics, and complications of polycythemia vera, along with the diagnostic criteria and treatment options. The podcast also delves into essential thrombocythemia, discussing its diagnosis, causes, and management. Risk stratification and historical treatment approaches are explored, including the use of bloodletting.