
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

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.

Dec 3, 2023 • 21min
217. HBV - The Most Viral Podcast
Send us a textIn this episode, we review the epidemiology, diagnostic criteria, investigation and management of hepatitis B. Our medicine minute reviews the current CDC guidelines and recommendations for screening in the general population.Written by: Drs. Amine Zoughlami and Ikram Abow-MohamedReviewed by: Dr. Phillip wong (Hepatologist) and Dr. Sanabelle Zaabat (General Internist)Support the show

Nov 26, 2023 • 15min
216. Burning up- Serotonin Syndrome and Neuroleptic Malignant Syndrome
Send us a textIn this weeks episode you'll learn about two often confused syndromes that cause elevated body temperature! Episode written by Dr. Thomas Kiebalo (Internal Medicine Resident) and reviewed by Dr. Peter Wu (Clinical Pharmacology and Toxicology and General Internal Medicine) and Dr. Gillian Spiegle (General Internal Medicine). Infographic by Dr. Shannon Gui (Internal Medicine Resident). Support the show

Nov 19, 2023 • 14min
215. How low can you go? An Approach to Hypoglycemia
Discover the intricacies of managing low blood glucose levels in this episode, covering symptoms, causes, diagnostic markers, treatment approaches, and strategies for prevention. Dive into the importance of prompt diagnosis and management to avoid treatment delays and explore the evolution of Whipple's Triad in diagnosing true hypoglycemia.

Nov 12, 2023 • 13min
214. Small But Mighty - An Internist's Approach to Small Cell Lung Cancer
This podcast episode discusses the clinical presentation, classification, investigations, treatment, and prognosis of small cell lung cancer. It explores the aggressive nature, poor prognosis, and causes of SCLC, as well as the various treatment options including chemotherapy and radiotherapy. The controversial topic of prophylactic cranial radiation is also explored, along with the importance of routine MRI imaging and involvement of other specialists in patient care.