The Intern At Work: Internal Medicine

Dr. Jeff Kott, a Nephrologist and Critical Care Fellow, discusses hyponatremia correction rates in collaboration with NephMadness. They explore the dangers of rapid sodium level correction, guidelines for correcting hyponatremia in different patient populations, recent studies challenging traditional recommendations, and the debate around correction rates for hyponatremia.

A discussion on hyponatremia covering diagnostic approaches, causes, and treatment strategies. Topics include serum osmolality assessment, ADH-dependent conditions, POCUS evaluation, and correction rates controversies. Learn about the risks of brain swelling, urine studies interpretation, and individualized therapies for hyponatremia.

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

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

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.

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.

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

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.

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.

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.