The Intern At Work: Internal Medicine

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.

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

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.

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

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