The Intern At Work: Internal Medicine

Send us a textIn this episode, we review the physiology and pathophysiology behind coronary artery disease. We also reviewed the current indications for CABG as per the CCS guidelines. The medicine minute discusses the recently released ISCHEMIA trial.Written by: Dr. Cole Clifford (IM Resident)Reviewed by: Dr. John Janevski (Cardiology) and Dr. Rupal Shah (General Internist)Sound editing by: Alison LaiSupport the show

Send us a textLet's dive into endocrinology this week- to learn about Paget Disease of the Bone! Listen till the end to learn about Sir James Paget himself. This episode was written by Emaad Mohammad (Internal Medicine Resident) and reviewed by Dr. Robyn Houlden (Endocrinology) and Dr. Amelia Wilkinson (General Internal Medicine) Support the show

Send us a textIn this episode, we cover when to suspect and investigate - or more importantly NOT investigate patients for potential inherited thrombophilias. Written by: Chloe Gordon (Internal Medicine Resident) Reviewed by: Dr. Eric Tseng (Hematologist) and Dr. Vicky Tagalakis (General Internist) Support the show

Send us a textIn this episode, we discuss the clinical presentation, consensus diagnostic criteria and pharmacologic and non-pharmacologic strategies to manage a patient with Postural Orthostatic Tachycardia Syndrome (POTS). Written by: Dr. David Bobrowski (Internal Medicine Resident)Reviewed by: Dr. Tosin Osuntokun and Dr. Paula Harvey (Cardiologists) and Dr. James Rassos (General Internist)Sound editing by: Alison LaiSupport the show

Send us a textIn this episode, we discuss the clinical presentation, severity grading, investigations and management for patients presenting with cholecystitis or cholangitis. Our medicine minute discusses a promising new technique for patients with non-operative cholecystitis. Podcast written by: Drs. Amine Zoughlami  and Ikram Abow-Mohamed (Internal Medicine residents)Reviewed by:  Dr. Constantine Soulellis (Gastroenterology) and Dr. Sanabelle Zaabat (Internal Medicine)Sound editing by: Alison laiSupport the show

Send us a textWe covered upper GI bleed a few weeks ago, but we'd be remiss if we didn't address the other half of the GI tract! This week we take you through our approach to lower GI bleeding and its management, including recent guideline updates. Written by: Dr. Ikram Abow-Mohamed & Dr. Amine Zoughlami (Internal Medicine Residents) Reviewed by: Dr. Alan Barkun (Gastroenterology) & Dr. Sanabelle Zaabat (Internal Medicine). Support the show

Send us a textWritten by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Romina Pace (General Internal Medicine). Infographic by Vincent Li (Medical Student). Support the show

Send us a textIn this episode, we discuss two main causes of hypoxia as well as the utility of the A-a gradient to help determine the underlying etiology. We discuss different methods of oxygen delivery and briefly review etiologies that may cause hypoxia. Our medicine minute discusses the discovery and current controversy regarding pulse oximeters. Episode written by: Dr. Anna Tyker (Internal Medicine Resident)Reviewed by: Dr. Christine D’Arsigny (Respirology and Critical Care) and Dr. Amelia Wilkinson (General Internal Medicine)Sound editing by: Kiera Liblik (Medical Student)Support the show

Send us a textIn this episode, we review the main causes of four different types of shock: hypovolemic, cardiac, obstructive and distributive (or vasoplegic). We discuss both initial assessment and management of a patient in shock, as well as more focused therapies for specific etiologies. Our medicine minute discusses the choice for initial vasopressors as well as the evidence behind current MAP targets.Written by: Dr. Krish Bilimoria (Internal Medicine resident)Reviewed by: Dr. Camille Simard (GIM, OB medicine) and Dr. Jed Lipez (GIM, Critical Care)Sound editing by: Alison LaiSupport the show

Send us a textIn this episode we cover the history of AKI and an approach to its diagnosis and management. We also cover landmark trials! Written by: Dr. Thulasie Manokaran (Internal Medicine Resident)Reviewed by: Tyrone Harrison (Nephrologist) and Dr. Michael Fisher (General Internist) Support the show