Podcasts by The Intern At Work: Internal Medicine

127. The Gift of Life - Organ Donation after Neurological Death from 2022-02-20T00:00

This week we discuss the clinical criteria required to diagnose neurological death, and the steps to caring for the neurologically deceased organ donor. 

126. Good Bug Gone Bad - Staph Aureus Bacteremia from 2022-02-13T07:00

In this episode we discuss the clinical manifestations, diagnosis and management of both MSSA and MRSA bacteremia. 

Written by: Dr. Helen Genis (Internal Medicine Resident)
Reviewed...

125. Medication or Libation? - The Beer's List from 2022-02-06T00:00

In this episode, we take you through a case-based approach to applying the Beer's List medications. We discuss why medication pharmacokinetics and pharmacodynamics are different in older ad...

124. Mad Hatter- TCA Overdose from 2022-01-30T00:00

What does "mad as a hatter" make you think of in medicine? In this episode we go over the nuances of a medical emergency- TCA overdose! Written by Dr. Leah Kosyakovsky (Internal medici...

123. Sweating the Organophosphates - Organophosphate poisoning from 2022-01-23T07:00

In this episode, we discuss the mechanisms, consequences and treatment of organophosphate poisoning. We include the three stages of organophosphate poisoning and their associated clinical syndro...

122. A Pressing Pressure Problem: Hypertensive Urgency and Emergency from 2022-01-16T16:00

In this episode we cover your approach to the management of acute hypertension as well as the work-up of secondary causes. 

121. Bursting Pipes: An Approach to Primary Hypertension from 2022-01-09T00:00

Today we discuss one the most common medical diagnoses- hypertension! We take a deep dive in Hypertension Canada guidelines to discuss the diagnosis, symptoms, signs and treatment of primary hyp...

120. Ask a Fellow- Vaccine Anaphylaxis after mRNA SARS-CoV-2 Vaccination from 2021-12-22T00:00

This time instead of asking a fellow- we ask an expert attending physician Dr. Samira Jeimy (Allergy and Immunology) all about anaphylaxis in relation to the COVID vaccine! If someone has had a ...

119. Syphilis and the Imitation Game from 2021-12-19T07:00

In this episode, we discuss the various clinical stages and presentation of syphilis as well as their associated treatment. We discuss the approach to diagnosis as well as the various diagnostic...

118. Picking Up the Prolactinoma - Approach to Prolactinoma from 2021-12-12T00:00

This episode was written by Dr. Anna Liu (Internal Medicine Resident) and reviewed by Dr. Dr. Stan Van Uum (Endocrinologist) and Dr. Kenneth Gilbert (GIM). 

117. The World’s Most Common Infection: An Approach to H Pylori Infection from 2021-12-05T00:00

Did you know that the majority of people colonized with H pylori acquire it during infancy, and in the vast majority of cases infection is asymptomatic? Today we talk about the pathophysiology, ...

116. Body on Fire - Approach to Hyperthyroidism from 2021-11-28T07:00

In this episode, we discuss the diagnosis, management and treatment of hyperthyroidism. We also take a brief detour to talk about the diagnosis and management of thyroid storm. Our medicine minu...

115. Take your breath away- Understanding Sleep Apnea from 2021-11-21T00:00

Today we discuss a common outpatient respriology diagnosis- Obstructive sleep apnea!
Written by Dr. Jennifer D'Cruz (Internal Medicine Resident), reviewed by and Dr. Alia Kashgari (Resp...

114. A Viral Delay - Hepatitis C from 2021-11-14T07:00

In this episode we talk about one of the chronic viral hepitides - Hep C! We discuss risk factors, work-up and management which has changed drastically in the past several years! Listen to our m...

113. Toxin in your medicine cabinet- Acetaminophen Toxicity from 2021-11-07T00:00

There's a toxin in your medicine cabinet... it's called APA, paracetamol, tylenol, or acetaminophen (depending on where you're listening)! Today we take you through the pathophysi...

112. Blue Blood - What to do when Methemoglobinemia is the Suspect from 2021-10-31T01:00

In this episode we take a deep dive on methemoglobinemia. We discuss when to suspect it, diagnosis, treatment, and some great medical trivia! 
Written by:  Dr. Lorenzo Madrazo (Internal Medi...

111. Approach to Pulmonary Function Tests (Part 2) from 2021-10-27T10:00

This episode we apply our knowledge of the sections of PFTs to specific respiratory pathophysiologic processes. 

110. Approach to Pulmonary Function Tests (Part 1) from 2021-10-24T00:00

In this episode, we discuss normal respiratory mechanics, indications for PFTs and their main components. Tune in later this week for Part 2 where we will discuss how to interpret them! 

109. A Drop in the Bucket - An Approach to ILD from 2021-10-03T07:00

In this episode, we review the pathophysiology, clinical presentation and diagnostic approach to ILD - a heterogenous group of lung disorders characterized by diffuse parenchymal lung disease. W...

108. Scars that Don't Fade - Pulmonary Fibrosis from 2021-09-26T10:00

In this episode we cover the approach to a patient with suspected pulmonary fibrosis. This episode discusses history, physical exam, treatments and management of acute exacerbations. 

W...

107. Sorting out a bloody mess: an overview of anticoagulation from 2021-09-19T10:00

In this episode we take a deep dive into the different anticoagulants! It's more than just warfarin folks. 

Written by: Dr. Nicholas Chornenki ( Internal Medicine Resident)
Rev...

106: What's the DILI-O: Approach to Acute Liver Failure from 2021-09-12T07:00

In this episode, we discuss the clinical manifestations, investigations and management of acute liver failure.

Written by: Dr. Fiona Milne (Internal Medicine Resident)
Reviewed by: ...

105: So the Clot Thickens - Antiphospholipid Syndrome from 2021-09-05T08:00

Have you ever wondered why we call it antiphospholipid syndrome? Take a listen to this episode to find out all about why we've named it this, and how to diagnose, investigate and manage pat...

104. Taking Action on the Ejection Fraction - Chronic Management of Heart Failure from 2021-08-29T00:00

In this episode we discuss the long-term management of congestive heart failure. We cover both reduced and preserved ejection fraction as well as the latest CCS guidelines! 

103. The Leaky Filter- Nephrotic Syndrome from 2021-08-22T00:00

What happens when the glomerular filtration system breaks down? This episode is all about nephrotic syndrome. We go through the pathophysiology of the kidney (comparing it to a coffee filter), t...

102. An Emphasis on Bronchiectasis from 2021-08-15T07:00

What is bronchiectasis? In this episode, we discuss the etiologies of bronchiectasis, the diagnostic work-up of choice and the treatments available for patients with this disease. We also discus...

101. Biting the Bullet - Sedation in the ICU from 2021-08-08T00:00

In this episode we cover scales for assessing depth of sedation in the ICU, as well as medications used for analgesia and sedation. 

100. The Black Flood: An Approach to Gastro-Esophageal Varices from 2021-08-01T07:00

In this episode, we discuss the clinical presentation, investigations and management of Variceal bleeds - a type of upper GI bleed that can cause mortality in up to 1/3 of patients with cirrhosi...

99. Ask a Fellow- Hypersensitivity Pneumonitis from 2021-07-28T00:00

Time for a respirology "ask a fellow"! In this episode we go through this niche respiratory diagnosis and cover the new 2020 ATS hypersensitivity pneumonitis guidelines. Written by Dr....

98. Under Pressure- Approach to Pneumothorax from 2021-07-25T00:00

As internists, we're always scared of surgical complications of our medical procedures. But pneumothoraces can occur for many reasons, and it is essential to know how to recognize and treat...

97. A Narrowing In the Pipes - An Approach to Stable CAD from 2021-07-18T07:00

In this episode, we review the clinical presentation, diagnostic work-up and management of patients with suspected stable CAD. Our medicine minute this week reviews the indications for early rev...

96. Broken Factory - An Approach to Myelodysplastic Syndrome from 2021-07-11T00:00

This week we cover our approach to patients with MDS. We discuss signs and symptoms, diagnostic criteria and treatment, and have a great medicine minute about advances in therapy. 

Writ...

95. A Bump in the Road - An Approach to the Thyroid Nodule from 2021-07-04T00:00

What is your approach to an incidental thyroid nodule? This episode takes us through the work up of this common internal medicine issue including key findings on history and physical exam, essen...

94. Ask a Fellow- Spilling the Subspecial-TEA (Part 2) from 2021-06-30T00:00

A dilemma every internal medicine resident faces is- how do you choose your subspecialty? Join us on this special July episode, where we first catch up with your favourite executive producers an...

93. Ask a Fellow- Spilling the Subspecial-TEA (Part 1) from 2021-06-23T00:00

A dilemma every internal medicine resident faces is- how do you choose your subspecialty? Join us on this special July episode, where we first catch up with your favourite executive producers an...

92. Giant Troubles - Approach to GCA and Polymyalgia Rheumatica from 2021-06-13T00:00

In this episode we discuss the approach to diagnosis and management of GCA and Polymyalgia Rheumatica. 
Written by: Dr. Haonan Mi (Internal Medicine Resident) 
Reviewed by: Dr. Tanveer T...

91. The Uninvited Granulomas - An Approach to Sarcoidosis from 2021-05-30T07:00

In this episode, we talk all about Sarcoidosis. This disease is one of non-caseating granulomas. Though most typically found in the lungs and lymph nodes, Sarcoidosis can be found anywhere in th...

90. The Poppy's Curse, Part II - Opioid Use Disorder from 2021-05-23T00:00

This week we discuss the long term management of opioid use disorder, with a focus on opioid agonist therapy. 

Written by: Dr. Clara Lu (General Internal Medicine Fellow)
Reviewed b...

89. The Poppy's Curse, Part I - Opioid Use Disorder from 2021-05-16T00:00

This week we discuss your approach to a patient with opioid overdose and withdrawal, as well as the management of both conditions including naloxone and buprenorphine. 

88. Ask a Fellow: Iron Deficiency in Pregnancy (Part 2) from 2021-05-12T07:00

In Part 2 of this Ask a Fellow, Hematology Fellow Dr. Jennifer Teichman and Dr. Heather Vandermeulen discuss why iron deficiency is both underdiagnosed and undertreated in pregnant women. They r...

87. Ask a Fellow: Iron Deficiency in Pregnancy (Part 1) from 2021-05-05T07:00

In this episode, Hematology fellows Dr. Jennifer Teichman and Dr. Heather Vandermeulen discuss how to diagnosis, investigate and treat iron deficiency in pregnancy. This is part 1 of a 2 part ep...

86. Every Breath You Take - Long Term Management of COPD from 2021-05-02T07:00

In this episode, we'll discuss how to manage patients with chronic COPD. We'll go through a large variety of interventions and highlight which interventions have a symptomatic benefit ...

85. Sorting it ALT Out - Approach to Abnormal Liver Enzymes from 2021-04-18T00:00

This week we discuss our approach to deranged liver enzymes, the difference between liver enzymes and liver function tests, and the various patterns of abnormality. 

84. A shock to the system- Toxic Shock Syndrome from 2021-04-04T00:00

Within this episode we take a deep dive into a fatal infectious disease topic- toxic shock syndrome. Written by Dr. Hosay Said, reviewed by Dr. Tim O'Shea (Infectious Diseases) and Dr. Lesl...

83. Tearing up: An Approach to Aortic Dissection from 2021-03-21T07:00

In this episode, we discuss the common causes and pathophysiology of one of the more ominous reasons for chest pain - aortic dissection. We'll go through clinical presentation, history and ...

82. We Wheat Again- Celiac Disease from 2021-03-07T00:00

Written by: Dr. Conor Bell (Internal Medicine resident) 
Reviewed by: Dr. Kumran Khan (Gastroenterology) and Dr. Leslie Martin (General Internal Medicine) 
Infographic by: Lucy Lan (Medi...

81. Pain in the Brain – An Approach to Headache from 2021-02-21T00:00

Time for some neurology! Today, we will focus on the common primary and the dangerous secondary headaches that must be ruled out when your patient has a new onset headache. 

80. Beyond the Limit - Alcohol Induced Cardiomyopathy from 2021-02-07T07:00

In this episode, we discuss one of the consequences of alcohol misuse - alcohol induced cardiomyopathy. We'll consider a broad differential to dilated cardiomyopathies, and review the histo...

79. Small Sized, Big Disguise – Shedding a ray of light on GPA from 2021-01-27T00:00

Our first ask a fellow episode of 2021! In this episode, Dr. Melissa  Holdren (rheumatology fellow) takes us through a rare but serious rheumatological diagnosis- granulomatosis with polyangiiti...

78. What speeds up must slow down- Alcohol Intoxication and Withdrawal from 2021-01-24T00:00

In this episode we discuss acute alcohol intoxication and withdrawal. We go into the pathophysiology of EtOH intoxication, a common approach to patients with intoxication and withdrawal, and an ...

77. MDSOAPBRAIN - An Approach to Systemic Lupus Erythematosus from 2021-01-10T00:00

In this episode we take you through the presentation and approach to a patient with suspected SLE. We will discuss clinical mainfestations, investigations and management. 

Written by: D...

76. Pheochromocytomas and the Adrenaline Rush - Approach to Pheochromocytoma from 2020-12-13T00:00

In this episode we lay out an approach to diagnosis and management of pheochromocytomas. This includes work up, physical exam and peri-operative management. 

Written by: Dr. Alexandra K...

75. The Missing Factor - Von Willebrand Disease from 2020-11-29T00:00

In this episode we take a deep dive into a rare bleeding disorder- Von Willebrand Disease! We discuss the importance of VW factor, the different types of VWD, common symptoms, pertinent investig...

74. Ask a Fellow: Type 1 Diabetes from 2020-11-15T07:00

In this Ask a Fellow episode, we talk to Clinical Associate Dr. Lisa Alexander about Type 1 DM. Learn about pump basics 101, the challenges in transitioning from pediatric to adult care, advance...

73. A Foray into RA – Rheumatoid Arthritis from 2020-11-01T00:00

Arthritis affects over 6 million Canadians, that’s 1 in 5, and rheumatoid arthritis specifically affects as much as 1% of the population worldwide. Today's episode discusses how to differen...

72. Not too Hot, Not too Cold - Autoimmune Hemolytic Anemia from 2020-10-18T00:00

This short but sweet episode takes you through the approach to understanding warm and cold hemolytic anemia, as well as what to ask on history, and appropriate investigations. 
Written by: D...

71. Dermatologic Emergencies from 2020-10-04T07:00

In this episode, we discuss the fundamentals of evaluating a patient with a dermatologic emergency. There are four main dermatologic emergencies that we'll cover in this podcast: Drug hyper...

70. When the pressure stays high, go looking with a closer eye - Resistant Hypertension from 2020-09-20T07:00

Did you know that about 5-10% of patients with resistant hypertension have a secondary cause that is potentially curable? In this episode, we cover how to work-up a patient for secondary hyperte...

69. Ask a Fellow: Non-Tuberculous Mycobacterial Infections from 2020-09-06T07:00

In this episode, we talk about non-tuberculous mycobacterial infections - the most common of which is Mycobacterium Avium Complex (MAC) in North America. Dr. Jessica Kapralik - Respirology Fello...

68. Not So Difficult to Swallow - An Approach to Dysphagia from 2020-08-23T00:00

In this episode we discuss an approach to differentiating oropharyngeal from esophageal dysphagia, as well as appropriate investigations and management options. We also cover data on the safety ...

67. The Fungus Among Us- Candidemia from 2020-08-09T00:00

Join us this week to learn about a deadly blood stream infection - candidemia. We go over the basic microbiology of candida and cover a diagnostic and therapeutic approach to your patient with c...

66. Caught Red-Handed: The Adrenal Incidentaloma from 2020-07-26T07:00

What happens when you find a mass lesion on the adrenal gland? We've got answers in in this episode! Dr. Shirley Shuster walks us through the diagnosis, work-up and treatment for an inciden...

65. Heating the Log Cabin - Phosphate Level Optimization. from 2020-07-12T11:00

Today we take you through our approach to hyper and hypophosphatemia - diagnosis, workup, management, we've got it all! 

This episode was written by: Dr. Caitlyn Vlasschaert (Inter...

64. Calling the SMR: Transitioning to your SMR Year (Part 2) from 2020-06-28T07:00

Part 2 of our Transitioning to SMR episodes! We're still answering some of your questions from twitter, but also answering some questions that we had when we were going into our second year...

63. Calling the SMR: Transitioning to your SMR year (Part 1) from 2020-06-21T07:00

In this episode, we answer your questions about becoming a senior medical resident! Transitioning to your PGY2 year can be daunting, exciting, overwhelming and fun all at once, and we're he...

62. No More Clerking Around: Part 2! from 2020-06-14T12:00

Originally released in June 2019. 
For our newest interns at work, this is our second Q&A podcast as a follow-up to part 1. 
You asked us some questions and we answered!
We answe...

61. No More Clerking Around! from 2020-06-14T12:00

Originally released in June 2019. 
For our newest interns at work, this podcast is for you!
You asked us some questions and we answered!
As residents, we talk about resources we like...

60. The Clot Thickens- Ask a Fellow: VTE in Pregnancy from 2020-06-07T00:00

Join us on our GIM ask a fellow episode where we discuss VTE in pregnancy with Dr. Amanda Huynh and Dr. Jessica Huynh! We cover several guidelines such as Thrombosis Canada and SOGC and discuss ...

59. Feeling the Pressure- Hypertension in Pregnancy from 2020-05-24T00:00

Take a listen to our first obstetric medicine episode where we discuss gestational hypertension and preeclampsia. Did you know that women who have preeclampsia will have an increased risk of dev...

58. Patterns of Parkinson's - History and examination of the patient with Parkinson's Disease from 2020-05-10T00:00

In this episode we cover your approach to the patient with Parkinson's Disease. We discuss key features on history, as well as a focused examination for the features key to this diagnosis. ...

57. In Shift Out - Hyperkalemia from 2020-05-07T00:00

In this episode, we follow the mantra "in, shift, out!" We talk about the clinical presentation and management of hyperkalemia, and how to treat it swiftly and quickly. 

56. Ask a Fellow: Saving Brain - Endovascular Clot Retrieval from 2020-04-26T00:00

This episode we sat down with Dr. Christine Hawkes, neurointerventional fellow to discuss clot retrieval therapy. 

We cover indications and contraindications, number needed to treat, an...

55. Congestive Heart Failure from 2020-04-23T13:00

In this episode, we talk about congestive heart failure! From patient assessment to treatment of congestive heart failure exacerbations, we've got it covered. Ever wonder how we choose to d...

54. Spontaneous Combustion - Tumour Lysis Syndrome from 2020-04-12T02:00

In this episode we take you through the approach to a patient with tumour lysis syndrome. We explain the Cairo-Bishop scoring, and cover the treatment of all facets of the syndrome. 

53. A Tighter Squeeze - An Introduction to Pressors from 2020-04-05T00:00

In this episode, we go through an approach to vasopressors. We talk about the physiology of the receptors they act on, and the scenarios in which we would use the 5 most common vasopressors: Nor...

52. Transfusion without Confusion – a Practical Guide to Transfusion Medicine (Part 2) from 2020-03-29T01:00

Written by Dr. Grace Zhang (internal medicine resident)

Reviewed by  Dr. Graeme Quest (Hematopathologist)

Dr. Siddhartha Srivastava (General Internist)

Infographic by: Lucy Lan...

51. Transfusion without Confusion – a Practical Guide to Transfusion Medicine (Part 1) from 2020-03-29T00:00

Written by Dr. Grace Zhang (internal medicine resident)

Reviewed by  Dr. Graeme Quest (Hematopathologist)

Dr. Siddhartha Srivastava (General Internist)

Infographic by: Lucy Lan...

50. Ask a Fellow: Asthma Exacerbation from 2020-03-22T00:00

Respirology Fellow Dr. Alina Blazer takes us through the management of Acute Asthma Exacerbations! This is not your COPD patient, and clinical manifestations and treatment is different for patie...

49. When the Mind Plays Tricks - An Approach to Delirium from 2020-03-08T00:00

Delirium can be a tricky diagnosis to make! In this episode, we walk you through the diagnosis, etiologies, and management of delirium. 

48. Community Acquired Pneumonia from 2020-03-01T20:00

In this episode, we talk about the microbiology, clinical manifestations and treatment of one of the oldest diseases in the books - Pneumonia!

47. Lumps and Bumps: An Approach to Lymphadenopathy from 2020-02-23T00:00

In this episode, we talk about a general approach to lymphadenopathy, with a focus on work-up and treatment for Hodgkin Lymphoma. 

Written by: Dr. Oksana Motalo (Internal Medicine Resid...

46. Coronavirus nCoV-2019: What learners need to know from 2020-02-09T00:00

In this special episode, we speak with Dr. Isaac Bogoch (Infectious Diseases, University of Toronto, Toronto General Hospital) about the epidemic of the novel coronavirus in 2019. This podcast w...

45. When Stress Alone Is Not Enough - Adrenal Insufficiency from 2020-01-26T00:00

Feel like your knowledge about the adrenal glands is... insufficient? In today's episode we discuss the approach to a patient with adrenal insufficiency, including primary vs secondary, wor...

44. The Pink Ribbon- Ask a fellow: Breast Cancer from 2020-01-12T00:00

In this episode we sit down with Dr. Roochi Arora (Breast malignancy and melanoma fellow), who takes us through the pertinent components of an approach to breast cancer for the internist. In par...

43. Approach to the Ulcerative Colitis flare from 2019-12-15T09:00

This episode helps us understand the concept of autoimmunity first, taking us through the complex pathophysiology of ulcerative colitis. We then discuss intestinal and extra-intestinal manifesta...

42. The COUNTdown is On - Febrile Neutropenia from 2019-12-01T02:00

In this episode, we cover the definition of febrile neutropenia, management, and risk stratification for inpatient vs outpatient treatment. 

Written by: Dr. Anna Whalen-Browne (Internal...

41. A Hot Mess- Acute Monoarthritis from 2019-11-17T00:00

This week we discuss a common E.D presentation- acute monoarthritis! First: rule out septic arthritis. Then: consider other diagnoses such as gout, seronegative arthritis and hemarthrosis. We go...

40. Not for the Faint Hearted - Syncope from 2019-11-03T13:00

In this episode, we take you through the differential diagnosis for patients presenting with syncope, including common mimickers. We discuss cardiac and non-cardiac causes, and when further inve...

39. Ask a Fellow: The Great Unknown - Cancers of Unknown Primary from 2019-10-20T00:00

Our medical oncology fellow, Dr. Michelle Nadler, takes us through the diagnostic and therapeutic challenges of treating a cancer of unknown primary. 

38. Crossing the Bridge - Preparing the Heart for Surgery: Perioperative Cardiac Assessment from 2019-10-06T00:00

This episode walks you through our approach to perioperative management, with a focus on cardiovascular risk and medications - featuring the most recent CCS guidelines! 

Written ...

37. The Essentials: An Approach to Thrombocytosis from 2019-09-22T00:00

In this episode, we discuss the etiologies, clinical presentation and treatment of thrombocytosis. From reactive thrombocytosis to autonomous thrombocytosis, we talk about it all. Our medicine m...

36. The Little Ventricle That Could- Pulmonary Hypertension from 2019-09-08T00:00

On this weeks episode we discuss the ins and outs of pulmonary hypertension- from the WHO 5 classifications of pulmonary hypertension, what to look out for on physical exam, diagnostic considera...

35. Ask a Fellow: Taking the Zzz out of Sleep- Benzodiazepine (Mis)use in Hospital from 2019-08-25T00:00

Guest Fellow: Dr. Sam Thrall (Geriatric Medicine)
Special Guest: Dr. Olivia Geen (Internal Medicine Resident)
Host: Dr. Zahra Merali (Internal Medicine Resident) 
Episode reviewed by...

34. Crisis in the Suburbs: Approach to Diabetic Foot Infection from 2019-08-11T00:00

Learn to manage a common infectious disease scenarios. This podcast takes you through the clinical presentation and appropriate history and physical, as well as management of diabetic foot infec...

33. Find the Leak - The bloody truth about bleeding disorders from 2019-07-28T00:00

This episode reviews the management of an outpatient with a bleeding phenotype. How does one grade severity and what tools might we use? What are signs on physical exam that should be assessed? ...

32. A Pain in the Neck - Meningitis from 2019-07-14T00:00

Tune in this week to hear about a life threatening illness- meningitis! In this episode, Dr. Katherine Steckham goes over the approach to bacterial meningitis. In addition, we go cover IDSA guid...

31. Approach to Anemia from 2019-07-07T00:00

Anemia made easy! In this episode we talk about the classification of anemia and some of their leading etiologies. We focus on the assessment and treatment of iron deficiency anemia, and talk br...

30. Cellulitis from 2019-06-23T00:00

What's red, hot and requesting medical attention? In this episode we talk about cellulitis! From patient assessment to learning about it's most common pathogens and treatment, we give ...

29. Ask a Fellow: Ace the Airway - Intubation from 2019-06-09T00:00

Does the thought of intubating a sick patient make you anxious? Us too! In this episode, we sit down with Dr. Jessica Spence (Anaesthetist, Critical Care fellow) to discuss her approach to intub...

28. The Racing Heart - Atrial Fibrillation from 2019-05-26T00:00

The most common arrhythmia in patients greater than 65 years old! Listen up on how to approach a patient with atrial fibrillation. We take you through managing both the stable and unstable patie...

27. Not Another PEEP: An Approach to ARDS from 2019-05-12T00:00

In this episode, we discuss the approach to a sick patient with Acute Respiratory Distress Syndrome. We talk about diagnosis, classification of severity, common triggers and strategies for treat...

26. Heart of the Infection - Infective Endocarditis from 2019-04-28T00:00

This week's episode is all about infective endocarditis. We discuss the approach to a patient presenting with suspected endocarditis, review work up, antibiotic therapy and surgical indicat...

25. Ask a Fellow: Rash Decisions - Penicillin Allergy from 2019-04-14T00:00

Drs. Derek Chu and David McCullagh chat with us about the approach to a patient with documented penicillin allergy and the importance of exploring this label in detail. We cover risk stratificat...

24. Blood is Thicker Than Water- Multiple Myeloma from 2019-03-31T00:00

To finish off Multiple Myeloma Awareness Month, we have our second episode of a two part series- this one's on Myeloma! We discuss the definitions of smoldering myeloma vs. multiple myeloma...

23. Bad Blood- MGUS (Monoclonal Gammopathy of Undetermined Significance) from 2019-03-24T00:00

It's Myeloma Awareness Month, and to spread the word we are releasing 2 concurrent episodes- MGUS and Myeloma. This week you are in the outpatient GIM clinic and our episode is all about Mo...

22. A Tight Squeeze- Pericarditis, Pericardial Effusion and Cardiac Tamponade from 2019-03-10T00:00

This episode is all about the fibroelastic sac surrounding your heart- the pericardium! We discuss the continuum of pericarditis, pericardial effusions and cardiac tamponade- including symptoms/...

21. Ask a Fellow: The Fatal Mismatch- Massive Pulmonary Embolism from 2019-02-24T00:00

Dr. Kim Lewis (Critical Care Fellow, McMaster University) takes us through the approach to a patient with suspected massive pulmonary embolism. Stay tuned for five take home points to remember w...

20. Go Look For The Adenoma Please - Pituitary Adenoma from 2019-02-10T00:00

This episode is all about an approach to the patient with pituitary adenoma! We discuss signs and symptoms, as well as where to begin with your investigations. Finally, we discuss complications ...

19. Dousing the Flames - Sepsis from 2019-01-27T00:00

This episode is all about sepsis! We discuss various identification and risk stratification scores, as well as the work up and management of the patient with sepsis. 

As always, we have...

18. Sweet Pee - Non-insulin Anti-Hyperglycemic management of Type II Diabetes from 2019-01-13T00:00

In this episode, we describe all of the lifestyle and non-insulin pharmacological management of type II diabetes. 

As always, we have an associated infographic as well as relevant resou...

17. Ask a Fellow: Pulmonary Renal Syndrome from 2018-12-16T00:00

Dr. Tooba Ali (Rheumatology Fellow, Queen's University) takes us through the approach to a patient with suspected pulmonary renal syndrome and the initial treatment. Stay tuned for five tak...

16. Pockets of Fluid - Pleural Effusions from 2018-12-02T00:00

In this episode, we talk about the 5,6,7 rule for classifying pleural effusions, lead you through Light's criteria and consider the broad differential and treatments for pleural effusion! Listen

15. A Stroke of (Bad) Luck - Ischemic Stroke from 2018-11-18T00:00

Today we address a source of anxiety for many a learner - approach to ischemic stroke. In this episode we discuss everything stroke related - physical exam, investigations, acute management, and...

14. Ask a Fellow:"Broken Down"- Hemolysis from 2018-11-04T00:00

Today we break down an approach to hemolysis! This episode establishes an approach to diagnosis, clinical and laboratory evaluation and treatment of one of the most fatal hemolytic anemias - TTP...

13. Drop the Beat - Bradyarrhythmia from 2018-10-21T00:00

A heart that is well conditioned, or well worth worrying about? In this podcast we discuss the physiology, diagnosis, and management of bradyarrythmias! Don't forget to check out www.theint...

12. Bones, Stones, Moans and Groans - Hypercalcemia from 2018-10-07T00:00

A common problem with complex physiology! Learn all about our approach to the diagnosis and management of hypercalcemia. 

Be sure to check out www.theinternatwork.com for our accompanyi...

11. Where salt goes, water follows - Ascites from 2018-09-23T00:00

Ascites is the pathologic accumulation of fluid in the abdominal cavity. In this episode, we review the pathophysiology, clinical presentation, diagnosis and management of ascites, with a focus on ...

10. Ask A Fellow:"Blasted Blasts"- Blasts in the peripheral blood smear from 2018-09-09T00:00

The first episode in our new "Ask A Fellow" series, geared towards senior level learners. In this episode, we sit down with a fellow and discuss their approach to Blasts in the peripheral...

9. Bugs in Your Blood- Bacteremia from 2018-08-26T00:00

Have you ever gotten the phone call "your patient has grown gram + cocci in groups"? In this episode, we outline an approach to bacteremia- particularly what to do if your cultures hav...

8. When the Pipe Bursts - Upper GI Bleed from 2018-08-12T00:00

How do you solve a problem like melena? In this episode, we discuss the clinical presentation, management, and investigations for patients who present with Upper GI bleeds.

7. The Engine That Could - DKA from 2018-07-29T00:00

Does being asked to manage DKA make you nervous and uncomfortable? Well never fear, the Intern At Work has your back! In this episode, we outline an approach to assessment and management of the pat...

6. The Disease of Kings - Gout from 2018-07-15T00:00

In this episode, it's all about gout! From our residents to yours, we go through a simple approach to gout including clinical presentation, diagnosis and treatment. 

5. A Paucity of Platelets - Thrombocytopenia from 2018-07-01T00:00

In this episode we talk all about platelets! We outline the physiology of platelets, common etiologies of thrombocytopenia, investigations and management. Finally, we'll take you through the n...

4. The Tight Valve - Part 2: Aortic Stenosis from 2018-06-17T00:00

Did you enjoy Part 1 of The Tight Valve? If you haven't heard it yet, take a listen to part 1 of The Tight Valve which discusses everything from the history to the clinical presentation of ...

3. The Tight Valve - Part 1: Aortic Stenosis from 2018-06-10T00:00

In this episode we talk about the most common valvular disease - aortic stenosis! In part 1 of 2 on aortic stenosis, we'll talk about the physiology and pathophysiology of aortic stenosis, ...

2. Acute Coronary Syndrome from 2018-01-20T00:00

In this episode we focus on the presentation, diagnosis and treatment of acute coronary syndromes. From unstable angina to STEMIs, we have it covered! 

2. Acute Coronary Syndrome from 2018-01-20T00:00

In this episode we focus on the presentation, diagnosis and treatment of acute coronary syndromes. From unstable angina to STEMIs, we have it covered! 

1. Chronic Obstructive Pulmonary Disease from 2018-01-20T00:00

In this episode, we talk about COPD. We talk about classifying severity and the GOLD guidelines, recognition and treatment of a COPD exacerbation and include a quick review of relevant evidence ...