The Intern At Work: Internal Medicine

This week we go through the ultimate in rare diagnoses - PNH. We talk about when to suspect it, how patients may present, and an approach to treatment and management. Bonus points if you can correctly guess how many attempts it took to pronounce "phosphatidylinositol!" Written by: Dr. Angela Dong (Internal Medicine Resident) Reviewed by: Dr. Helena Dhamko (Hematologist) & Dr. Rupal Shah (General Internist)Support the Show.

Welcome to Part 2 of our collaboration with #NephMadness! This week we sit down with Dr. Jeff Kott (Nephrologist and Critical Care Fellow) from the NephMadness Exec to discuss the latest and greatest in hyponatremia correction rates.  Support the Show.

We partnered up with the NephMadness team to release two special episodes on hyponatremia. In this one we take you through a new(er) approach to hyponatremia and its workup. Stay tuned later this week for our Ask a Fellow episode where we cover the latest and greatest controversy on rates of correction! Written by: Dr. Caitlyn Vlasschaert (Internal Medicine Resident) Reviewed by: Dr. Jeffrey Kott (Nephrologist & ICU Fellow) and Dr. Laiya Carayannopoulos (Intensivist & Internist) Support the show

In 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.

This week we take you through a disease that can truly affect just about every organ system - IgG4 Related Disease. We will walk you through the presentation, work up, and approach to treatment Support the Show.

In this episode, we discuss the physiology and pathophysiology behind acid-base disorders. We then outline a 5 step approach to interpreting acid-base disorders. For reference, please refer to the infographic on our website at www.theinternatwork.com. Written by: Dr. Caroline Najjar, (Internal Medicine Resident)Reviewed by:  Dr. Bernard Unikowsky (Nephrologist) and Dr. Jesse Popov (General Internist)Sound editing by: Tony WalshSupport the Show.

What is that rare endocrine tumour that can cause watery diarrhea? You may have heard of a VIPoma, but how much do you actually know about it? This episode was written by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Maral Koolian (General Internal Medicine). Infographic by Julia Simone (Medical Student)Support the Show.

In 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.

Ever wonder what to do with that finding of an unexpected nodule on chest xray? Here we walk you through the approach including risk stratification, follow-up, and work-up. Written by: Dr. Brandon Luu (Internal Medicine Resident) Reviewed by: Dr. Lee Fidler (Respirologist) and Dr. Laiya Carayannopoulos (Internist & Intensivist)  Support the Show.

In this episode, we review the physiology and pathophysiology, etiology, clinical exam, investigations and treatment in patients with splenomegaly. Our medicine minute addresses the COMFORT II trial published in the New England Journal of Medicine in 2012. Written by: Drs. Owen Luo and Jia Li (Lily) Liu (Internal medicine residents)Reviewed by: Dr. Gizelle Popradi (hematologist) and Dr. Samuel Mamane (general internist) Support the Show.

HFpEF is the lesser talked about, but still equally important type of CHF! We discuss the evidence and give you a run-down on everything you need to know about HFpEF. Written by Dr. Aishwarya Roshan, Internal Medicine resident, and reviewed by Dr. Krishnan Ramanathan, Cardiology and CICU, and Dr. Alison Lai, Internal Medicine. Infographic by Dr. Caitlyn Vlasschaert, Internal Medicine Resident. Support the Show.

Written by: Dr. Sarah Hammond (Internal Medicine Resident) Reviewed by: Dr. Marko Skrtic (Nephrology) and Dr. Zijing Wu (General Internal Medicine  Support the Show.

This week we bring you a two-in-one! We cover polycythemia vera and essential thrombocytosis. Written by: Dr. RuiQi (Richard) Chen (Internal Medicine Resident) Reviewed by: Dr. Hassan Sibai (Hematology) and Dr. Christopher Langlois (GIM)Support the show

In 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.

In 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.