The Intern At Work: Internal Medicine

Send us Fan MailIn 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 Fan MailIn 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 Fan MailIn 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

Send us Fan MailHave you heard of the "bubble boy?" In this episode, we outline an approach to hypogammaglobulinemia - a fascinating outpatient medicine topic! Episode written by Dr. Vivian Szeto (Internal Medicine resident) and reviewed by Dr. Rongbo Zhu (Clinical Allergy and Immunology) and Dr. Marko Mrkobrada (General Internal Medicine). Infographic by Dr. Valarie Kim (Internal Medicine resident). Support the show

Send us Fan MailThis week we cover an increasingly common diagnosis - eosinophilic esophagitis. We will discuss the clinical presentation, diagnostic criteria, and help you remember the approach to treatment. Written by: Dr. Michael Scaffidi (Internal Medicine Resident)Reviewed by: Dr. Samir Grover (Gastroenterologist) and Dr. Don Thiwanka Wijeratne (General Internist)Support the show

Send us Fan MailIn this episode, we discuss the clinical presentation, laboratory abnormalities, initial work-up and treatment of TTP. We review the pathophysiology and also how to distinguish TTP from other MAHAs based on the patient's lab findings and clinical presentation. The medicine minute discusses the first known case of TTP and the timeline of discovery of the etiology behind TTP. Written by:Dr. Jodi Chiu  (Internal Medicine resident)Reviewed by: Dr. Cyrus Hsia (Hematology) and Dr. Rasha Abdul Karim (General Internal Medicine)Sound editing by:Margaret Sun (Internal Medicine Resident)Support the show

Send us Fan MailToday's episode is all about a rare disease that you may encounter on your allergy and immunology rotation! This episode was written by Dr. Candice Luo (Internal Medicine Resident) and reviewed by Dr. Paul Keith (Allergy and Immunology) and Dr. Zahira Khalid (General Internal Medicine). Infographic by Dr. Cailyn Vlasschaert (Internal Medicine Resident). Support the show

Send us Fan MailIn this episode we take you through all the need-to-knows for your next patient with dilated cardiomyopathy! Written by: Dr. Jasper Ho (Internal Medicine Resident) Reviewed by: Dr. Katie Connolly (Cardiologist) and Dr. John Neary (General Internist)Support the show

A concise walkthrough of superior vena cava syndrome, from anatomy and why the SVC is vulnerable to how obstruction raises venous pressures. A clear review of malignant and non-malignant causes, including device-related thrombus. Practical assessment tips, urgent alarm features, key imaging choices, and acute management options like stenting and airway protection. Brief look at recent endovascular outcomes and supportive measures.

Send us Fan MailAt the intersection of endocrinology and gynaecology is an important topic- polycystic ovarian syndrome! This episode was written by Dr. Sooyoun Shin (Internal Medicine Resident) and reviewed by Dr. Shoba Sujana Kumar (Endocrinology) and Dr. Rupal Shah (General Internal Medicine). Podcast produced by Kiera Liblik (medical student). Infographic by Dr. Shannon Gui (Internal Medicine Resident). Support the show