The Intern At Work: Internal Medicine

Send us Fan MailThis 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? Consider both inherited and acquired bleeding disorders when assessing your patients. Lastly, we discuss the initial management and some evidence behind these management strategies in our medicine minute!Podcast written by: Dr. Ying LingReviewed by: Dr. Michelle Shozlberg and Dr. Jonathan AilonAs always, we have associated resources and infographics at www.theinternatwork.com.Support the show

Send us Fan MailTune 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 guidelines, why we use dexamethasone, and what to do if your patient has a beta lactam allergy! Associated Infographic: www.theinternatwork.comThis episode was reviewed by Dr Nishma Singhal (Infectious diseases) and Dr. John Neary (internal medicine). Support the show

Send us Fan MailAnemia 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 briefly about the choosing wisely guidelines for transfusion thresholds in anemic patients. Support the show

Send us Fan MailWhat'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 you all the basics to see and treat a patient with cellulitis. As a bonus, we've included five important facts about cellulitis to come in our medicine minute. Support the show

Dr. Jessica Spence, an Anaesthetist and Critical Care fellow, discusses her approach to intubation, covering pre-intubation checklists, predictors of challenging airway, essential components for successful intubation, medication selection, use of paralytics, patient positioning, and the importance of team communication and thorough patient assessment

Send us Fan MailThe 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 patient, including how to choose between rhythm and rate control, and the indications for anticoagulation. Support the show

Exploring ARDS, its pathophysiology, diagnosis, severity grading, causes, and management strategies like ventilatory techniques and ECMO. Debate over the effectiveness of ECMO in severe ARDS patients as a last-resort option.

Send us Fan MailThis 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 indications, and highlight the updated AHA/ACC prophylaxis guidelines! Podcast written by: Dr. Liam Finlay (Internal Medicine Resident)Reviewed by: Dr. Zain Chagla (Infectious Disease Specialist) and Dr. Leslie Martin (General Internist) Infographic by:  Howard Ong (Medical Student)Support the show

Send us Fan MailDrs. 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 stratification, allergy testing and an approach to test dosing. As always, we post an associated infographic at www.theinternatwork.comGuest Fellows: Dr. David McCullagh (Infectious Diseases Fellow, McMaster University) and Dr. Derek Chu (Allergy and Immunology Fellow, McMaster University) Hosts: Zahra Merali and Laiya Carayannopoulos Support the show

A concise tour of multiple myeloma definitions and how to tell smoldering from active disease. The CRAB mnemonic and how malignant plasma cells cause bone lesions and organ damage are highlighted. Tests and preferred imaging for detecting lytic lesions are covered. Treatment pathways including transplant, maintenance, and supportive care are outlined.