The Intern At Work: Internal Medicine

Send us Fan MailIt'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 Monoclonal Gammopathy of Undetermined Significance.  We delve deeper into what it means to order SPEP, UPEP, serum immunofixation and serum free light chains, and we overview the International Myeloma Working Group definitions of MGUS. As always, we have an associated infographic as well as relevant resources at www.theinternatwork.com.This episode was written by Dr. Zahra Merali (Internal Medicine Resident) and reviewed by Dr. Laura Habib (Malignant Hematology Fellow), Dr. Mohammed Aljama (Malignant Hematologist) and Dr. Rajendar Hanmiah (General Internist). Infographic by Nikhita Singhal. Support the show

Learn about pericarditis, pericardial effusions, and cardiac tamponade in this episode. Understand their causes, symptoms, treatment options, and complications. Dive into case studies for a better grasp on managing pericardial disorders.

Send us Fan MailDr. 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 when treating a patient with this medical emergency as well as recommendations form Thrombosis Canada. As always, we post an associated infographic at www.theinternatwork.comGuest Fellow: Dr. Kim Lewis (Critical Care Fellow, McMaster University)Faculty reviewer: Dr. Waleed Alhazzani (Intensivist and Gastroenterologist) Support the show

Send us Fan MailThis 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 to be aware of post-operatively, and how to manage them. This episode was written by Dr. Tehmina Ahmad (Internal Medicine Resident), and reviewed by Dr. Jeanette Goguen (Endocrinologist) and Dr. Shital Gandhi (General Internist). Our associated infographic can be found at www.theinternatwork.com Support the show

Send us Fan MailThis 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 an associated infographic as well as relevant resources at www.theinternatwork.com.This episode was written by Dr. Laiya Carayannopoulos (Internal Medicine Resident) and reviewed by Dr. Alison Fox-Robichaud (Intensivist, President of Canadian Sepsis Foundation), Dr. Waleed Alhazzani (Intensivist and Gastroenterologist, Methodology Chair of Surviving Sepsis Campaign), and Dr. Rebecca Kruisselbrink (Internist and Intensivist). Support the show

Send us Fan MailIn 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 resources at www.theinternatwork.com.This episode was written by:Dr. Sapna Shah (Internal Medicine Resident) and reviewed by Dr.Shoba Sujana Kumar (Endocrinology) and Dr. Peter Wu (Internal Medicine and Clinical Pharmacology and Toxicology)Support the show

Send us Fan MailDr. 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 take home points to remember when treating a patient with Pulmonary Renal Syndrome as well as some of the latest evidence around ANCA-associated vasculitis.As always, we post an associated infographic at www.theinternatwork.comGuest Fellow: Dr. Tooba Ali (Rheumatology Fellow, Queen's University)Faculty reviewer: Dr. Christian Pagnoux (Rheumatologist, University of Toronto)Support the show

Send us Fan MailIn 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!Visit www.theinternatwork.com for the associated infographic. Episode written by: Dr. Jessica Kapralik (Internal Medicine Resident)Episode Reviewed by: Dr. Andrew Cheung (General Internist)Support the show

Send us Fan MailToday 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 secondary prevention. Remember to visit www.theinternatwork.com for our infographic and links to relevant resources, including the NIH stroke scale. Support the show

Send us Fan MailToday 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.  Thanks to our fellow Dr. Chenchen Hou for taking us through this complex topic. Visit our website www.theinternatwork.com for an associated infographic.Support the show