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A pan-Canadian learner-generated internal medicine podcast. The Intern at Work is written by residents for residents, and is meant to serve you better on the wards and on call. Disclaimer: This podcast is intended for educational use only and is not intended as the sole resource for clinical management. All scripts are original scripts. Podcasts produced out of Canada and may contain Canadian specific guidelines. Created by: Alison Lai Executive Producers: Laiya Carayannopoulos, Zahra Merali
 
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In this episiode, Dr. Sheliza Halani interview Dr. Jameel Abdulrehman (Hematology, Thrombosis) about the latest recommendations in the CHEST 2021 Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report Host: Dr. Sheliza Halani Guest: Dr. Jameel Abdulrehman, Hematologist, Assistant Professor at University…
 
In this episode, Dr. Sheliza Halani interviews Dr. Andrew Ha, cardiac electrophysiologist at the University Health Network whose interest and clinical focus is in atrial fibrillation. They discuss the CCS/CHRS Comprehensive Guidelines for the Management of Atrial Fibrillation, released in 2020. Host: Dr. Sheliza Halani Guest: Dr. Andrew Ha Sound Ed…
 
In this episode we have special guest Dr. Dominic Ng (Endocrinologist) review the 2021 Canadian Cardiovascular Society Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in Adults with our host Dr. Catherine Leurer. Host: Dr. Catherine Leurer Special Guest: Dr. Dominic Ng (Endocrinologist) Sound Editing: Kryz…
 
In this episode, Dr. Sheliza Halani speaks with Dr. Kevin Venus (General Internist) about the 2020 update to the Hypertension Canada Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension. Host: Dr. Sheliza Halani Sound Editing: Dr. Alison Lai Producers: Dr. Catherine Leurer and Dr. Sheliza Halani Support the show…
 
In this episode, we discuss the CAG/ACG guidelines for management of Dyspepsia, released in 2017 with Dr. Piero Tartaro, Gastroenterologist. Host: Dr. Catherine Leurer Sound Editing: Krzysztof Kowalik Producers: Dr. Sheliza Halani and Dr. Catherine Leurer Support the show저자 The Intern At Work
 
In this episode, Dr. Catherine Leurer interviews Dr. Stephanie Poon (Cardiologist) on the 2021 CCS/CHFS Heart Failure Guidelines Update: Defining a New Pharmacologic Standard of Care for Heart Failure With Reduced Ejection Fraction. Host: Dr. Catherine Leurer Guest: Dr. Stephanie Poon (Cardiologist) Sound Editing: Krzysztof Kowalik Support the show…
 
In this episode, we have Dr. Malika Sharma, Infectious Diseases physician take us through the 2015 Guidelines to the diagnosis, treatment and management of endocarditis. We also include some of the new 2020 updates as well! Host: Dr. Sheliza Halani (Internal Medicine Resident) Sound Editing: Alison Lai Produced by: Dr. Sheliza Halani and Dr. Cather…
 
In this episode, we have Dr. Lisa Dubrofsky (Nephrology, University of Toronto) speaking about the KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Host: Dr. Catherine Leurer (Geriatrics Fellow) Sound editing by: Krzystof Kowalik Support the show저자 The Intern At Work
 
In this episode we walk you through the approach to work up, diagnosis and management of parathyroid adenoma, including the guidelines regarding surgical management! Written by: Dr. Akshay Varghese (Internal Medicine Residence) Reviewed by: Dr. Stan Van Uum (Endocrinologist) and Dr. Ian Brown (General Internal Medicine) Support the show…
 
In this episode, we review the clinical presentation, history and physical examination as well as the ROME-IV diagnostic criteria for a diagnosis of IBS. We review the different subtypes of IBS as well as symptom management and emerging treatments for IBS. Our medicine minute focuses on the evidence supporting the use of eluxadoline in patients wit…
 
This week we talk about symptoms that should prompt you to consider Sjogren's, key features on history and physical, and the appropriate tests for work-up. Written by: Dr. Christina Ma (Internal Medicine Resident) Reviewed by: Dr. Stephanie Garner (Rheumatologist) and Dr. Hugh Traquair (General Internist) Episode Produced by: Kiera Liblink (Medical…
 
This episode will take you through all the details about herpes zoster! We cover the approach, when you should take extra concern and refer to ophthalmology, and how to manage a whole spectrum of patients. Written by: Dr. Lauren Winquist (Internal Medicine Resident) Reviewed by: Dr. Megan Devlin (Infectious Diseases) and Dr. Rasha Abdul-Karim (Gene…
 
In this episode, we review the pathophysiology, history, work-up and management of Achalasia. Our medicine minute discusses the trial "Endoscopic or Surgical Myotomy in Patients with Idiopathic Achalasia" published in NEJM in 2019. Written by: Dr. Grace Wang (Internal Medicine Resident) Reviewed by: Dr. Teshima (Gastroenterology) and Dr. Laura Walk…
 
In this episode we cover a host of malignant emergencies. We begin with their categorization, then walk through pertinent history details, physical exam, and your approach to diagnosis and treatment. Written by: Dr. Claire Browne (Internal Medicine resident) and reviewed by Dr. Elena Tsvetkova (Medical Oncologist) & Dr. Jeff Yu (General Internist).…
 
In this episode, we review the clinical presentation, screening guidelines, diagnosis and management of Barrett's Esophagus - one of the risk factors for developing Esophageal Adenocarcinoma. In our medicine minute, we discuss a landmark trial that transitioned treatment for BE from esophagectomy to endoscopic ablation methods. Podcast written by: …
 
It's not always good to have "a thick skin!" Learn all about it in this weeks episode. Written by Dr. Laura Spatafora (Internal Medicine Resident) and reviewed by Dr. Stephanie Garner (Rheumatology) and Dr. Daniel Brandt Vegas (General Internal Medicine). Infographic by Kiera Liblik (Medical student). Support the show…
 
In this episode, we discuss the clinical presentation, biochemical mediators and treatment of chronic urticaria. We discuss the importance of a thorough history and physical to identify potential triggers as well as the utility of challenge testing and desensitization for treatment. Tune into our medicine minute to hear about two life threatening k…
 
In this high yield episode, we review the clinical presentation, up front investigations, immediate and long-term management of patients who present with STEMIs - one of the 5 causes of life-threatening chest pain. Our medicine minute reviews the PLATO trial, which supports the use of ticagrelor over clopidogrel as the second agent in dual anti-pla…
 
In this episode we take a deep dive into thalassemia- discussing the types, aetiology ,work up and treatment. This episode was written by Dr. Catherine Lovatt (Internal Medicine Resident) and reviewed by Dr. Madeleine Verhovsek (Hematology) and Dr. Daniel Brandt Vegas (General Internal Medicine). Infographic by Jessica Nguyen. Support the show…
 
It's that time of year again ! To celebrate our newest Interns on July 1st we have an exclusive Fireside Chat with our team members Drs. Orly Bogler (Toronto Site Co-lead), Claire Browne (Western Site Co-lead), Shannon Gui (Infographic Designer and McMaster Site-Co Lead) and Nafis Hossain (Sound editor). In this episode they talk about how to stay …
 
It's that time of year again ! To celebrate our newest Interns on July 1st we have an exclusive Fireside Chat with our team members Drs. Orly Bogler (Toronto Site Co-lead), Claire Browne (Western Site Co-lead), Shannon Gui (Infographic Designer and McMaster Site-Co Lead) and Nafis Hossain (Sound editor). In this episode they talk about how they cho…
 
In this episode, we discuss the clinical manifestations, diagnosis and management of peripheral arterial disease. Our medicine minute focuses on emerging evidence for the use of Rivaroxaban following the release of the COMPASS trial in 2020. Written by: Dr. Palki Bhatt (Internal Medicine) Reviewed by: Dr. Sonia Anand (Cardiology) and Dr. Kajenny Sr…
 
In this episode, we review the two types of HIT, with diagnosis and management on HIT Type II. We go through methods of risk stratification, including the 4T score and review the gold standard testing for diagnosing HIT. Written by: Dr. Sabrina Allarakhia (Internal Medicine Resident) Reviewed by: Dr. Jennifer Leung (Hematology) and Dr. Steven Monta…
 
This episode takes you through a commonly encountered problem that stumps many a clinician! Learn all about primary and secondary causes of eosinophilia, when to investigate for each, and how to do so. Written by: Dr. Shreyash Dalmia (Hematology Fellow) Reviewed by: Dr. Siraj Mithoowani (Hematology & Thrombosis) & Dr. John Neary (General Internal M…
 
In this episode, Dr. Sheliza Halani interviews Dr. Andrew Ha, cardiac electrophysiologist at the University Health Network whose interest and clinical focus is in atrial fibrillation. They discuss the CCS/CHRS Comprehensive Guidelines for the Management of Atrial Fibrillation, released in 2020. Host: Dr. Sheliza Halani Guest: Dr. Andrew Ha Sound Ed…
 
In this episode we review the pathophysiology, diagnosis, and approach to the patient with DIC. Listen closely for some key tips on diagnostic scores and the trap of an inappropriately normal fibrinogen! Written by: Dr. Stefan Jevtic (Internal Medicine Resident), reviewed by Dr. Siraj Mithoowani (Hematologist) and Dr. John Neary (General Internist)…
 
In this episode we take you through an approach to the kidney transplant patient presenting with acute allograft dysfunction. We will cover differential, key questions on history, and an overview to management. Written by Dr. Susan Thanabalasingam (Internal Medicine Resident) Reviewed by Dr. Khaled Shamseddin (Nephrologist) and Dr. David Taylor (Ge…
 
In this episiode, Dr. Sheliza Halani interview Dr. Jameel Abdulrehman (Hematology, Thrombosis) about the latest recommendations in the CHEST 2021 Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report Host: Dr. Sheliza Halani Guest: Dr. Jameel Abdulrehman, Hematologist, Assistant Professor at University…
 
In this episode, we review the etiologies, diagnosis, investigations and management of rhabdomyolysis. Written by: Dr. Dhruv Krishnan, Internal Medicine Resident Reviewed by: Dr. Audrey Tran (General Internist) and Dr. Samuel Silver (Nephrologist) Sound Editing: Alison Lai Support the show
 
In this episode we have special guest Dr. Dominic Ng (Endocrinologist) review the 2021 Canadian Cardiovascular Society Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in Adults with our host Dr. Catherine Leurer. Host: Dr. Catherine Leurer Special Guest: Dr. Dominic Ng (Endocrinologist) Sound Editing: Kryz…
 
You've probably heard a lot about community acquired pneumonia- but what about aspiration pneumonitis, aspiration pneumonia and hospital acquired pneumonia (HAP)? In this episode, we break down these highly relevant etiologies. This episode was written by Shannon Tang (Internal Medicine Resident) and reviewed by Dr. Onofre Moran-Mendoza (Respirolog…
 
In this episode, we go over an approach to one of the two inflammatory bowel diseases- Crohn's disease! Written by Dr. Prem Bhoey (Internal Medicine Resident), Reviewed by Dr. Sawhn Sean Pritchett (Gastroenterology) and Dr. Thiwanka Wijeratne (General Internal Medicine). Infographic by Lucy Lan. Support the show…
 
In this episode, Dr. Catherine Leurer interviews Dr. Stephanie Poon (Cardiologist) on the 2021 CCS/CHFS Heart Failure Guidelines Update: Defining a New Pharmacologic Standard of Care for Heart Failure With Reduced Ejection Fraction. Host: Dr. Catherine Leurer Guest: Dr. Stephanie Poon (Cardiologist) Sound Editing: Krzysztof Kowalik Support the show…
 
In this episode, we review the pathophysiology and diseases associated with chronic diarrhea. We use the MISO acronym to divide up etiologies as well as our work-up. We review basic treatments as well as approaches to symptom management. As always, we have an associated infographic at www.theinternatwork.com. Episode written by: Dr. Sechiv Jugnunda…
 
In this episode, Dr. Sheliza Halani speaks with Dr. Kevin Venus (General Internist) about the 2020 update to the Hypertension Canada Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension. Host: Dr. Sheliza Halani Sound Editing: Dr. Alison Lai Producers: Dr. Catherine Leurer and Dr. Sheliza Halani Support the show…
 
Take a listen to learn all about cholesterol, lipids and cardiovascular risk prevention! Written by Dr. Parm Khakh (Internal Medicine Resident) and reviewed by Dr. Samir Hazra (Cardiology) and Dr. Steven Montague (General Internal Medicine). Infographic by Rachel Ahle (Physicians Assistant). Support the show…
 
In this episode, we have Dr. Malika Sharma, Infectious Diseases physician take us through the 2015 Guidelines to the diagnosis, treatment and management of endocarditis. We also include some of the new 2020 updates as well! Host: Dr. Sheliza Halani (Internal Medicine Resident) Sound Editing: Alison Lai Produced by: Dr. Sheliza Halani and Dr. Cather…
 
In this episode we discuss the types of angioedema, clues to help differentiate them on history, and the management of patients with a diagnosis of hereditary angioedema. Written by: Dr. Maggie Jiang (Internal Medicine Resident) Reviewed by: Dr. Stephen Betschel (Clinical Immunology and Allergy) and Dr. Laura Walker (General Internal Medicine) Supp…
 
In this episode, we have Dr. Lisa Dubrofsky (Nephrology, University of Toronto) speaking about the KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Host: Dr. Catherine Leurer (Geriatrics Fellow) Sound editing by: Krzystof Kowalik Support the show저자 The Intern At Work
 
In this episode we discuss our approach to cystic fibrosis. You will learn about the pathophysiology, diagnosis and new management tools. Written by: Dr. Rigya Arya (Internal Medicine Resident) Reviewed by: Dr. Elizabeth Tullis (Respirology) and Dr. Michael Fralick (General Internal Medicine Support the show…
 
In this episode, we discuss the different types of lung cancers. We review the common clinical presentation, work-up and diagnosis of lung cancer. We also discuss an overview of treatment for lung cancer. Written by: Dr. Coralea Kappel, Internal Medicine Resident Reviewed by: Dr. Peter Ellis (Medical Oncology) and Dr. Daniel Brandt Vegas (General I…
 
March is deep vein thrombosis awareness month... and just in time, we have an episode to teach you all about venous thromboembolism! Learn about the pathophysiology, physical examination, laboratory investigations, imaging and management of VTE's in this timely episode. Written by Dr. Danyal Ladha (internal medicine resident) and reviewed by Dr. Ja…
 
In this episode, we discuss the etiology, clinical features of mitral regurgitation. Acute, chronic, management of both, we've got it all! Written by: Dr. Arjun Sharma (Internal Medicine Resident) Reviewed by: Dr. Siddhartha Srivastava (General Internist) and Dr. Aws Almufleh (Cardiologist) Infographic by: Dr. Shannon Gui (Internal Medicine Residen…
 
In this episode, we review the approach to SVT with a focus on AVRT and AVNRT. We discuss the common clinical manifestations, etiology, investigations and management, with a special medicine minute on the REVERT trial. Written by: Dr. Chris Olesovsky (Internal Medicine Resident) Reviewed by: Dr. Sean Balmain (Cardiology) and Dr. Pete Wu (General In…
 
In this episode, we review the etiologies, clinical presentation and treatment of hypothyroidism. We also review the clinical presentation and treatment of myxedema coma - a potentially life threatening illness. Written by: Dr. Mohammed Bucheeri (Internal Medicine Resident) Reviewed by: Dr. Robert Silver (Endocrinology) and Dr. Trevor Jamieson (Int…
 
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 by: Dr. Philip Lam (ID) and Dr. Jonathan Alon (Internal Medicine) Infographic by: Dr. Caitlyn Vlasschaert (Internal Medicine Resident) Sound Editing by: Dr. Nafis Hossai…
 
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