The Intern At Work: Internal Medicine

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What does "mad as a hatter" make you think of in medicine? In this episode we go over the nuances of a medical emergency- TCA overdose! Written by Dr. Leah Kosyakovsky (Internal medicine resident at the time of writing, now cardiology fellow). Reviewed by Dr. Pete Wu (General internal medicine and pharmacology/toxicology) and Dr. David Juurlink (General internal medicine and pharmacology/toxicology). Infographic by Dr. Shannon Gui (Internal Medicine Resident). Produced by Dr. Nafis Houssain (Intern Medicine Resident) 

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In this episode, we discuss the mechanisms, consequences and treatment of organophosphate poisoning. We include the three stages of organophosphate poisoning and their associated clinical syndromes.

Written by: Dr. William Kennedy (IM resident)
Reviewed by: Dr. Jonathan Zipursky (Clinical Pharmacology and Toxicology) and Dr. Jonathan Dean (General Internal Medicine)
Sound editing by: Nathan Doupnik
Infographic by: William Kennedy, and edited by Shannon Gui

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In this episode we cover your approach to the management of acute hypertension as well as the work-up of secondary causes. 

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Today we discuss one the most common medical diagnoses- hypertension! We take a deep dive in Hypertension Canada guidelines to discuss the diagnosis, symptoms, signs and treatment of primary hypertension. Written by Dr. Ryan Peters (Internal medicine resident) and reviewed by Dr. Marie Leung (General Internal Medicine) and Dr. Zijing Yu (General Internal Medicine). Infographic by Dr. Caitlyn Vlasschaert (Internal medicine resident) and produced by Nathan Dupnik (Medical Student). 

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This time instead of asking a fellow- we ask an expert attending physician Dr. Samira Jeimy (Allergy and Immunology) all about anaphylaxis in relation to the COVID vaccine! If someone has had a previous allergy to vaccines, can they safely get the mRNA COVID vaccine? If someone has a reaction to dose 1, can they get dose 2 or 3? What is PEG and does this prevent people from getting the vaccine? If a patient comes to me with concerns about vaccine allergy, what should I do? Special guest host Dr. Vivian Szeto (Internal Medicine resident). Infographic by Dr. Shannon Gui (Internal Medicine Resident). 

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In this episode, we discuss the various clinical stages and presentation of syphilis as well as their associated treatment. We discuss the approach to diagnosis as well as the various diagnostic tests available. We also review the follow-up strategies to ensure appropriate response to therapy. Our medicine minute discusses the Tuskegee study and how it led to changes in medical bioethics and clinical trial regulations around the world

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This episode was written by Dr. Anna Liu (Internal Medicine Resident) and reviewed by Dr. Dr. Stan Van Uum (Endocrinologist) and Dr. Kenneth Gilbert (GIM). 

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Did you know that the majority of people colonized with H pylori acquire it during infancy, and in the vast majority of cases infection is asymptomatic? Today we talk about the pathophysiology, history/exam, investigations and management of the world's most common infection- H. pylori! Written by Dr. Sama Anvari (internal medicine resident) and reviewed by Dr. Eric Greenwald (gastroenterologist) and Dr. John Neary (General Internist). Infographic by  Lucy Lan (Medical Student) 

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In this episode, we discuss the diagnosis, management and treatment of hyperthyroidism. We also take a brief detour to talk about the diagnosis and management of thyroid storm. Our medicine minute talks about a randomized control trial that looked at the use of cholestyramine for treatment of hyperthyroidism. 

Written by: Dr. Tanisha Birk (Internal Medicine resident)
Reviewed by: Dr. Alescia Azzola (Endocrinology) and Dr. Florence Morriello (Internal Medicine and Critical Care)
Infographic by: Dr. Caitlyn Vlasschaert

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Today we discuss a common outpatient respriology diagnosis- Obstructive sleep apnea!
Written by Dr. Jennifer D'Cruz (Internal Medicine Resident), reviewed by and Dr. Alia Kashgari (Respirology) and Dr. Karen Guekers (General Internal Medicine). Sound editing by Nathan Dupnik (Medical Student). Infographic by Rachel Ahle (Medical Student). 

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