Episodes
Take a listen this week for a dive into the world of HLH. We cover primary and secondary HLH, your approach to the diagnosis and workup, as well as management and some info on recent trials.  Support the show
Published 09/17/23
Listen to this episode for a great summary on TB infection and TB disease! We also discuss new updates and Canadian specific guidelines.  Episode written by Dr. Kevin Zhang, PGY2 Internal Medicine and reviewed by Dr. Jane Batt, Respirology and Dr. Kevin Venus, General Internal Medicine. Infographic by Dr. Valerie Kim.  Support the show
Published 09/10/23
In this episode, we review the pathophysiology, clinical presentation, associated diseases, investigations and treatment for the seronegative spondyloarthritides. These include psoriatic arthritis, enteropathic or IBD-associated arthritis, ankylosing spondylitis and reactive arthritis - or PEAR! Written by: Dr. Steven Cho (Internal Medicine Resident) Reviewed by: Dr. Lori Albert (Rheumatologist) and Dr. Vanessa Zannella (General Internist) Recorded and Produced by: Dr. Alison Lai Support the...
Published 09/03/23
In this episode, Dr. Catherine Leurer interviews Dr. Lori Albert about the most common type of inflammatory arthritis - Gout. Dr. Albert discusses the 2020 American College of Rheumatology Guideline for the Management of Gout, with a focus on both acute gout flares and chronic management of patients with gout.  Interviewer: Dr. Catherine Leurer (Geriatrics Subspecialty Fellow) Special Guest: Dr. Lori Albert (Rheumatology) Sound Editing: Dr. Alison Lai Support the show
Published 08/27/23
In this episode, Dr. Maya Stein interviews Dr. Kevin Singh about the 2016 Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery. Produced and Hosted By: Dr. Maya Stein (Internal Medicine resident) Special Guest: Dr. Kevin Singh (General Internist) Sound Editing by: Dr. Alison Lai (General Internist) Support the show
Published 08/20/23
In this episode, Dr. Valerie Kim interviews Dr. Yayi Huang about Thrombosis Canada’s 2021 clinical guides on deep vein thrombosis and pulmonary embolism in the setting of pregnancy. Episode produced and hosted by: Dr. Valerie Kim (Internal Medicine resident) Special Guest: Dr. Yayi Huang (General Internist and Obstetric Internist)  Sound editing by: Dr. Alison Lai (General Internist) Support the show
Published 08/13/23
Disclaimer: This episode has nothing to do with Taylor Swift, although, we do love her. There's something in this for all of our trainees this July! Our host Dr. Zahra Merali (General Internist) sits down with Dr. Madeline Stephen (PGY3 Internal Medicine) and Dr. Dr. Mei-Ni Belzile (PGY3 Internal Medicine) to chat about how to navigate the subspecialty match... the discussion leads to general tips for transitioning through all phases in residency! Support the show
Published 07/01/23
Confused by all the possible opportunistic infections that patients with HIV may be vulnerable to? Take a listen! Written by: Dr. Valerie Kim (Internal Medicine Resident). Reviewed by: Dr. Nisha Andany (Infectious Disease Specialist) and Dr. Isaac Bogoch (Infectious Disease Specialist and Internal Medicine Physician). Infographic: Also by Dr. Valerie Kim.   Support the show
Published 06/27/23
In this episode, we review the physiology and pathophysiology behind coronary artery disease. We also reviewed the current indications for CABG as per the CCS guidelines. The medicine minute discusses the recently released ISCHEMIA trial. Written by: Dr. Cole Clifford (IM Resident) Reviewed by: Dr. John Janevski (Cardiology) and Dr. Rupal Shah (General Internist) Sound editing by: Alison Lai Support the show
Published 06/18/23
Let's dive into endocrinology this week- to learn about Paget Disease of the Bone! Listen till the end to learn about Sir James Paget himself. This episode was written by Emaad Mohammad (Internal Medicine Resident) and reviewed by Dr. Robyn Houlden (Endocrinology) and Dr. Amelia Wilkinson (General Internal Medicine)  Support the show
Published 06/11/23
In this episode, we cover when to suspect and investigate - or more importantly NOT investigate patients for potential inherited thrombophilias.  Written by: Chloe Gordon (Internal Medicine Resident)  Reviewed by: Dr. Eric Tseng (Hematologist) and Dr. Vicky Tagalakis (General Internist)  Support the show
Published 06/04/23
In this episode, we discuss the clinical presentation, consensus diagnostic criteria and pharmacologic and non-pharmacologic strategies to manage a patient with Postural Orthostatic Tachycardia Syndrome (POTS).  Written by: Dr. David Bobrowski (Internal Medicine Resident) Reviewed by: Dr. Tosin Osuntokun and Dr. Paula Harvey (Cardiologists) and Dr. James Rassos (General Internist) Sound editing by: Alison Lai Support the show
Published 05/28/23
In this episode, we discuss the clinical presentation, severity grading, investigations and management for patients presenting with cholecystitis or cholangitis. Our medicine minute discusses a promising new technique for patients with non-operative cholecystitis.  Podcast written by: Drs. Amine Zoughlami  and Ikram Abow-Mohamed (Internal Medicine residents) Reviewed by:  Dr. Constantine Soulellis (Gastroenterology) and Dr. Sanabelle Zaabat (Internal Medicine) Sound editing by: Alison...
Published 05/21/23
We covered upper GI bleed a few weeks ago, but we'd be remiss if we didn't address the other half of the GI tract! This week we take you through our approach to lower GI bleeding and its management, including recent guideline updates.  Written by: Dr. Ikram Abow-Mohamed & Dr. Amine Zoughlami (Internal Medicine Residents)  Reviewed by: Dr. Alan Barkun (Gastroenterology) & Dr. Sanabelle Zaabat (Internal Medicine).  Support the show
Published 05/14/23
Written by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Romina Pace (General Internal Medicine). Infographic by Vincent Li (Medical Student).  Support the show
Published 05/08/23
In 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...
Published 04/30/23
In 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...
Published 04/23/23
In 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
Published 04/16/23
Have 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
Published 04/10/23
This 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
Published 03/26/23
In 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...
Published 03/19/23
Today'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
Published 03/12/23
In 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
Published 03/05/23
In this episode, we discuss the approach to a patient with SVC syndrome. This includes considering both malignant and non-malignant causes. Treatment focuses on relief of the obstruction and investigation and management of malignant causes. Our medicine minute discusses a 2021 trial reviewing endovascular therapy for SVC syndrome. Written by: Dr. Samuel Chan (Internal Medicine Resident) Reviewed by: Dr. John Goffin (Medical Oncologist) and Dr. Andrew Cheung (General Internist) Podcast...
Published 02/26/23
At 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
Published 02/19/23