The Intern at Work is a Canadian internal medicine podcast created by residents for residents. Launched in 2018, it offers concise, evidence-based episodes designed to support learners on the wards and on call. Each episode focuses on a specific clinical topic, providing practical approaches to diagnosis and management. The podcast also features discussions on medical education, ethics, and the art of medicine, aiming to foster a deeper understanding of internal medicine practice.
For acute dyspnoea, lung ultrasound often answers the first question faster than the inferior vena cava. Start with lung views for B-lines, sliding, and effusion, then use cardiac windows and EPSS to interpret ventricular function and avoid overcalling volume status from IVC size alone.
In the third trimester, malaise, abdominal pain and vomiting become high-risk when paired with jaundice, polyuria, confusion or coagulopathy. The practical lesson is not to wait for full Swansea criteria before escalating, because moderate transaminitis can still mask evolving acute liver failure.
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