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A rotator cuff injury is an event that causes pain in the shoulder. This can be due to a tear, inflammation or narrowing of the space within the shoulder joint. The rotator cuff muscles interlock to work as a unit. They help to stabilise the shoulder joint and also help with shoulder joint movement. In this episode, Dr Roger Henderson takes a specific look at tears to the rotator cuff – a problem often seen in primary care. The episode covers causes, diagnosis and treatment, including conservative approaches and surgical options.
Access episode show notes containing key references and take-home points at:
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Ganglion cysts, also sometimes referred to as synovial cysts, are the most common benign soft-tissue masses of the hand and wrist. These cysts arise from the synovial lining of joints or tendon sheaths and are filled with a gelatinous, mucin-rich fluid. Despite their benign nature, ganglion cysts can cause discomfort, restrict motion and cause neurovascular compression (requiring medical intervention in some cases). In this episode, Dr Roger Henderson looks at epidemiology, pathophysiology, clinical presentation, diagnostic modalities, differential diagnoses and treatment options.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/orthopaedics/ep-157-ganglion-cysts.
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Saknas det avsnitt?
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Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, primarily affecting the median nerve at the level of the wrist. The condition results from compression of the median nerve within the carpal tunnel, leading to sensory and motor impairments in the affected hand. There are a range of causes for the condition, and treatments range from simple conservative measures to surgery. In this episode, Dr Roger Henderson looks at how to recognise the condition, some of the clinical and diagnostic tests available, when to refer to secondary care and management options including both surgical and non-surgical measures.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/musculoskeletal-medicine/ep-156-carpal-tunnel-syndrome.
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Temporal arteritis, also known as giant cell arteritis, is an inflammatory condition that affects the large- and medium-sized arteries, primarily those in the head. It most commonly occurs in adults over 50, particularly women. The exact cause is unknown, but it is believed to be an autoimmune response that leads to inflammation and narrowing of the arteries, reducing blood flow. Symptoms include severe headaches, scalp tenderness, jaw pain when chewing and, in severe cases, sudden vision loss. Diagnosis typically involves blood tests, imaging and a temporal artery biopsy. Early detection is crucial to avoid permanent damage and blindness. In this episode, Dr Roger Henderson looks at how to diagnose this condition promptly and accurately, why urgent referral is crucial and the treatment options now available in primary care.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/rheumatology/ep-155-temporal-arteritis.
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Febrile seizures are common in the first 5 years of life, and many factors that increase the risk of such seizures occurring have been identified. Initial evaluation should determine whether features of a complex seizure are present, as well as identifying the source of fever. In this episode, Dr Roger Henderson provides an overview of febrile seizures in childhood and also looks at risk factors, referral criteria, treatment options and prognosis.
Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/paediatrics/ep-154-febrile-seizures
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In this episode, Dr Hannah Rosa continues looking at the new asthma guideline from the British Thoracic Society (BTS), NICE and SIGN, which was published in 2024. This guideline, based on the latest research, contains some big changes, which will hopefully help you to improve the lives of your patients living with asthma. In the first episode in the series (episode 146), Dr Rosa covered suspected asthma, asthma diagnosis and treatment in people aged 12 and over. In this second episode, she focuses on pharmacological treatment in children aged 11 and under, as well as monitoring asthma control and self-management.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/respiratory-and-chest-medicine/ep-153-asthma-treatment-monitoring-and-self-management-whats-changed-in-the-2024-bts-nice-and-sign-guideline.
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What if one of the most misunderstood diagnoses of the past is now one of the most manageable chronic conditions? How can GPs play a pivotal role in tackling stigma, increasing testing and improving outcomes for people living with HIV?
Dr James Waldron is joined by Dr Grace Bottoni (HIV and Hepatitis C GP Champion, Lewisham) for the first episode in an insightful series that dives into the evolving landscape of HIV care. Together, they will explore a range of topics with experts in the field. In this episode, they talk with Dr Mel Rosenvinge (Consultant HIV Specialist, Lewisham and Greenwich NHS Trust) about what HIV is, how far treatments have come and the critical role of early diagnosis. From reducing stigma to understanding the life-changing impact of "U=U" (undetectable equals untransmittable). This episode sets the foundation for the series, with future parts diving into what GPs can do to improve health outcomes and address broader medical issues for people living with HIV.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/infectious-disease/ep-152-rethinking-hiv-from-testing-to-transformation.
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Dupuytren’s disease is a chronic, progressive condition that primarily affects the palmar and digital fascia of the hand. Over time, fibrous cords form under the skin, thickening and contracting, which can cause the fingers (most often the ring and little fingers) to curl inward. This results in Dupuytren’s contracture, limiting hand function and impacting daily activities. It often starts with the formation of painless nodules in the palm. As the disease progresses, these nodules develop into cords that restrict finger movement. While the condition is not life-threatening, it can significantly affect a person’s quality of life and is a common presentation in general practice. In this episode, Dr Roger Henderson looks at the diagnosis of Dupuytren’s, its risk factors, usual management and some of the newer treatment techniques now available.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/dermatology/ep-151-dupuytrens-disease.
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Roseola infantum is a viral infection primarily affecting infants and young children, most commonly between the ages of 6 and 12 months. It accounts for 10–45% of febrile illnesses in infants, and cases tend to peak in the spring and autumn seasons. Diagnosing roseola is almost always clinical, and for patients with the classic presentation a clinical diagnosis can be made based on physical examination findings and history alone. In this episode, Dr Roger Henderson looks at the causes and typical symptoms of roseola, along with illnesses that may mimic it, treatment options and possible complications of the illness.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/dermatology/ep-150-roseola.
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Raynaud's phenomenon is a relatively common condition seen in primary care (especially during the autumn and winter months) that is characterised by vasospasm. This causes digits to change colour to white due to a lack of blood flow, usually brought on by cold temperatures. Affected areas subsequently turn blue due to deoxygenation and red due to reperfusion. The most common type is primary (idiopathic) Raynaud’s, affecting around 90% of people with the condition. Secondary Raynaud’s is often the initial manifestation of an associated underlying connective tissue disease. Both primary and secondary Raynaud’s can be painful, but secondary Raynaud’s can lead to complications from prolonged periods of ischaemia. In this episode, Dr Roger Henderson looks at the typical triggers for and presentation of Raynaud’s, along with lifestyle and treatment options including referral criteria.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/dermatology/ep-149-raynauds-phenomenon.
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Sickle cell anaemia is a disease of red blood cells, caused by an autosomal recessive single gene defect in the beta-chain of haemoglobin, which results in production of sickle cell haemoglobin. Sickle cells can obstruct blood flow and break down prematurely, and they are associated with varying degrees of anaemia. A common presentation of sickle cell disease (SCD) is a painful sickle crisis, caused by obstruction of small blood capillaries. Treatment includes symptom control (including pain management) and prevention and management of complications. Until now, haematopoietic stem-cell transplantation has been the only potentially curative treatment option, but a new type of gene therapy has just been launched by NHS England. In this episode, Dr Roger Henderson gives an overview of some of the key points of SCD, with a focus on this new treatment and its availability.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/haematology/ep-148-sickle-cell-disease.
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Paronychia is a common condition affecting the proximal and lateral nail folds of the hands or feet. In this episode, Dr Kate Chesterman discusses the differences between acute and chronic paronychia and the thinking around the causes and treatment of each. She also gives some tips that we can pass on to our patients regarding self-management and prevention.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/dermatology/ep-147-paronychia.
Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
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In this episode, Dr Hannah Rosa discusses the new asthma guideline from the British Thoracic Society (BTS), NICE and SIGN, which was published in 2024. This guideline, based on the latest research, contains some big changes, which will hopefully help you to improve the lives of your patients living with asthma. In this first part of a two-episode series, topics covered include when to suspect asthma, how to confirm an asthma diagnosis and the pharmacological treatment pathway in people aged 12 and over. The second part of the series, which will be released later in the year, covers pharmacological treatment in children aged 11 and under, monitoring asthma control and self-management.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/respiratory-and-chest-medicine/ep-146-asthma-diagnosis-and-treatment-whats-changed-in-the-2024-bts-nice-and-sign-guideline.
Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
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Around 0.5% of the adult population in England experience problems gambling, 3.8% are at elevated risk of gambling harms and an estimated 7% are negatively affected by someone else’s gambling. NICE has published NG248 – its first recommendations on gambling, covering the identification, assessment and treatment of people over the age of 18 who are experiencing gambling-related harms. The recommendations are also for people of any age affected by someone close to them who is experiencing gambling that harms. In this episode, Dr Roger Henderson looks at some of the key points in the guideline as well as the pharmacological options that are recommended if required.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/general-information/ep-145-gambling-related-harms.
Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
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The National Osteoporosis Guideline Group (NOGG) clinical guideline for osteoporosis was updated in December 2024. In this episode, Dr Hannah Rosa shares 10 things she learnt from the updated guideline about how to prevent and treat osteoporosis.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/musculoskeletal-medicine/ep-144-osteoporosis-key-learnings-from-the-nogg-2024-clinical-guideline.
Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
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Irritable bowel syndrome (IBS) is a chronic condition characterised by abdominal pain associated with bowel dysfunction and is one of the most common gastroenterology presentations in primary care. The pain is often relieved by defecation and is sometimes accompanied by abdominal bloating, with no structural abnormalities to explain the pain. IBS occurs in up to 20% of the adult population, and its aetiology is multi-factorial. In this episode, Dr Roger Henderson looks at the diagnosis of IBS along with lifestyle options and newer medications now available for its management.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/gastroenterology/ep-143-irritable-bowel-syndrome.
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Colorectal cancer (CRC) is the fourth most common malignancy in the UK and a major cause of morbidity and mortality. It refers to malignancies that arise from the caecum to the rectum and can be detected on screening, on imaging or endoscopy, or following presentation with change in bowel habit, iron deficiency anaemia or bowel obstruction. Its management depends on the stage of the disease and patient factors, with treatment options including surgical resection, chemotherapy and radiotherapy. In this episode, Dr Roger Henderson gives an overview of CRC and looks at how to achieve early diagnosis, which is essential for effective treatment and the greatest chance of survival.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/gastroenterology/ep-142-colorectal-cancer.
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Hidradenitis suppurativa (HS) is a chronic inflammatory dermatosis that typically affects areas of pilosebaceous gland-containing skin. In HS, patients often suffer recurrent attacks of discharging and painful lesions that can require multiple courses of antibiotics or surgical drainage. The condition causes significant morbidity, distress and sometimes long-term scarring. In this episode, Dr Roger Henderson looks at the disease process, classification and classical features of HS as well as conservative, medical and surgical treatment options.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/dermatology/ep-141-hidradenitis-suppurativa.
Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
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Seasonal affective disorder (SAD) is a form of depression that occurs at specific times of the year, most commonly during the autumn and winter months when daylight hours are shorter. Characterised by symptoms such as persistent sadness, fatigue and changes in appetite or sleep patterns, SAD is more than just the "winter blues." It is a clinically recognised but often underdiagnosed condition that can significantly impact an individual's quality of life. In this episode, Dr Roger Henderson looks at how to diagnose SAD as well as the causes, symptoms and treatment options in primary care.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/mental-health/ep-140-seasonal-affective-disorder.
Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
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Perinatal mental health (PNMH) problems affect one in five women and one in ten men. They can present in several ways, including depression and anxiety, but also post-traumatic stress disorder, adjustment disorder, obsessive-compulsive disorder and psychosis. In the third episode of the perinatal mental health series, Dr James Waldron and Dr Jenny Barnes (GP and Perinatal Mental Health Champion, Warwickshire) discuss what to do in clinical practice when PNMH issues are suspected. Prevention is better than cure, so it is worth taking steps to identify people at risk and offering support and treatment where necessary.
Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/mental-health/ep-139-identification-and-treatment-of-perinatal-mental-health-problems.
Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
- Visa fler
