Home of the Official Podcasts of the RNZCUC - these are intended to provide ongoing education for medical professionals and should not be used for self diagnosis. Always consult your regular doctor. Always work within your scope of practice.
Episodes
Friday May 03, 2024
Friday May 03, 2024
Should we be listening for bowel sounds? Despite evidence suggesting they are not useful, I still think it is an important part of an urgent care assessment.
Check out the papers mentioned.
Elhardello O, Macfie J. Bowel Sounds: Is it Time for Surgeons to Hang-up their Stethoscopes?. World J Surg Surgical Res. 2018; 1: 1066. Link to paper.
Breum BM, Rud B, Kirkegaard T, Nordentoft T. Accuracy of abdominal auscultation for bowel obstruction. World J Gastroenterol. 2015 Sep 14;21(34):10018-24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566372/
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Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Apr 26, 2024
Friday Apr 26, 2024
What impact do your acute referral letters have on the admitting team?
You may have noticed the initial upload contained the wrong audio file of an old podcast. Sorry, this has been corrected.
Check out the papers mentioned
Chauveau P, Mazet-Guillaume B, Baron C, Roy PM, Tanguy M, Fanello S. Impact du contenu du courrier médical sur la qualité du triage initial des patients adultes admis aux urgences [Impact of the referral letter on triage decisions in adult patients admitted to the emergency department]. Sante Publique. 2013 Jul-Aug;25(4):441-51. French.
https://pubmed.ncbi.nlm.nih.gov/24404726/
van den Berge K, Mamede S, van Gog T, Romijn JA, van Guldener C, van Saase JL, Rikers RM. Accepting diagnostic suggestions by residents: a potential cause of diagnostic error in medicine. Teach Learn Med. 2012;24(2):149-54.
https://pubmed.ncbi.nlm.nih.gov/22490096/
Staal J, Speelman M, Brand R, Alsma J, Zwaan L. Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. BMC Med Educ. 2022 Apr 8;22(1):256
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8991944/
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Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Apr 19, 2024
Friday Apr 19, 2024
We must be aware of the possibility of Cozen's phenomenon in urgent care.
Check out the Radiopedia page by Tim Luijkx
https://radiopaedia.org/articles/cozen-fracture-1
Check out the Orthobullets page by Macknett MD et al
https://www.orthobullets.com/pediatrics/4025/proximal-tibia-metaphyseal-fractures--pediatric
Check out the obituary of Dr Lewis Cozen.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Apr 12, 2024
Friday Apr 12, 2024
Today we hear of a case of Chopart injury presenting through urgent care. Thanks to Dr Antonio Castro.
Check out the paper mentioned
Metcalfe TSN, Aamir J, Mason LW. Chopart dislocations: a review of diagnosis, treatment and outcomes. Arch Orthop Trauma Surg. 2024 Jan;144(1):131-147. doi: 10.1007/s00402-023-05040-4. Epub 2023 Sep 15. PMID: 37715068; PMCID: PMC10774188.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Apr 05, 2024
Friday Apr 05, 2024
2 years ago we spoke with Dr Tamsin Lillie, a Fellow of the RNZCUC who runs a medical charity that helps fund African students through medical training. Last time we spoke she was calling in from Malawi, but a chance meeting in person prompted a quick catch-up about what has been going on over the last 2 years and her hopes for the charity moving forward.
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Mar 29, 2024
Friday Mar 29, 2024
Some common, non-psychotropic medications can have psychiatric side effects.
Check out the article mentioned
Prescriber Update 45(1): 5-8 March 2024
https://www.medsafe.govt.nz/profs/PUArticles/March2024/Unexplained-mood-and-behavioural-changes.html
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Mar 22, 2024
Friday Mar 22, 2024
Hoffmann's sign is a simple test that can help in diagnosing cervical myelopathy and upper motor neurone disease as part of a thorough history and examination.
Check out the paper mentioned
Nemani VM, Kim HJ, Piyaskulkaew C, Nguyen JT, Riew KD. Correlation of cord signal change with physical examination findings in patients with cervical myelopathy. Spine (Phila Pa 1976). 2015 Jan 1;40(1):6-10. doi: 10.1097/BRS.0000000000000659. PMID: 25341986.
https://pubmed.ncbi.nlm.nih.gov/25341986/
Check out the Stat Pearls page.
Whitney E, Munakomi S. Hoffmann Sign. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK545156/
2 videos from Ortho Eval Pal with Paul Marquis on YouTube that show the sign.
https://www.youtube.com/watch?v=blj6Y0rrmtw
https://www.youtube.com/watch?v=GJ-Q2ibYAHs
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Mar 15, 2024
Friday Mar 15, 2024
Wellens' Syndrome is an ECG finding indicative of critical LAD stenosis. Recognising this ECG change is vital.
Check out the Life in the Fast Lane post by Dr Mike Cadogan and Dr Robert Buttner from September 2021
https://litfl.com/wellens-syndrome-ecg-library/
This is a BMJ case report that is worth reading.
Ramires TG, Sant'Anna J, Pais J, Picarra BC. Wellens' syndrome: a pattern to remember. BMJ Case Rep. 2018 Apr 10;2018:bcr2018224582. doi: 10.1136/bcr-2018-224582. PMID: 29636339; PMCID: PMC5893974.
https://casereports.bmj.com/content/2018/bcr-2018-224582
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Mar 08, 2024
Friday Mar 08, 2024
We must counsel about the possibility of abnormal uterine bleeding starting, or worsening when commencing oral anticoagulation.
Check out the Prescriber update - December 2023 edition - https://www.medsafe.govt.nz/profs/PUArticles/PDF/Prescriber-Update-44-No.4-December-2023.pdf
Check out the paper mentioned
de Jong CMM, Blondon M, Ay C, Buchmuller A, Beyer-Westendorf J, Biechele J, Bertoletti L, Colombo G, Donadini MP, Hendriks SV, Jara-Palomares L, Nopp S, Ruiz-Artacho P, Stephan P, Tromeur C, Vanassche T, Westerweel PE, Klok FA. Incidence and impact of anticoagulation-associated abnormal menstrual bleeding in women after venous thromboembolism. Blood. 2022 Oct 20;140(16):1764-1773. doi: 10.1182/blood.2022017101. PMID: 35925686.
https://pubmed.ncbi.nlm.nih.gov/35925686/
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor
Friday Mar 01, 2024
Friday Mar 01, 2024
An interesting eponymous syndrome with a Kiwi connection.
Check out the Stat Pearls Page
Tafti D, Cecava ND. Poland Syndrome. [Updated 2023 May 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532259/
https://www.ncbi.nlm.nih.gov/books/NBK532259/
Read more about Patrick Clarkson, MBE, FRCS - https://en.wikipedia.org/wiki/Patrick_Clarkson
Read more about Jeremy Beadle, MBE - https://en.wikipedia.org/wiki/Jeremy_Beadle
https://www.facebook.com/rnzcuc
Music licensed from www.premiumbeat.com
Full Grip by Score Squad
This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals. Please ensure you work within your scope of practice at all times. For personal medical advice always consult your usual doctor