
Episodes

Friday Mar 22, 2024
Urgent Bite 210 - Hoffmann's Sign
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
Wellens' Syndrome - with Dr Ivan Koay and Dr Yoosuf
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
Urgent Bite 209 - Abnormal Uterine Bleeding when commencing anticoagulation
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
Urgent Bite 208 - Poland Syndrome
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

Friday Feb 23, 2024
Urgent Bite 207 - Dunbar Syndrome
Friday Feb 23, 2024
Friday Feb 23, 2024
In cases of ongoing post-prandial epigastric pain and sitophobia despite endoscopy work up and treatment perhaps we should remember to recall Dunbar Syndrome to our differential list.
Check out the paper mentioned
Li J, Tan XY, Megahed A, Evangelista A. Dunbar syndrome: An unusual cause of chronic postprandial abdominal pain. Radiol Case Rep. 2020 Aug 2;15(10):1747-1749. doi: 10.1016/j.radcr.2020.07.016. PMID: 32774573; PMCID: PMC7397697. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7397697/
Check out the Radiopedia page
Gaillard F, Moore C, Glick Y, et al. Celiac artery compression syndrome. Reference article, Radiopaedia.org (Accessed on 22 Feb 2024) https://doi.org/10.53347/rID-1143
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 Feb 16, 2024
Urgent Bite 206 - Grover Disease
Friday Feb 16, 2024
Friday Feb 16, 2024
Grover disease might present through your urgent care. While not a critical or life-threatening condition, recognising it so we can advise and support your patient is important. To help us consider differentials for various presenting complaints there is a useful website you can use.
Check out the Cunneliffe (TP) General Dermatology Diagnostic Tool - https://www.pcds.org.uk/general-dermatology-table
Check out the Dermnet page on Grover disease - authored by Prof Amanda Oakley and Dr Ian Coulson- https://dermnetnz.org/topics/transient-acantholytic-dermatosis
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 Feb 09, 2024
Urgent Bite 205 - The Böhler angle and angle of Gissane
Friday Feb 09, 2024
Friday Feb 09, 2024
When considering calcaneal fractures we must remember the Böhler angle and the angle of Gissane.
Check out the Orthobullets page written by Crag Forsthoefel MD.
https://www.orthobullets.com/trauma/1051/calcaneus-fractures
Check out the Radiopaedia articles
Benoudina S, Worsley C, Knipe H, et al. Gissane angle. Reference article, Radiopaedia.org (Accessed on 08 Feb 2024) https://doi.org/10.53347/rID-40094
Amini B, Worsley C, Weerakkody Y, et al. Böhler angle. Reference article, Radiopaedia.org (Accessed on 08 Feb 2024) https://doi.org/10.53347/rID-1002
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 Feb 02, 2024
The Corona Mortis - with Dr Tim Brabants
Friday Feb 02, 2024
Friday Feb 02, 2024
Do you know about the Corona Mortis? Today with chat to Dr Tim Brabants who has seen a case and feels we should be aware of its potential in urgent care.
Tim is a UK-trained doctor who has worked in the UK and South Africa, predominantly in emergency medicine. Now based in New Zealand, he is a senior Registrar with the RNZCUC
Check out these resources on the Corona Mortis.
Radiopaedia - Hsu C, Ismail M, Furaiji H, et al. Corona mortis. Reference article, Radiopaedia.org (Accessed on 30 Jan 2024) https://doi.org/10.53347/rID-39319 https://radiopaedia.org/articles/39319
Garrido-Gómez J, Pena-Rodríguez C, Martín-Noguerol T, Hernández-Cortes P. Corona mortis artery avulsion due to a stable pubic ramus fracture. Orthopedics. 2012 Jan 16;35(1):e80-2. doi: 10.3928/01477447-20111122-25. PMID: 22229619. https://pubmed.ncbi.nlm.nih.gov/22229619/
Sealy EB, Schammel CM, Varma R, Devane AM. Corona mortis in the setting of pelvic trauma: Case series and review of the literature. Am J Interv Radiol 2023;7:9. https://americanjir.com/corona-mortis-in-the-setting-of-pelvic-trauma-case-series-and-review-of-the-literature/
Cardoso GI, Chinelatto LA, Hojaij F, Akamatsu FE, Jacomo AL. Corona Mortis: A Systematic Review of Literature. Clinics (Sao Paulo). 2021 Apr 16;76:e2182. doi: 10.6061/clinics/2021/e2182. PMID: 33886786; PMCID: PMC8024925.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024925/
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 Jan 26, 2024
Urgent Bite 204 - Thinking about caffeine withdrawal
Friday Jan 26, 2024
Friday Jan 26, 2024
Could caffeine withdrawal result in an urgent care visit?
Check out the paper mentioned
Sajadi-Ernazarova KR, Anderson J, Dhakal A, et al. Caffeine Withdrawal. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430790/
https://www.ncbi.nlm.nih.gov/books/NBK430790/#article-18757.s2
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 Jan 19, 2024
Urgent Bite 203 -The Hoagland Sign
Friday Jan 19, 2024
Friday Jan 19, 2024
An eponymous sign that helps in the diagnosis of glandular fever.
Check out the paper mentioned.
Otsuki T, Ishizuka K, Hirose M, Ie K. Hoagland sign in infectious mononucleosis. BMJ Case Rep. 2022 Nov 16;15(11):e252839. https://pubmed.ncbi.nlm.nih.gov/36384885/
Check out the obituary of Colonel Robert. J. Hoagland MD - https://courierpostonline.newspapers.com/article/the-charlotte-observer-robert-j-hoagland/82137229/
Check out the Patient.info page on glandular fever, written by Dr Colin Tidy - https://patient.info/ears-nose-throat-mouth/sore-throat-2/glandular-fever-infectious-mononucleosis
Check out the book review of Hoagland's book.
Moser RH. Infectious Mononucleosis. Arch Intern Med. 1968;121(6):572. doi:10.1001/archinte.1968.03640060086018
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