GPnotebook Podcast

GPnotebook

A bite-sized, regular chat for all healthcare professionals working in primary care. Episodes cover clinical tips and hot topics. New episodes published every Thursday or Friday.

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217 episodes
Updated Thursday

Episodes217

Newest first

Aug 16, 2023 · 19 min
Ep 77 – Recurrent urinary tract infection
In this podcast, Dr Kate Chesterman discusses recurrent urinary tract infection (UTI). She covers the pathophysiology, some risk factors for UTI recurrence and treatment options including lifestyle changes and the use of antimicrobials. She also focuses on non-antimicrobial management, including the current advice regarding the use of probiotics, cranberry products, D-mannose and methenamine hippurate. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/urology/ep-77-recurrent-urinary-tract-infection. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Jul 27, 2023 · 20 min
Ep 76 – Passing the test of testosterone replacement: menopause and hormone replacement therapy (part 2)
In this follow-up to episode 52, Dr James Waldron and Mr Sam Dobson (Consultant Gynaecologist, Sub-specialist in Reproductive Medicine and BMS-accredited Menopause Specialist) consider the impact of menopause on libido. They talk through the physical and psychological features of menopause that can lead to a reduction in libido, the conversations and initial investigations in primary care, and consider available options for the management of menopause-related loss of libido, including topical and systemic hormone replacement therapy (HRT) and testosterone. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/gynaecology/ep-76-passing-the-test-of-testosterone-replacement-menopause-and-hormone-replacement-therapy-part-2-test. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Jul 21, 2023 · 22 min
Ep 75 – Expedition medicine (part 2)
The call to adventure is felt by many and general practice is a career that can take you there! As GPs grow their portfolios, they look for interesting and unusual ways to forge their own paths. This can take them all round the world (and back again). In this follow-up to episode 71, Drs James and Rebecca Waldron continue their discussion about Rebecca's 3-month voyage with the marine conservation charity Sea Shepherd. As the boat's medic, she tended to crew members' daily illnesses, performed infection control during a COVID outbreak, and provided emotional support. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-information/ep-75-expedition-medicine-part-2. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
May 10, 2023 · 23 min
Ep 74 – Paediatric dietary allergy
In this episode, Dr Kate Chesterman is joined by Dr Alex Brightwell (Consultant Paediatrician with a specialism in allergy) and Liz Ingham (Lead Paediatric Allergy Dietician), both of whom work at the Norfolk and Norwich University Hospital. Together, they explore paediatric dietary allergies. They discuss cow’s milk protein allergy (CMPA), including: its different types, how to differentiate it from other causes of unsettled infant behaviour and the importance of de-challenging and rechallenging to make the diagnosis. Furthermore, they offer practical advice for breastfeeding mothers, as well as covering the indications for the different formula milks. They highlight the importance of maintaining balanced nutritional intake for infants and breast-feeding mums and avoiding unnecessary exclusion diets. They finish by discussing the current evidence and advice regarding early introduction of potentially allergenic foods in infants at risk of food allergies. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/paediatrics/ep-74-paediatric-dietary-allergy. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Apr 28, 2023 · 28 min
Ep 73 – Sexual abuse in children
In this episode, Dr Kate Chesterman talks to Dr Briony Arrowsmith, who is a Consultant Paediatrician at the Haven, a sexual assault referral centre in London. They discuss the many and varied ways that sexual abuse can present, as well as the considerations surrounding who the abuse should be disclosed to. They talk through the physical health concerns that need to be addressed and the role of the sexual assault referral centre in the care of abused children and their families. Finally, they discuss agencies that can offer ongoing psychological support to children, families and healthcare practitioners who have been affected by cases of abuse. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/paediatrics/ep-73-sexual-abuse-in-children. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Apr 21, 2023 · 14 min
Ep 72 – Back to basics: heart sounds and cardiac examination
In this episode, which has been recorded for Chronic Conditions Month 2023, Dr Yassir Javaid (GP with a Specialist Interest in Cardiology) discusses auscultation of the heart sounds. Auscultation is an important aspect of the cardiac examination and can give an indication of significant underlying structural heart disease – particularly valve disease, which is becoming increasingly prevalent as the population ages. But which patients should be auscultated and what specifically should clinicians be listening for? Dr Javaid answers these questions with reference to audio examples of heart sounds and murmurs, and it is highly recommended to listen to this episode using good-quality headphones. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/cardiovascular-medicine/ep-72-back-to-basics-heart-sounds-and-cardiac-examination. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Apr 14, 2023 · 20 min
Ep 71 – Expedition medicine (part 1)
The call to adventure is felt by many and general practice is a career that can take you there! As GPs grow their portfolios, they look for interesting and unusual ways to forge their own paths. This can take them all round the world (and back again). In the first episode in a two-part series, Drs James and Rebecca Waldron discuss adventure and expedition medicine, finding inspiration and opportunities, preparing oneself and getting started on the journey. Rebecca recently returned from a 3-month voyage with the marine conservation charity Sea Shepherd. As the boat\'s medic, she tended to crew members\' daily illnesses, performed infection control during a COVID outbreak, and provided emotional support. In their conversation, James and Rebecca consider how such expeditions provide an opportunity for career diversification for primary care professionals. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-practice/ep-71-expedition-medicine-part-1. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Mar 31, 2023 · 13 min
Ep 70 – Epicondylitis
In this episode, Dr Roger Henderson discusses an approach to the assessment of epicondylitis. Elbow epicondylitis is more common than is often thought and can cause significant pain and movement restriction. There can also be a number of possible differential diagnoses that need to be considered. This podcast episode looks at how to diagnose both tennis elbow and golfer’s elbow, what clinical tests to use, the best management and when to consider referral to secondary care. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/musculoskeletal-medicine/ep-70-epicondylitis. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Mar 24, 2023 · 20 min
Ep 69 – Postnatal care: the maternal 6-week check
In this episode, Dr Hannah Rosa looks in detail at the maternal side of the postnatal 6-week check. NICE’s quality standard on postnatal care is explored and topics, such as contraception after childbirth, are delved into in further detail. Thereafter, there is an exploration of conditions that can arise during or after pregnancy which require management postpartum, such as gestational diabetes, hypertensive disorders in pregnancy and postpartum thyroiditis. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/obstetrics/ep-69-postnatal-care-the-maternal-6-week-check. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Mar 17, 2023 · 13 min
Ep 68 – Vitamin D deficiency in adults
Vitamin D is a fat-soluble vitamin that is essential for human health. It regulates calcium and phosphate homeostasis and is therefore vital for musculoskeletal functioning. In the UK, up to 50% of the adult population may be vitamin D insufficient following the winter months, with one in six being severely deficient. In this podcast, Dr Roger Henderson looks at who is most at risk of vitamin D deficiency, how it should be diagnosed, what treatment options are available and why unlicensed vitamin D preparations should not be recommended. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-practice/ep-68-vitamin-d-deficiency-in-adults. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Mar 10, 2023 · 15 min
Ep 67 – Actinic keratosis
Actinic keratosis (AK) – also commonly known as solar keratosis – is a very common dermatological presentation in primary care, affecting large numbers of older people. It has the capacity to transform into a malignant lesion if untreated. In this podcast, Dr Roger Henderson looks at who is most at risk of AK, how it should be diagnosed, what treatment options are available, and when to consider referral to secondary care. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/dermatology/ep-67-actinic-keratosis. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Mar 3, 2023 · 18 min
Ep 66 – Childhood constipation
In this podcast, Dr Kate Chesterman discusses constipation in children. She takes us through the clinical features associated with idiopathic constipation and red flags that would cause concern. She discusses disimpaction regimes and when these should be used, as well as talking about the importance of ongoing maintenance regimes. She provides some tips on encouraging children to take laxatives and also highlights some useful patient and professional resources. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/paediatrics/ep-66-childhood-constipation. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Feb 24, 2023 · 16 min
Ep 65 – Obstructive sleep apnoea
Obstructive sleep apnoea (OSA) is a very common problem affecting around one and a half million adults in the UK, most of whom are undiagnosed and untreated. OSA has significant health consequences, including heart disease and an increased risk of fatal car crashes. In this episode, Dr Roger Henderson looks at who is most at risk of OSA, how it should be diagnosed, how to refer to secondary care and what treatment options are currently available to help people with the condition. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/respiratory-and-chest-medicine/ep-65-obstructive-sleep-apnoea. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Feb 17, 2023 · 28 min
Ep 64 – Primary care dermatology: skin of colour
In this episode, Dr James Waldron and Dr Thuva Amuthan (GP with an Extended Role in Dermatology) explore dermatological presentations, treatments and complications in skin of colour. The topics that they cover include: inequalities faced in certain patient groups; the psychological impact of pigmentation, depigmentation and scarring; eczema and acne in skin of colour; melasma and vitiligo; traction alopecia; and folliculitis and its potential severe consequences. Thanks to Dr Thuva Amuthan for his time. All information in the episode is based on the personal experience of the presenters. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/dermatology/ep-64-primary-care-dermatology-skin-of-colour. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Feb 10, 2023 · 16 min
Ep 63 – Domiciliary oxygen guidance
Oxygen is essential for our survival and is a powerful medical drug. Treatment with oxygen increases blood oxygen levels and helps to reduce cardiovascular workload. In this podcast, Dr Roger Henderson looks at how oxygen can be given in a home environment, the reasons it may be required and the different types of delivery systems available. He also looks at practical issues such as flying when requiring oxygen, smoking near oxygen supplies, how to arrange an emergency supply of oxygen for home use and which types of masks and nasal cannulae to use. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/respiratory-and-chest-medicine/ep-63-domiciliary-oxygen-guidance. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Jan 27, 2023 · 15 min
Ep 62 – Cluster headaches
In this podcast, Dr Kate Chesterman discusses cluster headaches. She talks through the clinical features that would lead to a diagnosis, the initial investigations in primary care and indications for a referral to a headache specialist. She considers the management of acute attacks, including considerations around prescribing oxygen, as well as the options for preventative treatment. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/neurology/ep-62-cluster-headaches. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Jan 16, 2023 · 33 min
Ep 61 – Autism
In this episode Dr Hannah Rosa and Dr Nicky Mulgrew discuss autism and the role we play within general practice. They focus on when we should refer children and adults to specialists to get a possible diagnosis of autism and also explore how we can adapt our workplaces and our communication styles to make our surgeries more comfortable places for autistic people to visit. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-practice/ep-61-autism. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Dec 21, 2022 · 11 min
Ep 60 – Chronic spontaneous urticaria
Chronic spontaneous urticaria (CSU) is a common problem, often affecting younger people. It refers to chronic urticaria that has no obvious cause or trigger and which causes weals to occur on the skin most days for 6 weeks or more. It can be a deeply distressing and frustrating condition for sufferers that can greatly affect their quality of life. In this episode, Dr Roger Henderson looks at the possible triggers of CSU, how to approach the treatment of people with the condition and what drug therapies may be helpful. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/dermatology/ep-60-chronic-spontaneous-urticaria. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Dec 8, 2022 · 23 min
Ep 59 – Primary care dermatology: improving care by getting back to basics
Dermatology is a vast subject and accounts for a significant proportion of the workload in general practice. Managing dermatological conditions can be a challenge and staying up-to-date is equally so. In this episode, Dr James Waldron and Dr Thuva Amuthan (GP with an Extended Role in Dermatology) discuss topics such as: getting into dermatology as a specialist interest; improving patient engagement and adherence; improving eczema care; acne; psoriasis and the impact of dermatology on mental health. Thanks to Dr Thuva Amuthan for his time. All information in the episode is based on the personal experience of the presenters. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/dermatology/ep-59-primary-care-dermatology-improving-care-by-getting-back-to-basics. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.
Nov 11, 2022 · 15 min
Ep 58 – Hypertension management
After smoking and diet, hypertension is the biggest risk factor in the UK for premature death and disability. One in four people have hypertension in the UK, with around one in three treated to target. In this episode, Dr Roger Henderson gives an overview of the management of hypertension, covering its definition, risk factors, lifestyle management, investigations and medical treatments, including those recommended in the latest NICE guidelines. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/cardiovascular-medicine/ep-58-hypertension-management. Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.