GPnotebook Podcast

Ep 204 – Red legs

30 Apr 2026

Contributed by Lukas

Red legs are frequently seen in primary care but are often misdiagnosed. With a need for antimicrobial stewardship, it is important to identify the ca...

Ep 203 – Oral mucosal cancer

23 Apr 2026

Contributed by Lukas

In this episode, Dr Roger Henderson explores an important and often overlooked area of head and neck oncology: oral mucosal cancer. As GPs, we frequen...

Ep 202 – Labyrinthitis

16 Apr 2026

Contributed by Lukas

In this episode, Dr Roger Henderson explores labyrinthitis from a GP’s perspective, moving beyond the textbook definition to focus on practical diag...

Ep 201 – Pityriasis rosea

09 Apr 2026

Contributed by Lukas

Pityriasis rosea is a common and self-limiting condition, but it can cause significant anxiety and distress for patients. In this episode, Dr Kate Che...

Ep 200 – Hepatitis C

02 Apr 2026

Contributed by Lukas

Hepatitis C was once considered a chronic, life-limiting condition with difficult treatments and significant stigma. Today, it is one of the great suc...

Ep 199 – Gastric cancer

26 Mar 2026

Contributed by Lukas

Gastric cancer is often described as a disease in decline, yet it remains one of the deadliest malignancies worldwide. For many GPs, it is a diagnosis...

Ep 198 – Basal cell cancer

19 Mar 2026

Contributed by Lukas

Basal cell carcinoma (BCC) is a diagnosis most GPs encounter regularly, yet its familiarity often disguises its true impact. As the most common cancer...

Ep 197 – Glaucoma

12 Mar 2026

Contributed by Lukas

Glaucomas are a leading cause of irreversible vision loss worldwide. They encompass a range of disorders, including primary open-angle, angle-closure,...

Ep 196 – Acute laryngitis

05 Mar 2026

Contributed by Lukas

In this episode, Dr Roger Henderson looks at acute laryngitis, a condition that is both common and deceptively complex. Often dismissed as a simple co...

Ep 195 – Liver cirrhosis

26 Feb 2026

Contributed by Lukas

Cirrhosis represents the end stage of chronic liver injury, characterised by fibrosis and regenerative nodules that disrupt normal liver architecture....

Ep 194 – Plantar fasciitis

19 Feb 2026

Contributed by Lukas

Plantar fasciitis is a common cause of heel pain, accounting for up to 15% of foot complaints requiring professional care and affecting both athletic ...

Ep 193 – Barrett’s oesophagus

12 Feb 2026

Contributed by Lukas

Barrett’s oesophagus sits at the crossroads of gastroesophageal reflux disease and oesophageal cancer, making it a condition every clinician should ...

Ep 192 – Adhesive capsulitis

05 Feb 2026

Contributed by Lukas

In this episode, Dr Roger Henderson looks at adhesive capsulitis, commonly known as a frozen shoulder, reviewing its epidemiology, risk factors and un...

Ep 191 – Intertrigo

29 Jan 2026

Contributed by Lukas

Intertrigo is an inflammatory condition of opposing skin surfaces, driven by friction, heat and moisture that weaken the skin barrier and invite secon...

Ep 190 – Chondromalacia patella

22 Jan 2026

Contributed by Lukas

Chondromalacia patella (CMP), sometimes called “runner’s knee”, is a degenerative condition involving softening and breakdown of the patellar ar...

Ep 189 – Intermittent claudication

15 Jan 2026

Contributed by Lukas

Intermittent claudication is a hallmark symptom of peripheral arterial disease and reflects widespread atherosclerosis. It presents as predictable exe...

Ep 188 – Pityriasis versicolor

08 Jan 2026

Contributed by Lukas

Pityriasis versicolor is a fungal condition caused by overgrowth of Malassezia – a yeast that is commonly found on the skin in most people. In this ...

Ep 187 – Quiz of the year 2025

18 Dec 2025

Contributed by Lukas

In this episode, Dr Hannah Rosa, Dr Kate Chesterman and Dr Roger Henderson invite you to join them for the annual GPnotebook quiz. The GPnotebook educ...

Ep 186 – Olecranon bursitis

11 Dec 2025

Contributed by Lukas

Olecranon bursitis is the inflammation of the bursa overlying the olecranon process, presenting as localised, fluctuating posterior elbow swelling tha...

Ep 185 – Lung cancer

04 Dec 2025

Contributed by Lukas

Lung cancer is the leading cause of cancer-related death worldwide and is classified into two main types: non-small cell lung cancer (NSCLC), which ac...

Ep 184 – Parvovirus B19

27 Nov 2025

Contributed by Lukas

Parvovirus B19 (slapped cheek syndrome) is a common and usually mild, self-limiting viral illness. Certain populations, such as pregnant women and the...

Ep 183 – Post-traumatic stress disorder

20 Nov 2025

Contributed by Lukas

Post-traumatic stress disorder (PTSD) may develop (either immediately or delayed) following exposure to a stressful event or situation of an exception...

Ep 182 – Melanoma

13 Nov 2025

Contributed by Lukas

Melanoma is among the most common forms of cancer – and causes of cancer-related death – among young adults. Its prevalence in this group has been...

Ep 181 – Management of hyperkalaemia in primary care

06 Nov 2025

Contributed by Lukas

In this episode, Dr Hannah Rosa and Dr Will Hinchliffe (Consultant in Renal and General Medicine working in the north-east and north Cumbria) discuss ...

Ep 180 – Rethinking HIV: reducing HIV-related stigma

30 Oct 2025

Contributed by Lukas

In this final episode of a four-part series on HIV and primary care, Dr James Waldron is joined again by Dr Grace Bottoni (HIV and Hepatitis C GP Cham...

Ep 179 – Paraesthesia

23 Oct 2025

Contributed by Lukas

Paraesthesia is an indication of an abnormality that impacts the sensory pathways at any point from the peripheral sensory nervous system right up to ...

Ep 178 – Tremor

16 Oct 2025

Contributed by Lukas

A tremor is defined as an involuntary rhythmic oscillation of one or more body parts, mediated by alternating contractions of reciprocally acting musc...

Ep 177 – Postnasal drip

09 Oct 2025

Contributed by Lukas

Postnasal drip is a condition where excess mucus from the nose and sinuses accumulates and flows down the back of the throat. This can lead to symptom...

Ep 176 – Lower urinary tract symptoms in men

02 Oct 2025

Contributed by Lukas

Lower urinary tract symptoms (LUTS) are storage, voiding and post-micturition symptoms affecting the lower urinary tract. LUTS can significantly reduc...

Ep 175 – Scabies

25 Sep 2025

Contributed by Lukas

Scabies is a condition that can cause significant distress due to the intense itching associated with the condition and concerns about social stigma. ...

Ep 174 – Acute cholecystitis

18 Sep 2025

Contributed by Lukas

Acute cholecystitis is often seen in primary care patients and is a major complication of cholelithiasis. Symptomatic gallstones occur in up to 10% of...

Ep 173 – Abdominal aortic aneurysm

11 Sep 2025

Contributed by Lukas

Abdominal aortic aneurysms (AAAs) are potentially life-threatening and have a poor prognosis if ruptured. Arterial aneurysms are defined as a permanen...

Ep 172 – Keloid scars

04 Sep 2025

Contributed by Lukas

Keloid scars are a form of abnormal scarring that occur in susceptible individuals and often appear to be more common in darker skin types. Often obse...

Ep 171 – Rethinking HIV: prevention and pre-exposure prophylaxis

28 Aug 2025

Contributed by Lukas

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 t...

Ep 170 – Aortic stenosis

21 Aug 2025

Contributed by Lukas

Aortic stenosis (AS) is an obstruction of blood flow from the left ventricle into the aorta due to narrowing at the level of the aortic valve. In Euro...

Ep 169 – Shin splints (medial tibial stress syndrome)

14 Aug 2025

Contributed by Lukas

Shin splints are a common type of leg pain caused by repetitive stress on the bones and muscles in the lower leg, particularly around the tibia. The...

Ep 168 – Ectopic pregnancy

07 Aug 2025

Contributed by Lukas

In the UK, ectopic pregnancy is diagnosed in approximately 11 out of every 1,000 pregnancies and typically presents 6–8 weeks after the last normal ...

Ep 167 – Acute pancreatitis

31 Jul 2025

Contributed by Lukas

Acute pancreatitis is an inflammatory condition of the pancreas, most commonly caused by bile stones or excessive use of alcohol. It is one of the mos...

Ep 166 – Hand–arm vibration syndrome

24 Jul 2025

Contributed by Lukas

Hand–arm vibration syndrome is a chronic, progressive disorder of the upper limbs resulting from prolonged exposure to vibration. It encompasses vas...

Ep 165 – Chronic kidney disease among adults in primary care: management

17 Jul 2025

Contributed by Lukas

In the second part of a two-episode series on chronic kidney disease (CKD), Dr Hannah Rosa is joined again by Dr Will Hinchliffe, a Consultant in Rena...

Ep 164 – Cauda equina syndrome

10 Jul 2025

Contributed by Lukas

Cauda equina syndrome (CES) is caused by compression of the lumbosacral nerve roots that extend below the spinal cord. The most common cause is disc p...

Ep 163 – Chronic kidney disease among adults in primary care: testing, diagnosis and referral

03 Jul 2025

Contributed by Lukas

In the first of a two-episode series on chronic kidney disease (CKD), Dr Hannah Rosa is joined by Dr Will Hinchliffe, a Consultant in Renal and Genera...

Ep 162 – Ankylosing spondylitis

26 Jun 2025

Contributed by Lukas

Ankylosing spondylitis (AS) is a chronic, immune-mediated inflammatory disorder that predominantly targets the axial skeleton, especially the spine an...

Ep 161– Post-herpetic neuralgia

19 Jun 2025

Contributed by Lukas

Post-herpetic neuralgia (PHN) is the most common complication following an episode of shingles and can affect up to one in five people. Pain is typica...

Ep 160 – Rethinking HIV: dealing with a positive test result

12 Jun 2025

Contributed by Lukas

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 t...

Ep 159 – Baker’s cyst

05 Jun 2025

Contributed by Lukas

Baker’s cysts commonly present in primary care. In this episode, Dr Kate Chesterman discusses the pathophysiology, underlying aetiology and manageme...

Ep 158 – Rotator cuff tears

29 May 2025

Contributed by Lukas

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 shoul...

Ep 157 – Ganglion cysts

22 May 2025

Contributed by Lukas

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 f...

Ep 156 – Carpal tunnel syndrome

15 May 2025

Contributed by Lukas

Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy, primarily affecting the median nerve at the level of the wrist. The condition r...

Ep 155 – Temporal arteritis

08 May 2025

Contributed by Lukas

Temporal arteritis, also known as giant cell arteritis, is an inflammatory condition that affects the large- and medium-sized arteries, primarily thos...

Ep 154 – Febrile seizures

01 May 2025

Contributed by Lukas

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. In...

Ep 153 – Asthma treatment, monitoring and self-management: what's changed in the 2024 BTS, NICE and SIGN guideline?

24 Apr 2025

Contributed by Lukas

In this episode, Dr Hannah Rosa continues looking at the new asthma guideline from the British Thoracic Society (BTS), NICE and SIGN, which was publis...

Ep 152 – Rethinking HIV: from testing to transformation

17 Apr 2025

Contributed by Lukas

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 t...

Ep 151 – Dupuytren’s disease

10 Apr 2025

Contributed by Lukas

Dupuytren’s disease is a chronic, progressive condition that primarily affects the palmar and digital fascia of the hand. Over time, fibrous cords f...

Ep 150 – Roseola

03 Apr 2025

Contributed by Lukas

Roseola infantum is a viral infection primarily affecting infants and young children, most commonly between the ages of 6 and 12 months. It accounts f...

Ep 149 – Raynaud’s phenomenon

27 Mar 2025

Contributed by Lukas

Raynaud's phenomenon is a relatively common condition seen in primary care (especially during the autumn and winter months) that is characterised by v...

Ep 148 – Sickle cell disease

20 Mar 2025

Contributed by Lukas

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 resul...

Ep 147 – Paronychia

13 Mar 2025

Contributed by Lukas

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...

Ep 146 – Asthma diagnosis and treatment: what's changed in the 2024 BTS, NICE and SIGN guideline?

06 Mar 2025

Contributed by Lukas

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...

Ep 145 – Gambling-related harms

27 Feb 2025

Contributed by Lukas

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 negat...

Ep 144 – Osteoporosis: key learnings from the NOGG 2024 clinical guideline

20 Feb 2025

Contributed by Lukas

The National Osteoporosis Guideline Group (NOGG) clinical guideline for osteoporosis was updated in December 2024. In this episode, Dr Hannah Rosa sha...

Ep 143 – Irritable bowel syndrome

13 Feb 2025

Contributed by Lukas

Irritable bowel syndrome (IBS) is a chronic condition characterised by abdominal pain associated with bowel dysfunction and is one of the most common ...

Ep 142 – Colorectal cancer

06 Feb 2025

Contributed by Lukas

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 ar...

Ep 141 – Hidradenitis suppurativa

30 Jan 2025

Contributed by Lukas

Hidradenitis suppurativa (HS) is a chronic inflammatory dermatosis that typically affects areas of pilosebaceous gland-containing skin. In HS, patient...

Ep 140 – Seasonal affective disorder

23 Jan 2025

Contributed by Lukas

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...

Ep 139 – Identification and treatment of perinatal mental health problems

16 Jan 2025

Contributed by Lukas

Perinatal mental health (PNMH) problems affect one in five women and one in ten men. They can present in several ways, including depression and anxiet...

Ep 138 – Morton's neuroma

09 Jan 2025

Contributed by Lukas

Morton’s neuroma is a common condition that results in forefoot pain. It is a condition that can often be diagnosed in primary care and managed with...

Ep 137 – Beyond baby blues: supporting mental health in parents and partners

02 Jan 2025

Contributed by Lukas

The 6–8-week postnatal check is a chance to better support mental health in new parents. In this second episode in a series on perinatal mental heal...

Ep 136 – Quiz of the year 2024

19 Dec 2024

Contributed by Lukas

In this episode, Dr Hannah Rosa invites you to join her in the first ever GPnotebook quiz of the year. The GPnotebook education team have been reflect...

Ep 135 – Tinnitus

12 Dec 2024

Contributed by Lukas

Tinnitus can be frustrating for both patients and clinicians as there is some misinformation and misunderstanding about its aetiology and treatment op...

Ep 134 – Prostate cancer

05 Dec 2024

Contributed by Lukas

One in six UK males will be diagnosed with prostate cancer in their lifetime. In the UK prostate cancer is the most common male cancer, with over 55,0...

133 – Syphilis

28 Nov 2024

Contributed by Lukas

Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. Known for its varied symptoms and potential to progress throu...

Ep 132 – Young people and alcohol

21 Nov 2024

Contributed by Lukas

In this episode, Dr Hannah Rosa reflects upon the changing relationship between young people and alcohol. She examines the latest statistics before di...

Ep 131 – Perinatal mental health: awareness, risks and impacts

14 Nov 2024

Contributed by Lukas

Perinatal mental health (PNMH) issues refer to the period from the point of conception to a child’s first birthday. It encompasses several different...

Ep 130 – Croup

07 Nov 2024

Contributed by Lukas

Croup is a respiratory condition typically affecting children, characterised by a distinctive barking cough, hoarseness and difficulty breathing. Caus...

Ep 129 – Acute appendicitis

31 Oct 2024

Contributed by Lukas

Acute appendicitis is a medical emergency characterised by the sudden onset of inflammation in the appendix. As one of the leading causes of abdominal...

Ep 128 – Mastalgia (breast pain)

24 Oct 2024

Contributed by Lukas

Breast pain affects around 70% of women at some point in their lives and is a common reason for referral to breast clinics. It is often a cause of anx...

Ep 127 – Fibromyalgia

17 Oct 2024

Contributed by Lukas

Fibromyalgia is a condition characterised by chronic widespread pain together with multiple muscular tender points or associated fatigue, sleep distur...

Ep 126 – Are we doing enough chest X-rays in primary care?

10 Oct 2024

Contributed by Lukas

In this episode, Dr Hannah Rosa reflects upon the poor lung cancer survival rates in the UK. She asks whether we are doing enough chest X-rays in prim...

Ep 125 – Generalised anxiety disorder

03 Oct 2024

Contributed by Lukas

Generalised anxiety disorder (GAD) is a common condition defined as chronic, excessive worry for at least 6 months that causes distress or impairment,...

Ep 124 – Ovarian cancer

26 Sep 2024

Contributed by Lukas

Ovarian cancer is a common female malignancy. Patients often present with vague, non-specific symptoms such as abdominal bloating, early satiety and d...

Ep 123 – Proprioception and sleep for children with additional needs

19 Sep 2024

Contributed by Lukas

In episode 121, care and consultations for children with additional needs, and how to help these children and their families, were discussed. In this ...

Ep 122 – Emollients: an overview

12 Sep 2024

Contributed by Lukas

Emollients are moisturisers that help soothe, hydrate and protect the skin by forming an occlusive barrier to lock in moisture. They are commonly used...

Ep 121 – Improving consultations for children with additional needs

05 Sep 2024

Contributed by Lukas

Many children have additional needs, and occupational therapy can play an important role in helping these children take part in everyday activities as...

Ep 120 – Echocardiography

29 Aug 2024

Contributed by Lukas

Echocardiography is an essential tool in a wide range of clinical scenarios. Appropriate use of an echocardiogram ("echo" scan) can improve clinical o...

Ep 119 – Goitre

22 Aug 2024

Contributed by Lukas

The term goitre refers to an abnormal enlargement of the thyroid gland, typically caused by iodine deficiency or autoimmune diseases such as Graves' d...

Ep 118 – Altitude medicine: the role of the expedition doctor

15 Aug 2024

Contributed by Lukas

Global travel offers many opportunities for adventure – but some come with medical considerations. An infrequent but important consultation is altit...

Ep 117 – Improving early diagnosis of type 2 diabetes: addressing the challenge of undiagnosed cases

08 Aug 2024

Contributed by Lukas

Undiagnosed type 2 diabetes is an increasing and concerning trend in the UK, particularly among Black and Asian ethnic groups and in areas of high dep...

Ep 116 – Transient loss of consciousness

01 Aug 2024

Contributed by Lukas

Transient loss of consciousness (TLoC) affects nearly half the population of the UK at some point in their lives and is not an uncommon presentation i...

Ep 115 – Polycystic ovary syndrome

25 Jul 2024

Contributed by Lukas

Polycystic ovary syndrome (PCOS) is the most common endocrinopathy in women of reproductive age, as well as being a major cause of infertility and pre...

Ep 114 – Erectile dysfunction

18 Jul 2024

Contributed by Lukas

In this episode, Dr Hannah Rosa discusses erectile dysfunction. Using the latest guidelines, this episode takes you through everything to consider whe...

Ep 113 – Vaping: an update

11 Jul 2024

Contributed by Lukas

Quitting smoking is the single most important thing a smoker can do to improve their health, and with the right combination of support, medication and...

Ep 112 – Acne: getting the management spot on

04 Jul 2024

Contributed by Lukas

In this episode, Dr Hannah Rosa discusses a condition that affects 95% of people aged 11–30 to some extent: acne. The 2021 NICE guideline on acne vu...

Ep 111 – Testicular torsion

27 Jun 2024

Contributed by Lukas

Testicular torsion is a urological emergency that usually affects young men, and a high index of suspicion is vital to ensure prompt diagnosis and man...

Ep 110 – Sexual violence (part 2)

20 Jun 2024

Contributed by Lukas

Disclosing sexual violence is a difficult and emotional prospect for a patient and the way a GP responds can set the course of that person’s journey...

Ep 109 – Hypothyroidism

13 Jun 2024

Contributed by Lukas

Hypothyroidism, or an underactive thyroid gland, is increasingly common as people get older, but it may often be undiagnosed or diagnosed late due to ...

Ep 108 – Restless leg syndrome

06 Jun 2024

Contributed by Lukas

Restless leg syndrome (RLS) is prevalent in around 5–10% of the population and can result in an impact on quality of life that is comparable to cond...

Ep 107 – Benign prostatic hyperplasia

30 May 2024

Contributed by Lukas

Benign prostatic hyperplasia (BPH) is an extremely common condition seen in clinical practice, and one which can cause considerable difficulties in ol...

Ep 106 – Sexual violence (part 1)

23 May 2024

Contributed by Lukas

Understanding sexual violence is vitally important in primary care. A GP may be the first (or only) individual spoken to by a person who has experienc...

Ep 105 – Empathy: who cares? Exploring empathy in health care

16 May 2024

Contributed by Lukas

In this episode, Dr Hannah Rosa discusses a topic which is at the heart of good clinical care: empathy. Research has shown that empathy decreases as m...