GPnotebook Podcast
Episodes
Ep 88 – Obsessive–compulsive disorder
18 Jan 2024
Contributed by Lukas
Obsessive–compulsive disorder (OCD) is a prevalent mental health condition characterised by persistent, intrusive thoughts (obsessions) and repetiti...
Ep 87 – Depression in adults
12 Jan 2024
Contributed by Lukas
NICE published its last guideline on depression in 2009. Since that time, the prevalence of depression has increased, especially among vulnerable adul...
Ep 86 – Inflammatory marker testing
15 Dec 2023
Contributed by Lukas
Many pathology tests are ordered unnecessarily in primary care and this can include testing for inflammatory markers. The most common examples of test...
Ep 85 – Hyperhidrosis
01 Dec 2023
Contributed by Lukas
Sweating is a crucial way to reduce our body temperature, such as when doing strenuous physical activity or when in a hot environment. Hyperhidrosis i...
Ep 84 – Testosterone deficiency
24 Nov 2023
Contributed by Lukas
Testosterone deficiency (TD) is an increasingly common problem with significant health implications, but the diagnosis and management of this conditio...
Ep 83 – Management of dry skin conditions in skin of colour
17 Nov 2023
Contributed by Lukas
Dry skin is an extremely common condition that occurs in all skin colours and ethnic groups; however, differences in skin colour can cause significant...
Ep 82 - Pityriasis capitis (dandruff)
03 Nov 2023
Contributed by Lukas
Although pityriasis capitis (dandruff) is not a serious medical condition, it causes significant embarrassment and self-esteem issues in many people w...
Ep 81 – Lyme disease
26 Oct 2023
Contributed by Lukas
Lyme disease can present a number of particular difficulties in primary care, and these are often linked to clinical findings and the availability and...
Ep 80 – Altitude medicine: heightening understanding of “travel consultations”
19 Oct 2023
Contributed by Lukas
With tourism having now rebounded from the declines during and after the coronavirus pandemic, our patients are once again travelling globally. But wh...
Ep 79 – Child mental health
02 Oct 2023
Contributed by Lukas
The number of young people struggling with anxiety and depression seems to be on the rise and resources to help these young people are increasingly st...
Ep 78 – The 6-week baby check
11 Sep 2023
Contributed by Lukas
In this episode, Dr Hannah Rosa is joined by Dr Shan, a GP colleague and father to Oscar, an 8-week-old baby. Together, they go through the 6-week bab...
Ep 77 – Recurrent urinary tract infection
16 Aug 2023
Contributed by Lukas
In this podcast, Dr Kate Chesterman discusses recurrent urinary tract infection (UTI). She covers the pathophysiology, some risk factors for UTI recur...
Ep 76 – Passing the test of testosterone replacement: menopause and hormone replacement therapy (part 2)
27 Jul 2023
Contributed by Lukas
In this follow-up to episode 52, Dr James Waldron and Mr Sam Dobson (Consultant Gynaecologist, Sub-specialist in Reproductive Medicine and BMS-accredi...
Ep 75 – Expedition medicine (part 2)
21 Jul 2023
Contributed by Lukas
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 interestin...
Ep 74 – Paediatric dietary allergy
10 May 2023
Contributed by Lukas
In this episode, Dr Kate Chesterman is joined by Dr Alex Brightwell (Consultant Paediatrician with a specialism in allergy) and Liz Ingham (Lead Paedi...
Ep 73 – Sexual abuse in children
28 Apr 2023
Contributed by Lukas
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...
Ep 72 – Back to basics: heart sounds and cardiac examination
21 Apr 2023
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2023, Dr Yassir Javaid (GP with a Specialist Interest in Cardiology) discusses a...
Ep 71 – Expedition medicine (part 1)
14 Apr 2023
Contributed by Lukas
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 interestin...
Ep 70 – Epicondylitis
31 Mar 2023
Contributed by Lukas
In this episode, Dr Roger Henderson discusses an approach to the assessment of epicondylitis. Elbow epicondylitis is more common than is often thought...
Ep 69 – Postnatal care: the maternal 6-week check
24 Mar 2023
Contributed by Lukas
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 exp...
Ep 68 – Vitamin D deficiency in adults
17 Mar 2023
Contributed by Lukas
Vitamin D is a fat-soluble vitamin that is essential for human health. It regulates calcium and phosphate homeostasis and is therefore vital for muscu...
Ep 67 – Actinic keratosis
10 Mar 2023
Contributed by Lukas
Actinic keratosis (AK) – also commonly known as solar keratosis – is a very common dermatological presentation in primary care, affecting large nu...
Ep 66 – Childhood constipation
03 Mar 2023
Contributed by Lukas
In this podcast, Dr Kate Chesterman discusses constipation in children. She takes us through the clinical features associated with idiopathic constipa...
Ep 65 – Obstructive sleep apnoea
24 Feb 2023
Contributed by Lukas
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 unt...
Ep 64 – Primary care dermatology: skin of colour
17 Feb 2023
Contributed by Lukas
In this episode, Dr James Waldron and Dr Thuva Amuthan (GP with an Extended Role in Dermatology) explore dermatological presentations, treatments and ...
Ep 63 – Domiciliary oxygen guidance
10 Feb 2023
Contributed by Lukas
Oxygen is essential for our survival and is a powerful medical drug. Treatment with oxygen increases blood oxygen levels and helps to reduce cardiovas...
Ep 62 – Cluster headaches
27 Jan 2023
Contributed by Lukas
In this podcast, Dr Kate Chesterman discusses cluster headaches. She talks through the clinical features that would lead to a diagnosis, the initial i...
Ep 61 – Autism
16 Jan 2023
Contributed by Lukas
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 ch...
Ep 60 – Chronic spontaneous urticaria
21 Dec 2022
Contributed by Lukas
Chronic spontaneous urticaria (CSU) is a common problem, often affecting younger people. It refers to chronic urticaria that has no obvious cause or t...
Ep 59 – Primary care dermatology: improving care by getting back to basics
08 Dec 2022
Contributed by Lukas
Dermatology is a vast subject and accounts for a significant proportion of the workload in general practice. Managing dermatological conditions can be...
Ep 58 – Hypertension management
11 Nov 2022
Contributed by Lukas
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 ...
Ep 57 – Malnutrition in people with chronic obstructive pulmonary disease
05 Oct 2022
Contributed by Lukas
Malnutrition can have significant adverse effects for patients with chronic obstructive pulmonary disease (COPD). In this podcast, Dr Kate Chesterman ...
Ep 56 – Dry skin and its impact on mental health
23 Sep 2022
Contributed by Lukas
Dry skin conditions are one of the commonest skin problems that present to primary care physicians, but their psychological impact and psychiatric com...
Ep 55 – Addressing vaccine hesitancy in primary care
12 Sep 2022
Contributed by Lukas
In 2019, vaccine hesitancy was listed as one the top ten threats to global health by the World Health Organization. In this episode, Dr Hannah Rosa ex...
Ep 54 – Ten practical tips for sustainability in primary care
19 Aug 2022
Contributed by Lukas
Back in 2009, the conclusion of the first Lancet Climate Change Commission was that “Climate change is the biggest global health threat of the 21st ...
Ep 53 – Management of insomnia
12 Aug 2022
Contributed by Lukas
In this episode, Dr Roger Henderson discusses the common problem of insomnia. He looks at what it is, how it is assessed, what causes it and ways of t...
Ep 52 – Menopause and hormone replacement therapy (part 1)
08 Aug 2022
Contributed by Lukas
Menopause and hormone replacement therapy (HRT) can be a source of anxiety for both patients and clinicians. Menopause is frequently in the media and ...
Ep 51 – E-cigarettes and vaping
28 Jul 2022
Contributed by Lukas
Using electronic cigarettes (e-cigarettes), or ‘vaping’, has become the most popular form of nicotine replacement therapy in the UK. In this podca...
Ep 50 – Post-sepsis syndrome
22 Jul 2022
Contributed by Lukas
In this podcast, Dr Kate Chesterman discusses post-sepsis syndrome. She talks about the long-term implications for physical and mental health followin...
Ep 49 – Heat exhaustion and heatstroke
15 Jul 2022
Contributed by Lukas
Heat-related illnesses are increasing as a result of climate change. In this episode, Dr Roger Henderson looks at various aspects of heat exhaustion a...
Ep 48 – Hay fever management
07 Jul 2022
Contributed by Lukas
In this episode, Dr Roger Henderson discusses the treatment pathway for people suffering from hay fever. This comprises options ranging from simple me...
Ep 47 – Prescribing medicines associated with dependence: how can NICE guideline NG215 support our practice?
03 May 2022
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2022, Dr Peter Bagshaw (Clinical Lead in Dementia and Mental Health, South Glos ...
Ep 46 – Heart valve disease in adults: an update from NICE
02 May 2022
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2022, Dr Rob Hampton (Portfolio GP, Leicestershire) and Dr Yassir Javaid (Cardio...
Ep 45 – Detecting and managing non-alcoholic fatty liver disease in type 2 diabetes
30 Apr 2022
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2022, Dr Steve Holmes (GP, Shepton Mallet and Clinical Respiratory Lead, NHS Eng...
Ep 44 – Latest thinking and evidence on chronic kidney disease
29 Apr 2022
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2022, Dr Yassir Javaid (Cardiovascular and Diabetes Lead, Northamptonshire CCG) ...
Ep 43 – Addressing health inequalities in cancer: the role of primary care
28 Apr 2022
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2022, Dr Anthony Cunliffe (Macmillan National Clinical Adviser for Primary Care)...
Ep 42 – The overlap between COPD and heart disease
27 Apr 2022
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2022, Dr Yassir Javaid (Cardiovascular and Diabetes Lead, Northamptonshire CCG) ...
Ep 41 – Emotional wellbeing and long-term conditions
20 Apr 2022
Contributed by Lukas
n this episode, which has been recorded for Chronic Conditions Month 2022, Dr Sarah Davies (GPwSI in Diabetes, Cardiff) and Dr Peter Bagshaw (Clinical...
Ep 40 – Identifying and supporting people with binge-eating disorder
25 Mar 2022
Contributed by Lukas
In this episode, Dr Kate Chesterman discusses binge-eating disorder. She explores the defining characteristics of the condition and highlights the imp...
Ep 39 – Early detection of cancer in primary care: what role for the Galleri test?
08 Mar 2022
Contributed by Lukas
In this episode, Dr Kevin Fernando and Dr Jim McMorran discuss the ongoing NHS-Galleri trial. The study, which is being conducted among 140,000 asympt...
Ep 38 – Undescended testes in infants
31 Jan 2022
Contributed by Lukas
In this episode, Dr Kate Chesterman discusses the finding of an undescended testicle at the 6-week baby check. She considers the possible diagnoses an...
Ep 37 – Identifying and managing familial hypercholesterolaemia
23 Dec 2021
Contributed by Lukas
In this episode, Dr Kevin Fernando considers the case of Juliana, a 43-year-old journalist who requests a cholesterol check because her father experie...
Ep 36 – Postoperative follow-up of people who have undergone bariatric surgery
10 Dec 2021
Contributed by Lukas
In this episode, Dr Kate Chesterman discusses the role of the primary care practitioner in the long-term follow-up of people who have undergone bariat...
Ep 35 – Subclinical hyperthyroidism in primary care
09 Nov 2021
Contributed by Lukas
In this episode, Dr Kevin Fernando discusses diagnostic and management tips – as well as pitfalls to avoid – related to subclinical hyperthyroidis...
Ep 34 – Urinary symptoms during pregnancy
13 Oct 2021
Contributed by Lukas
In this episode, Dr Kate Chesterman discusses the case of Lauren, a 32-year-old lady who is 30 weeks pregnant. Lauren presents with dysuria and increa...
Ep 33 – Superficial venous thrombosis in primary care
23 Sep 2021
Contributed by Lukas
In this episode, Kevin considers the diagnosis and management of superficial venous thrombosis. Lesley is a 64-year-old woman who presents to us with ...
Ep 32 – Gynaecomastia: investigation and management in primary care
03 Sep 2021
Contributed by Lukas
In this episode, Kate discusses gynaecomastia and its investigation and management in primary care. She talks us through an infographic produced by Th...
Ep 31 – Diagnosing and managing Addison’s disease in primary care
13 Aug 2021
Contributed by Lukas
In this episode, Kevin discusses the case of Louise, a 19-year-old who has been living with type 1 diabetes for the last 12 years and hypothyroidism f...
Ep 30 – Opioids and musculoskeletal pain
05 May 2021
Contributed by Lukas
n this episode, which has been recorded for Chronic Conditions Month 2021, Dr Peter Bagshaw (Clinical Lead in Dementia and Mental Health, South Glouce...
Ep 29 – Investigations for chronic kidney disease in primary care
04 May 2021
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2021, Dr Yassir Javaid (Cardiovascular and Diabetes Clinical Lead, Nene CCG) and...
Ep 28 – Mental health implications of the COVID-19 pandemic
02 May 2021
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2021, Dr Steve Holmes (Clinical Respiratory Lead for NHS Somserset) and Dr Peter...
Ep 27 – Managing cancer in the primary care setting
30 Apr 2021
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2021, Dr Steve Holmes (Clinical Respiratory Lead for NHS Somserset) and Dr Antho...
Ep 26 – Severe mental illness and diabetes
28 Apr 2021
Contributed by Lukas
In this episode, which has been recorded for Chronic Conditions Month 2021, Dr Peter Bagshaw (Clinical Lead in Dementia and Mental Health, South Glouc...
Ep 25 – Palpitations: when to worry, and what is the interplay with mental illness?
23 Apr 2021
Contributed by Lukas
In this epsiode, which has been recorded for Chronic Conditions Month 2021, Dr Peter Bagshaw (Clinical Lead in Dementia and Mental Health, South Glouc...
Ep 24 – Key considerations when prescribing steroids
20 Apr 2021
Contributed by Lukas
Steroids are prescribed for a range of health conditions. In this podcast, which has been recorded for Chronic Conditions Month 2021, Dr Steve Holmes ...
Ep 23 – Non-blanching rash in children
09 Apr 2021
Contributed by Lukas
In her first podcast for GPnotebook, Dr Kate Chesterman discusses new evidence on the management of children with non-blanching rashes with Dr Edward ...
Ep 22 – Diagnosis and management of vertigo in primary care
01 Feb 2021
Contributed by Lukas
In this episode, Kevin Fernando discusses the case of Lyndsey: a 44-year-old lady who presents to us in primary care with recurrent dizzy episodes ove...
Ep 21 – Managing unexplained high platelet counts in primary care
17 Dec 2020
Contributed by Lukas
In this episode, Dr Kevin Fernando discusses thrombocytosis in the context of suspected cancer. How should an unexplained high platelet count be inter...
Ep 20 – Management of non-visible haematuria (microscopic haematuria) in primary care
01 Dec 2020
Contributed by Lukas
In this episode, Dr Kevin Fernando looks at common questions around non-visible haematuria (NVH) – the condition formerly known as microscopic haema...
Ep 19 – Investigating vitamin B12 deficiency and pernicious anaemia in primary care
22 Oct 2020
Contributed by Lukas
In this episode, Kevin examines some common questions regarding vitamin B12 deficiency. In whom should we suspect it? What investigations should be ca...
Ep 18 – Managing the risk of drug-induced QT prolongation in primary care
08 Oct 2020
Contributed by Lukas
In the first episode in a new season of the podcast, Kevin discusses helpful guidance on the corrected QT interval in the context of primary care pres...
Ep 17 – Diabetes special: round-up from the ADA 2020 virtual congress
25 Jun 2020
Contributed by Lukas
Kevin is joined by Drs Patrick Holmes, Amrit Lamba and Amar Puttanna to discuss the key take-home points from last week’s American Diabetes Associat...
Ep 16 – Diabetes and COVID-19 related mortality in England: an interview with Partha Kar
26 May 2020
Contributed by Lukas
Kevin discusses the findings of NHS research on COVID-19 in people with diabetes with study author Professor Partha Kar, National Specialty Advisor –...
Ep 15 – Sick day guidance for diabetes drugs and the management of hypoglycaemia
15 May 2020
Contributed by Lukas
In the first episode in a new season of the podcast, Kevin discusses helpful guidance on the corrected QT interval in the context of primary care pres...
Ep 14 – Primary adrenal insufficiency, long-term steroid use and COVID-19 infection
01 May 2020
Contributed by Lukas
Kevin discusses some helpful and important clinical guidance on the prevention of adrenal crisis during the pandemic. Notably, this includes not only ...
Ep 13 – Effective contraception provision during the COVID-19 pandemic
22 Apr 2020
Contributed by Lukas
Kevin summarises recommendations from the Faculty of Sexual and Reproductive Healthcare to help support women with contraceptive requirements as prima...
Ep 12 – Vitamin B12 supplementation during the COVID-19 pandemic
17 Apr 2020
Contributed by Lukas
Kevin covers recently updated guidance from the British Society for Haematology on managing vitamin B12 supplementation in primary care within the con...
Ep 11 – British Society for Rheumatology guidance, DMARDs, steroid therapy and COVID-19
06 Apr 2020
Contributed by Lukas
Kevin covers helpful BSR guidance including a risk stratification and scoring grid for those with rheumatological conditions who are receiving immunos...
Ep 10 – COVID-19: could nasal irrigation reduce transmission, and is there a role for anosmia in screening?
31 Mar 2020
Contributed by Lukas
Kevin discusses evidence-based practical advice to potentially reduce transmission of coronavirus, in the form of nasal irrigation and gargling with s...
Ep 9 – Tips and hacks on diagnosing and managing osteoporosis in primary care
21 Feb 2020
Contributed by Lukas
Kevin considers the challenges related to managing osteoporosis in the context of conflicting clinical guidelines, including who to assess for fractur...
Ep 8 – Tips and hacks on the diagnosing & management of gout in primary care
17 Feb 2020
Contributed by Lukas
Dr Kevin Fernando explains why the thinking around gout needs to change, along with common questions in relation to its management in primary care. Wh...
Ep 7 – Appropriate use and safety profile of SGLT2 inhibitors
20 Jan 2020
Contributed by Lukas
Dr Kevin Fernando provides a practical overview of the utility of sodium–glucose cotransporter 2 inhibitors, focusing on dosing, cardiovascular and ...
Ep 6 – Top 10 tips and hacks from GPnotebook Clinics 2019
11 Dec 2019
Contributed by Lukas
Have your notebooks at the ready as Dr Kevin Fernando rounds off 2019 with tips on topical oestrogen, mirtazapine prescribing, symptoms associated wit...
Ep 5 – Tips and hacks on the use of ESR & CRP in primary care
04 Dec 2019
Contributed by Lukas
Dr Kevin Fernando considers the optimal use of these tests: can we reduce unecessary testing, unecessary referrals and primary care workload?Access ep...
Ep 4 – Tips and hacks on managing hypertension in primary care including NICE NG136 key messages
26 Nov 2019
Contributed by Lukas
Dr Kevin Fernando summarises the key points for primary care from the NICE guideline update.Access episode show notes containing key references and ta...
Ep 3 – Obstructive sleep apnoea in children
19 Nov 2019
Contributed by Lukas
Dr Kevin Fernando discusses detection and management of the condition in primary care, including how presentation in children differs from that in adu...
Ep 2 – Diagnostic dilemmas and classification conundrums in diabetes
13 Nov 2019
Contributed by Lukas
Dr Kevin Fernando takes us through brief case scenarios to illustrate diagnostic tips and pitfalls in primary care.Access episode show notes containin...
Ep 1 – Abnormal liver blood test
11 Nov 2019
Contributed by Lukas
Kevin discusses interpretation and management of mildly abnormal liver blood tests in primary care. What are the possible causes? And what should the ...