Shows
First IncisionPathophysiology Exam Quiz - sepsis and critical care, nutrition, skin and soft tissue, trauma, vascular and abdominal compartment syndromeThis episode is number 3 in our series of pathophysiology quiz episodes.We cover pathophysiology topics from the following modules:- sepsis and critical care- nutrition- skin and soft tissue- trauma- vascular, and - abdominal compartment syndromeDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener s...
2022-08-1650 minFirst IncisionPathophysiology Exam Quiz - UGI, Breast, Colorectal, Emergency and Head and NeckThis episode is number 2 in our series of pathophysiology quiz episodes.We cover pathophysiology topics from the following modules:- Upper GI- Breast- Colorectal- Emergency- Head and NeckDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis...
2022-08-0945 minFirst IncisionPathophysiology Exam Quiz - Endocrine, Small Bowel, Bariatric and HPBAfter the success of our Genetic Syndrome's Quiz episode, we bring you the first in a series of Pathophysiology quiz episodes!This episode is in a question and answer format - where I ask a question and give you time to think of the answer before giving it to you.We cover a variety of pathophysiology questions from the endocrine, small bowel, bariatric and hepatobiliary modules from the general surgery curriculum. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.
2022-08-0151 minFirst IncisionCritically Ill Surgical Patient: Sepsis, Shock, SIRS, MODSAfter a short hiatus First Incision is back!This episode goes through the definitions of all the conditions which may affect our critically ill surgical patients. It also goes through the pathophysiology of these conditions.We finish off by talking a little bit about some of the medications that may be used by the ICU for these critically ill patients.In my exam pathophysiology VIVA they asked me what the definition and diagnostic criteria for sepsis were so this is definitely examinable!DisclaimerThe information in this podcast is...
2022-07-2525 minFirst IncisionSurgical Oncology - Genetic Syndromes Exam QuizHi everyone! We're trying something different this week with a new format for the podcast.This episode covers a range of genetic syndromes that we need to know for the exam. The format is a 'call and respond' or 'question-answer' type format where I ask a question and give you a chance to see if you know the answer before telling you myself!You might find this useful in the few months leading up to the exam to practice recalling answers, and to identify what you've forgotten and what has stuck.Let me know what...
2022-07-0450 minFirst IncisionExam Recap with Ben FinlaySpoiler alert - We Passed! In this week's episode we reflect on the exam and the whole process of preparation for and actually sitting the exam. We are joined by Ben Finlay (circa the trauma podcasts) to share his experience as well! We discuss:- exam preparation- study group- tutorials and other resources- the written exam- the viva exam- practicalities from travelling for the exam and how we structured our leave, to timing for the written questions- the exam ceremony and life p...
2022-06-2757 minFirst IncisionRetroperitoneal Sarcoma Featuring Julie HowleThis week's episode covers retroperitoneal sarcoma. Another difficult sarcoma topic most trainees wouldn't see during their training. This episode covers the presentation, subtypes, workup and management of these tumours. It also features a discussion with Dr Julie Howle, a medical oncologist from Westmead Hospital who has been so helpful discussing many difficult surgical oncology topics with us. I hope you enjoy this episode and learn as much as I did! DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.
2022-06-2031 minFirst IncisionSoft Tissue Sarcoma Featuring Julie HowleThis week's episode covers everything we need to know about soft tissue sarcomas.There are so many sarcomas it can feel a bit overwhelming, so this episode breaks it down into what we need to know as general surgeons, and for the exam. It features some of my discussions on this topic with the incredible Dr Julie Howle - a surgical oncologist from Westmead Hospital in Sydney.In particular we cover:- soft tissue sarcoma subtypes, presentation, workup, and management- when to investigate a lipoma (which could be an atypical lipomatous tumour)
2022-06-1353 minFirst IncisionAnatomy of the popliteal fossa and legThis week's episode finishes our series on limb anatomy!This is an area of anatomy which is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes covered the anatomy and also the clinically and surgically relevant anatomy for each area.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or...
2022-06-0628 minFirst IncisionAnatomy of the thigh and gluteal regionThis week's episode continues our series on limb anatomy.This is an area of anatomy which is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes aim to cover the anatomy and also the clinically and surgically relevant anatomy for each area.Also happy birthday to me! :)DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations...
2022-05-3039 minFirst IncisionAnatomy of the wrist, carpal tunnel and handThis week's episode completes the upper limb component of our series on limb anatomy.Limb anatomy is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes aim to cover the anatomy and also the clinically and surgically relevant anatomy for each area.Good Luck to everyone sitting their clinical VIVA exams this week! DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to b...
2022-05-2329 minFirst IncisionAnatomy of the forearm and cubital fossaThis week's episode is the second in our series on limb anatomy.This week we cover the anatomy of the forearm and cubital fossa.This is an area of anatomy which is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes aim to cover the anatomy and also the clinically and surgically relevant anatomy for each area.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information...
2022-05-1629 minFirst IncisionAnatomy of the shoulder, brachial plexus and armThis week's episode kicks off a series on limb anatomy.This is an area of anatomy which is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes aim to cover the anatomy and also the clinically and surgically relevant anatomy for each area.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author...
2022-05-0934 minFirst IncisionAneurysmal DiseaseThis episode covers the topic of aneurysmal disease from the vascular module of the general surgical curriculum.We cover:- definition- classification- pathogenesis- risk factors- natural history focussing on abdominal aortic aneurysms- management DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct...
2022-05-0222 minFirst IncisionDiabetic FootThis episode covers what we need to know about the diabetic foot - a favourite topic for the general surgical exam. - background- pathophysiology - workup and important factors to consider- classification systems - management - some information about charcot neuroarthropathy DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. T...
2022-04-2518 minFirst IncisionVenous diseaseThis week's episode covers the topic of venous disease. This includes varicose veins and venous hypertension (chronic venous insufficiency).- the epidemiology- anatomy of lower limb veins- pathophysiology of chronic venous htn and the consequences of this disease (haemosiderin deposition, lipodermatosclerosis and venous eczema)- classification systems- risk factors- presentation - workup- management DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be...
2022-04-1832 minFirst IncisionAcute Limb IschaemiaThis episode covers everything we need to know about acute limb ischaemia. - definition- aetiology- risk factors- severity assessment- pathophysiology- presentation- workup- managementIncluding how to perform embolectomy and fasciotomy DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should c...
2022-04-1128 minFirst IncisionChronic Limb IschaemiaThis week's episode starts us off with the vascular module of the general surgical curriculum.We cover chronic limb ischaemia, also known as chronic arterial disease. - definition- presentation- pathophysiology - risk factors- the rutherford classification - workup - severity classifications- management DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the a...
2022-04-0445 minFirst IncisionHyperhidrosis and Hidraadenitis SuppurativaThis week's episode covers the sweat-gland related pathologies covered in the skin and soft tissue module:Starting with anatomy of the sweat glands and the autonomic nervous system.Hyperhydrosis including- presentation- primary and secondary causes- managementHydraadenitis Suppurativa- presentation- pathophysiology- diagnosis- classification- managementDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include...
2022-03-2923 minFirst IncisionBasal Cell CarcinomaThis week's episode covers everything you need to know about basal cell carcinoma including- presentation- risk factors- histological subtypes- poor prognostic factors- management including topical treatments, surgery, radiotherapy and targeted treatmentsDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their...
2022-03-2212 minFirst IncisionSquamous Cell CarcinomaThis week's episode covers everything you need to know about cutaneous squamous cell carcinoma.- presentation- risk factors- premalignant lesions- histopathology- workup and when to stage- grading- TNM staging- poor prognostic markers - management including topical treatments, surgery, radiotherapy, systemic treatments and nodal treatmentDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations...
2022-03-1423 minFirst IncisionMerkel Cell Carcinoma feat. Julie HowleThis week's episode covers the topic of Merkel Cell Carcinoma - a favourite question in the exam. We have added the discussion we had with Dr Julie Howle onto the end of this episode. Dr Howle a surgical oncologist from Westmead Hospital who has an interest in these rare cancers.We cover:- background- risk factors- pathogenesis- presentation- diagnosis- staging- histopathology- and management DisclaimerThe information in this podcast is intended as a revision aid for the pu...
2022-03-0720 minFirst IncisionGuest Episode on Melanoma with Julie HowleThis week's episode welcomes our guest Dr Julie Howle who is a surgical oncologist from Westmead Hospital in Sydney.We cover a wide range of topics related to management of melanoma including:- precursor lesions- whether ulceration relates to the clinical or histopathological diagnosis of ulceration- when to perform systemic staging for melanoma- management of in-transit and satellite lesions including whether you need do a sentinel lymph node biopsy if these are present- sentinel lymph node biopsy - the role of isolated limb infusion and perfusion in...
2022-02-2845 minFirst IncisionManagement of MelanomaThis week's episode continues on from last week to discuss the management of MelanomaThis episode covers:- wide local excision and the surgical margin- lymph node biopsy and when to perform it, as well as a summary of the MSLT 1 and MSLT2 trials- the role of lymphadenectomy - the role of radiotherapy in melanoma- systemic therapy including the targeted therapies (BRAF and MEK inhibitors), and immunotherapies (Anti-PD1, Anti-PD-L1, and CTLA-4)- when to give adjuvant treatment- management of in-transit and satellite lesions and some information...
2022-02-2139 minFirst IncisionIntroduction to MelanomaThis week's episode introduces us to the topic of melanoma We cover: - Risk factors- Precursor lesions- Histopathology and important histopathological features related to poor prognosis - Melanoma types and their appearance including superficial spreading, nodular, lentigo maligna melanoma, acral lentiginous, and desmoplastic - Workup including excisional biopsy and when to stage patients- Staging with AJCC 8th edition TNM staging classification - When to perform sentinel lymph node biopsy and lymph node dissection Keep an eye out for next week's episode where we talk about...
2022-02-1432 minFirst IncisionIntroduction to SkinThis week's episode introduces us to the topic of 'skin'. I know it seems weird that I would do an episode just on this but bear with me! The topics covered include:- the function of the skin as an organ- histopathology of the layers of the skin- Fitzpatrick skin types- history and examination of a skin lesions- principles and pathophysiology of flaps and grafts- topical treatments for skins cancersEverything we need before taking a deep dive into skin cancers in the coming weeks!
2022-02-0724 minFirst IncisionTopical Haemostatic Agents and AnticoagulantsThis week's episode covers the useful topics of topical haemostatic agents and anticoagulants.We discuss principles of haemostasis, the coagulation cascade, how topical haemostatic agents work, the different classes and when to use them. We also cover anticoagulants, the different types, how they work, when to stop them before surgery and how to reverse them if you need to quickly!Great high yield topics for the exam.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam....
2022-01-3127 minFirst IncisionBurns, Blasts, and Extremity Compartment SyndromeThis week's episode is co-hosted by Ben Finlay. We cover a wide range of topics including:Burns- initial resuscitation including the parkland formula - assessment of depth and extent of burns (rule of nines- burns management- frostbite Blast injuries- pathophysiology - managementExtremity compartment syndrome and how to perform fasciotomyThe blast injury talk Ben mentioned was from the recent GSA trainees day and is accessible for general surgical trainees through the GSA website. Go to 'educational webcasts', '2021 Virtual...
2022-01-2451 minFirst IncisionHollow Viscus and Pelvic TraumaThis week's trauma episode is presented with our guest host Ben Finlay.We cover hollow viscus injuries including:- gastric- duodenal- small bowel- colonic, and- rectal injuriesWe also cover pelvic trauma including:- pelvic fractures and the Young and Burgess classification - pelvic bleeding management including how to perform preperitoneal pelvic packing- bladder injuries, and - ureteric injuries including how to do a retrograde urethrogramDisclaimerThe information in this podcast is intended as a...
2022-01-1740 minFirst IncisionAbdominal Trauma - solid organ and retroperitonealThis week's episode welcomes back Ben Finlay to help present abdominal trauma.We go through:- trauma laparotomy- liver trauma- splenic trauma- pancreatic trauma- renal trauma - and retroperitoneal haematomas and what to do with them!Special mentions include how to do right and left medial visceral rotations, and some operative decision making that will be super high yield for the exam.The ANZAST (Australian and New Zealand Association for the Surgery of Trauma) has some great recordings from their grand rounds available on...
2022-01-101h 01First IncisionNeck TraumaThis episode explores blunt and penetrating neck trauma with special guest Ben Finlay.We discuss:Blunt cerebrovascular injury including:- the grading system- Denver screening criteria- diagnosis - managementPenetraing neck trauma- zones of the neck- hard and soft signs of vascular and aerodigestive tract injuries- approaches to management including the 'zonal approach' and 'no-zone' approach- exposures of zone I, II and II injuries- repair of carotid and aerodigestive tract injuries- the dreaded exposure of subclavian injuries
2022-01-0449 minFirst IncisionIntroduction to TraumaThis week's episode introduces us to some concepts in trauma with our new guest host Ben Finlay!We cover a wide range of topics including:- Primary and secondary survey- Trauma adjuncts - Fast exam- Pathophysiology of trauma and shock- Massive transfusion protocol- Principles of damage control surgery and resuscitation- Teg and ROTEMAnd more!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is...
2021-12-2747 minFirst IncisionGuest Episode on Operative HPB with Michael CrawfordThis week's guest episode features Dr Michael Crawford who is a hepatobiliary, hernia and liver transplant surgeon from Sydney.We cover a wide range of operative topics including:How to perform gastroenterostomyDifficult laparoscopic cholecystectomy- Features preoperatively that make you suspicious it will be difficult- Mirrizi syndrome- Bail out options for difficult gallbladder including subtotal cholecystectomy- Bile duct injury and how to avoid it.- We talked about this video of a bile duct injury that was circulated online last week. This video can be viewed at: https://www.yout...
2021-12-201h 05First IncisionGuest Episode with Laurence WebberThis week's guest episode is with Dr Laurence Webber, a hepatobiliary surgeon from Western Australia.We cover a wide range of topics including:Practicalities of post-fellowship exam life including:- Pathways in surgical training - How to get a job after surgical training00:00 - 00:25 minsClinical topics including:Colorectal liver metastases:- What to do with disappearing liver metastases- Chemotherapy- Liver first?- Liver remnant and functional assessment- Criteria of when to resectMRI liver and when to use gadolinium a...
2021-12-131h 26First IncisionGenetic Endocrine DisordersThis episode has everything you need to know about genetic conditions that predispose to endocrine tumours. We cover:- Multiple endocrine noeplasia (MEN) type 1- MEN types 2a and 2b- SDH syndromes- Von Hippel-Lindau Syndrome- Neurofibromatosis type I (and brief mention about type 2)- Hyperparathyroidism-jaw tumour syndromeDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the...
2021-12-0630 minFirst IncisionThe Adrenal Gland: incidentalomas, cancers, and functional tumoursThis episode looks at the adrenal gland:- adrenal incidentalomas- the important questions to ask about adrenal lesions - is it cancer and is it functional? - workup of adrenal lesions- functional tests for corticosteroid hypersecretion (cushing's), catecholamine hypersecretion (pheochromocytoma), primary hyperaldosteronisms (Conn's syndrome) and sex hormone excess- screening, confirmatory and localisation tests for functional lesions- imaging characteristics of malignant versus benign lesions- preoperative optimization of functional tumours- management of adrenal lesions DisclaimerThe information in this podcast is intended a...
2021-11-2950 minFirst IncisionPancreatic Neuroendocrine TumoursThis episode covers everything you need to know about pancreatic neuroendocrine tumours- what they are- classification into functional and non-functional- risk factors and associated genetic syndromes- the different types of functional tumours, how they present and their biochemical testing- how to image localise and stage these tumours- WHO grading and TNM staging - management including which ones are suitable for surveillance, surgery, management of unresectable or metastatic disease, and medical management of the functional syndromes- surveillanceDisclaimerThe information...
2021-11-2246 minFirst IncisionHyperparathyroidism and calcium homeostasisThis episode covers a range of topics related to calcium:- pathophysiology of calcium homeostasis - causes of hypercalcaemia- workup of hypercalcaemia- presentation including symptoms and signs of hypercalcaemia- primary, secondary and tertiary hyperparathyroidism- diagnostic tests for diagnosis of primary hyperparathyroidism- imaging modalities to localise parathyroid adenomas- medical and surgical management of hyperparathyroidism and hypercalcaemia- and management of postoperative hypocalcaemiaDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General...
2021-11-1548 minFirst IncisionThyroid Cancer ManagementThis episode follows on from last week's episode on thyroid nodules and an introduction to thyroid cancer. We cover:- surgery for thyroid cancer- what to do with the lymph nodes- tumour markers (calcitonin, thyroglobulin and anti-Tg antibodies)- risk stratification- radioactive iodine- TSH suppression with thyroxine therapy- treatment of recurrent and palliative disease DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not...
2021-11-0836 minFirst IncisionThyroid Nodules and Introduction to Thyroid CancerThis episode covers the presentation and workup of thyroid nodules. It includes a targeted history, examination, blood tests, and imaging modalities. We also discuss the TI-RADS reporting system for thyroid nodule ultrasound scanning, and the Bethesda classification of thyroid FNA cytology.The end of this episode introduces us to the different types of thyroid cancer including- papillary- follicular- medullary- anaplastic- lymphomaAnd summaries the different types, what differentiates them from each other, and a short summary on the management of anaplastic thyroid cancer and lymphoma....
2021-11-0142 minFirst IncisionThyroid - physiology, hyper and hypothyroidism, thyroid function tests, thyroiditis and thyrotoxicosisThis week's episode kicks off the endocrine content with the thyroid. In this episode we cover:- Physiology of thyroid hormone and iodine metabolism- Hyper and hypothyroidism- Interpreting thyroid function tests - Thyroiditis, covering: hashimoto's subacute, reidel's, postpartum, radiation and amiodarone thyroiditis- Thyrotoxicosis, covering: grave’s disease including thyroid eye disease, the toxic multinodular goitre, toxic adenoma/toxic solitary nodule, and amiodarone thyroiditisDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This inf...
2021-10-2536 minFirst IncisionEndocrine Anatomy and EmbryologyHi everyone! It's time to change tack and tackle the endocrine module from our curriculum.I have a feeling this will be a wild, feedback-cycle kind of ride, so let's ease ourselves into it with the anatomy and embryology of our favourite endocrine organs: the thyroid, parathyroids and adrenal glands.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or...
2021-10-1825 minFirst IncisionChronic Liver Failure and Perioperative ManagementThis week's episode covers chronic liver failure:- the causes- pathophysiology of what actually happens when the liver fails- diagnosis of chronic liver disease and cirrhosis- portal hypertension diagnosis and management- grading classification systems (Child-Pugh-Turcott and MELD scoring)- the perioperative management of a patient with chronic liver diseaseDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical...
2021-10-1143 minFirst IncisionLiver InfectionsThis week's episode covers liver infections, including pyogenic liver abscesses, hydatid cysts, amoebic abscesses and other rarer types of liver infections.We discuss the pathophysiology, lifecycle of the hydatid parasite, microbiology, diagnosis and treatment of these infections.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis...
2021-10-0436 minFirst IncisionSpleenThis week's episode covers all surgical topics related to the spleen:- anatomy- embryology- pathophysiology and function- all the things that can go wrong with the spleen including infections, cysts, splenomegaly, neoplastic conditions (primary and secondary), haematological disorders, congestive disorders, immunological disorders and trauma.- surgery for spleens including laparoscopic and open splenectomy- OPSI (overwhelming post-splenectomy infections)- splenic artery aneurysmsDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is n...
2021-09-2843 minFirst IncisionChronic PancreatitisThis week's episode covers chronic pancreatitis- what is it- risk factors- pathophysiology of it's aetiology and complications- how it presents- diagnosis- imaging findings- complications- and managementDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon...
2021-09-2125 minFirst IncisionAcute PancreatitisThis episode covers acute pancreatitis.- risk factors- aetiology- pathophysiology (a beloved question in the exam)- workup- severity classification (including the apache score, modified glasgow critiera, ranson's criteria, IAP/APA guidelines, and revised Atlanta classification)- radiological classification (revised Atlanta) and radiological severity classification systems- management of pancreatitis--- including acute management which addresses fluid resuscitation, nutrition, ERCP, as well as when to do the lap chole.--- and management of complications including how to do a cystgastrostomy, how to manage pancreatic necrosis, and more!
2021-09-1351 minFirst IncisionPancreatic CancerThis episode covers pancreatic cancer. Topics discussed include:- risk factors- familial pancreatic cancer syndromes- pathophysiology- presentation- workup- staging- and treatment including chemotherapy, radiotherapy, surgery and palliative approachesDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their...
2021-09-0648 minFirst IncisionLiver Metastases and Liver SurgeryThis episode delves into liver metastases and liver surgery. We discuss both colorectal and non-colorectal liver metastasesFor colorectal liver metastases we cover:- epidemiology- how they are diagnosed and how to work them up- medical treatment including chemotherapy both neoadjuvantly and adjuvantly- the decision making on who to operate on, and the treatment sequence when considering the colorectal primary- other liver targeted treatmentsWe talk about liver surgery including:- preoperative considerations such as the future liver remnant quality and quantity to prevent postoperative...
2021-08-3044 minFirst IncisionLaparoscopic Cholecystectomy and Intraoperative PitfallsThis week's operative episode covers laparoscopic cholecystectomy, and some of the intraoperative pitfalls they might throw your way in the exam.Topics covered, how to avoid them, and how to deal with them if they happen include every way your day can go from bad to worse when doing a laparoscopic cholecystectomy:- bleeding (hepatic artery, portal vein, middle hepatic vein)- anatomical variations- ureteric catheter not flushing- the 'difficult' gallbladder'- the dreaded bile duct injury- common bile duct stones and how to do a transcystic laparoscopic...
2021-08-2348 minFirst IncisionGuest Episode on Maximising Exam Performance with Sarah DaltonWe're taking a break this week from the HPB module to talk about the exam. Specifically how to manage your stress and maximise your performance in this awesome discussion with Dr Sarah Dalton. Dr Dalton is a performance coach and works with trainees on how to use the power of their mindset and thinking to overcome the issues we all face leading up to these sorts of exams.I really enjoyed our discussion and hope you get something out of this episode that helps you as well!This is the 'ABC Conversations' podcast episode we kept...
2021-08-1638 minFirst IncisionHepatocellular CarcinomaThis episode covers hepatocellular carcinoma (HCC). Topics covered include: - Epidemiology- Risk factors- Presentation- Surveillance- Histopathology including of pre-neoplastic / precursor lesions such as microscopic dysplastic foci and macroscopic dysplastic nodules- Diagnosis and imaging (including LIRADS)- Staging (TNM and Barcelona Clinic Liver Cancer Staging System)- Treatment options- Follow-up- and PrognosisHappy studying!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam....
2021-08-0944 minFirst IncisionNon-Malignant Liver LesionsEver wanted to know how to differentiate all the different types of non-malignant liver lesions? Us too! Don't fret - this is the episode for you!It covers:- liver cysts- focal nodular hyperplasia- hepatocellular adenomas- haemangiomasAnd more!Learn what they are, how to diagnose them and differentiate them on imaging, and what to do with them on this episode of First Incision. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General...
2021-08-0235 minFirst IncisionBenign Biliary Strictures and Choledochal CystsThis episode briefly covers the various causes of benign biliary strictures. This includes:Iatrogenic causes- Bile duct injuries at cholecystectomy- Trauma, post-liver transplant, and hepaticojejunostomyGallstone related- Mirrizi syndromeInflammatory causes- Primary Sclerosing Cholangitis- Parasitic infections including liver flukes, echinococcus and roundworm- HIV/AIDS-associated cholangiopathy- IgG4 related cholangiopathyCongenital- Biliary atresia- Choledochal cystsDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery...
2021-07-2633 minFirst IncisionCholangiocarcinomaThis episode covers cholangiocarcinoma:- the different types (intrahepatic, hilar and distal bile duct)- classification systems (Bismuth, TNM)- risk factors- presentation- imaging / workup- features of operability- management: including, operative, medical, interventional and palliativeDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should...
2021-07-2027 minFirst IncisionPancreatic Cystic NeoplasmsThis episode covers pancreatic cystic neoplasms including:Neoplastic mucinous cystic lesions- Intraductal papillary mucinous neoplasms (IPMNs)- Mucinous cystic neoplasms (MCNs)Neoplastic non-mucinous cystic lesions- Serous cystic neoplasms / serous cystadenomas- Solid pseudopapillary neoplasmsWe cover their workup, radiological appearance, demographic information, FNA results, likely cytology and management of these lesionsWe also briefly mention non-neoplastic cystic lesions including simple cysts and pseudocysts, as well as the potential that ductal adenocarcinomas and neuroendocrine tumours have to have cystic degeneration....
2021-07-1323 minFirst IncisionGallbladder adenomyomatosis, polyps and cancerThis week's episode covers three gallbladder pathologies from the hepatobiliary module of the curriculum: - gallbladder adenomyomatosis- gallbladder polypsand - gallbladder cancerThis episode covers the histopathology, pathophysiology, imaging findings, and what to do when you suspect gallbladder cancer preoperatively, intraoperatively and post-operatively.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any...
2021-07-0632 minFirst IncisionHepatobiliary and Pancreatic Anatomy, Embryology and VariationsWelcome to the first episode of our new season! Moving onto hepatobiliary and pancreatic topics. This week we talk about liver, biliary and pancreatic anatomy, embryology and clinically important variations. Enjoy!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information...
2021-06-2833 minFirst IncisionColitisThis episode covers everything COLITIS!- infectious colitis - including a quick touch on common infectious causes and how to treat them- pseudomembranous colitis and clostridium difficile infection- diverticulitis in all it's glory - be prepared for some pathophysiology, classification systems (Hinchey I'm looking at you), and discussion about treatment- and to round them off we take a look at ischaemic colitis!If you want to learn more about ischaemic colitis - feel free to read this awesome review article (by yours truly): Ischaemic colitis: uncertainty in diagnosis, pathophysiology and...
2021-06-2132 minFirst IncisionVolvulus and Pilonidal DiseaseThis week's mismatched topics (brought to you by boredom and Melbourne's 4th COVID lockdown) are:- Volvulus: including sigmoid and caecal volvulus. What are they, how do they present, and how do we treat them? AND- Pilonidal disease: what is it, pathophysiology, how it can present, how it is managed, and some operative steps for a Karydakis / Modified Bascom operation.Thanks for the suggestion of the website pilonidal.org! It's a great resource to send your patients to and has some great resources for surgeons as well. Can recommend checking it out.
2021-06-1426 minFirst IncisionPerianal Fistulas and HaemorrhoidsFinishing off the perianal content for the colorectal module with perianal fistula and hemorrhoids. Everything you ever wanted to know about all the classification systems, treatment options, and some operative descriptions for these conditions.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in t...
2021-06-0734 minFirst IncisionFaecal Incontinence and Rectal ProlapseThis week's episode covers the topics of faecal incontinence and rectal prolapse.These conditions are commonly encountered in the general surgical clinic. We cover the pathophysiology, workup and treatments of these conditions.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in...
2021-06-0141 minFirst IncisionAnal Cancer and Perianal Paget's DiseaseThis episode covers anal cancer and perianal paget's disease.We cover the presentation, workup, aetiology, and treatment of these diseases. Special attention is given to the management of precursor lesions including anal intraepithelial neoplasia (now low and high grade squamous intra-epithelial lesions). Also a corrections corner about last week's episode!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or...
2021-05-2429 minFirst IncisionLarge Bowel Obstruction and PseudoobstructionThis episode covers large bowel obstruction and pseudoobstruction.We go into the causes, presentation, workup, and management of both of these conditions, as well as some great perioperative pearls of wisdom.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this...
2021-05-1740 minFirst IncisionPerianal ConditionsThis episode takes us away from IBD and into the realm of perianal pathology. Although not the prettiest side of general surgery, these topics are commonly encountered and definitely fair game for the exam!This episode covers:- Anal fissures- Perianal abscess, and- Pruritis aniWe cover the presentation, workup, diagnosis and management of these conditions. We also cover the surgical steps of botox for fissures, lateral internal sphincterotomy, and incision and drainage of perianal abscess.DisclaimerThe information in this podcast is intended as...
2021-05-1024 minFirst IncisionInflammatory Bowel Disease SpecialThis special addition to our IBD episodes covers three bonus topics:- Perianal Crohn's Disease- IBD and Pregnancy- Indeterminate ColitisEnjoy!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides...
2021-05-0918 minFirst IncisionCrohn's DiseaseIn this episode we cover Crohn's Disease.- presentations: both gastrointestinal and extra-intestinal- differential diagnoses- workup and diagnosis- histopathological findings- macroscopic features- management- surgical tips and pearls- malignancy risk and surveillanceDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should c...
2021-04-1949 minFirst IncisionUlcerative ColitisWe are diving back into the colorectal module from the curriculum this week to talk about Ulcerative Colitis.This episode goes into the presentation, endoscopy findings, histopathology, medical and surgical treatment options, and more!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information...
2021-04-1246 minFirst IncisionGuest Episode - The Fellowship Exam with Emily OliveThis week's special guest episode is with Dr Emily Olive - a successful 2020 fellowship exam candidate. Just in time for the first sitting of the exam this year, this episode has everything! - what to expect when actually sitting the exam. - great tips for each component of the exam from someone with recent insight into how it runs. - what is different about the COVID exam format. - great tips for those just starting to think about study: including how to keep yourself sane, healthy, and tips on setting up a study grou...
2021-04-0553 minFirst IncisionGuest Episode on Colorectal with Carolyn VaseyThis episode has everything:- Carolyn Vasey (enough said - an incredible colorectal surgeon from Ballarat in Victoria)- Discussions about colorectal cancer surgery, what to do with the splenic flexure tumour, stomas, parastomal hernias, endoscopy and tattooing for rectal cancers, total neoadjuvant treatment, and watch and wait- Chats about surgery and parenthood, and male champions of change; and- Talk about research and manky belly buttonsWhat more could you want!?Carolyn's e-mail is carolynvasey@hotmail.com if you'd like to contact her for a copy of her thesis....
2021-03-291h 00First IncisionTreatment of Rectal CancerThis episode picks up where episode 4 ((introduction to colorectal cancer) left off - delving into the treatment of rectal cancer.This is a fun topic with lots of nuances and 'it depends' management decisions.We cover:- neoadjuvant treatment- adjuvant treatment- total neoadjuvant treatment- the 'watch and wait' approach- surgery for rectal cancer- surgery for obstructing rectal cancerand more.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General S...
2021-03-2234 minFirst IncisionTreatment of Colon CancerThis episode continues from our last - 'introduction to colorectal cancer'.We are exploring the treatment of colon cancer, and specifically the differences in the management of:- resectable non-metastatic- resectable metastatic; and - non-resectable metastatic diseaseSome of the topics touched upon include chemotherapy, different types of resections, peri-operative management strategies, and palliative options.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include...
2021-03-1732 minFirst IncisionIntroduction to colorectal cancerThis episode covers everything else you need to know about colorectal cancer (see last 2 episodes!) without talking about treatment options. This includes epidemiology, risk factors, presentation, investigation, diagnosis, staging and more!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.
2021-03-0128 minFirst IncisionGenetic Colon Cancer SyndromesBe prepared for some knowledge in this episode exploring the different genetic syndromes associated with colorectal cancer. Great episode to cram before the exam!We will cover:Polyposis syndromes: - FAP (Familial Adenomatous Polyposis)- MAP (MUTYH-Associated Polyposis)- Peutz-Jegher's syndrome- Familial juvenile polyposis- Serrated polyposis- PTEN tumour syndromesNon-polyposis syndromes- HNPCC and Lynch SyndromeDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam....
2021-02-2242 minFirst IncisionColorectal polyps, malignant polyps, and genetic pathways in colorectal cancer developmentLet's dip our toes into the topic of colorectal cancer by taking a look at different types of colorectal polyps. This includes neoplastic and non-neoplastic types, as well as what to do with malignant polyps (I'm looking at you Haggitt and Kikuchi classification).Next we take a dive into genetic pathways in colorectal cancer. This includes the CIN, serrated and MSI pathways. This episode gives us all the basics we need before heading into genetic syndromes in colorectal cancer next week.DisclaimerThe information in this podcast is intended as a revision aid...
2021-02-1533 minFirst IncisionAnatomy of the colon, rectum and anal canalWe are launching into the colorectal module from the curriculum this week - and starting off with some anatomy! There is a little bit of physiology and surgical anatomy thrown in there for good measure!Happy Studying :DDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own...
2021-02-0920 minFirst IncisionOesophageal perforation, corrosive and caustic ingestionsThis episode covers approaches to the workup and management of oesophageal perforation, plus everything you need to know about corrosive and caustic ingestionsDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in...
2021-02-0146 minFirst IncisionOesophageal foreign bodies, diverticulum and benign tumoursToday's episode covers a few smaller topics in oesophageal surgery including:- oesophageal foreign bodies- oesophageal diverticulum- benign oesophageal tumoursReferences/Resources:- World Journal of Gastroenterology, 2015, Benign esophageal lesions: endoscopic and pathologic features. Tsai et al. - Surgical clinics of North America Vol 95, issue 3. benign esophageal tumours. Ha eg al. 2015DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or m...
2021-01-2435 minFirst IncisionPeptic Ulcer DiseaseEverything you need to know about peptic ulcer disease you will find right here in this episode. We cover how to manage uncomplicated presentations, what the go is with helicobacter pylori, and how to approach complications such as perforated ulcers and bleeding. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon th...
2021-01-1341 minFirst IncisionGIST and other Gastric TumoursIn this episode, we will be covering the rest of gastric tumours. This includes:- Gastrointestinal Stroma Tumours (GIST)- Gastric Lymphoma- Gastric Neuroendocrine Tumours including Zollinger-Ellison Syndrome- and Gastric PolypsDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of...
2021-01-0545 minFirst IncisionGuest Episode on Oesophageal and Gastric Cancer with Mary Ann JohnsonOn this episode, we talk with Mary Ann Johnson, an upper gastrointestinal surgeon, about oesophageal and gastric cancer. Topics covered include- the role of EUS in the workup of eosophageal and gastric cancer? - when to use the different types of oesophagectomy- in regards to oesophageal SCC, what chemotherapy is given? - which patients with oesophageal SCC are treated with 'definitive CRTx' and who gets neoadjuvant to with an aim to subsequently resect?- do patient’s with oesophageal adenocarcinoma ever get adjuvant chemotherapy?- palliative treatment of oesophageal cancer- restaging...
2020-12-2851 minFirst IncisionOesophageal CancerThis episode introduces us to oesophageal (or esophageal for our North American friends) cancer. We take a look at both adenocarcinoma and SCC in more detail. Including risk factors, presentation, workup, management, follow-up and prognosis.Keep an eye out for next week's episode where we will be joined by an UGI surgeon to answer some of the burning questions that come up in this episode!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is...
2020-12-1443 minFirst IncisionGastric CancerOn this episode, we discuss gastric cancer. Everything from workup, to risk factors, pathophysiology, and various treatments. This bigger picture episode will give you the tools you need to answer questions about gastric cancer for the exam. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent a...
2020-12-0745 minFirst IncisionDeliberate Exam Practice with Alex CravenIn this episode, Dr Alex Craven takes myself and Dr Steven Kunz (SET trainee) through specific exercises and techniques focussed on deliberate practice for the VIVA exam. Be prepared for some awesome tools you can take with you and apply to your preparation and study groups to get the most out of your time preparing for the exam. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or...
2020-12-0138 minFirst IncisionBarrett's Oesophagus, Eosinophilic Oesophagitis and Oesophageal StricturesIn this episode, disorders of the oesophagus (or esophagus for those Northern American listeners) takes centre stage.We talk about Barrett' Oesophagus, including the diagnosis, classification, seattle protocol of biopsies, and what to do with different histopathological types of Barrett's. Next is a quick summary of Eosinophilic Oesophagitis, before we dive into benign oesophageal strictures and talk a little more about A and B rings, Schatzki rings, and peptic strictures.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.
2020-11-1326 minFirst IncisionOesophageal Motility DisordersThis week's episode explores oesophageal motility disorders.We are covering the topics of:- Achalasia- Hypertensive lower oesophageal sphincter- Diffuse oesophageal spasm- Nutcracker oesophagus- Ineffective oesophageal motilityHow they present, how to diagnose them, and their different treatments.We also talk a little about POEM (per-oral endoscopic myotomy) and the surgical principles of heller's myotomy, as well as the risks and benefits of these procedures.DisclaimerThe information in this podcast is intended as a revision aid for the purposes...
2020-11-0623 minFirst IncisionGastro-oesophageal Reflux Disease (GORD), Hiatus Hernia and Gastric VolvulusJoin us this week for our first deep dive into upper gastrointestinal surgery and the oesophagogastric module.Everything you ever wanted to know and more about gastro-oesophageal reflux disease (GORD), hiatus hernia and gastric volvulusDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of...
2020-10-2734 minFirst IncisionOesophageal and Gastric Anatomy and EmbryologyGet ready for a new topic on First Incision! We are going to tackle the massive topic of Upper Gastrointestinal Surgery.To kick it off, lets ease into it by going through the anatomy and embryology of the oesophagus and stomach.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely...
2020-10-2018 minFirst IncisionVIVA Exam Preparation with Alex CravenThe is the second episode in our series on preparing for, and sitting the fellowship exam.Dr Alex Craven tells us everything we need to know about the VIVA exam. He goes through what to expect in each of the different sections, and shares practical tips about how to get the most out of studying and preparing for this exam.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any...
2020-10-1349 minFirst IncisionWritten Exam Tips with Alex CravenThe first in our series on preparing for, and sitting the fellowship exam.In this first of two episodes with Dr Alex Craven, he tells us everything we need to know about the written exam - covering the spots and short answer questions. But more importantly, he shares some practical tips about how to get the most out of our study.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include a...
2020-10-0539 minFirst IncisionDuctal Carcinoma in Situ (DCIS)This weeks' episode explores everything you need to know about the subtypes, classification, workup and management of Ductal Carcinoma in Situ (DCIS).DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation...
2020-09-2816 minFirst IncisionSpecial populations in Breast CancerJoin us today for a discussion about special populations in breast cancer.This includes:- pregnancy associated breast cancer- considering fertility in breast cancer treatment, and- what to do if you encounter a positive axillary node but an unknown primary. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener...
2020-09-2123 minFirst IncisionGuest Episode on Breast Surgery and Operative Vivas with Caroline BakerCaroline Baker is the director of Breast Surgery at St Vincent's Hospital in Melbourne. She has taken the time to talk about operative breast surgery with us, going over the four core operations for the Breast Curriculum:- Wide Local Excision- Mastectomy- Axillary Lymph Node Dissection, and - Sentinel Lymph Node BiopsyWe cover not only the operative steps, but key information to consider in your approach, and some common pitfalls and how to avoid them.VCCC education program mentioned by Caroline at the end of t...
2020-09-1357 minFirst IncisionMale Breast DiseasesFor our lucky number SEVEN episode this week we talk about male breast diseases, including:- gynaecomastia: the various causes, who to workup, and how to treat it. - and male breast cancerDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information i...
2020-09-0721 minFirst IncisionNipple Discharge, Breast Infections and GalactocelesThis episode covers everything you need to know about three high-yield breast topics.- Nipple Discharge- Breast Infections- GalactoceleReference:https://www.aafp.org/afp/2012/0601/p1073.html Evaluation and Management of Galactorrhea. Huang et al. Am Fam Physician. 2012. Jun 1;85(11): 1073-1080DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. T...
2020-08-3135 minFirst IncisionGuest Episode on Breast Cancer with Jocelyn LippeyThis guest episode with Dr Jocelyn Lippey answers all of the questions we had about breast cancer, as well as covers some practical tips for preparing for the fellowship exam.Jocelyn is an incredible breast surgeon who is passionate about providing expert care to her patients. She is also a fantastic teacher, researcher and all-around lovely person, and we are so grateful to her for giving up her time and expertise for this episode.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General S...
2020-08-2547 minFirst IncisionEarly Breast Cancer - TreatmentLet's talk about the treatment of early breast cancer.This episode covers:- the importance of the MDT in breast cancer treatment- surgery- what to do with the axilla- radiotherapy- the MDT approach- chemotherapy- endocrine therapy- neoadjuvant versus adjuvant treatmentAnd the importance of the MDT approach in breast cancer treatmentThis area is super complex - but this episode aims to cover the key concepts and themes, with the more complex decision making left for the specialists.
2020-08-171h 01First IncisionEarly Breast Cancer - An IntroductionThis week we're staying with the theme of 'Breast Pathology' with an introduction to Early Breast Cancer. We cover the epidemiology, presentation, workup, hormone expression, classification, staging, gene expression profiling, and genetic breast cancers.This episode is content heavy for the study-lovers! And is a great introduction to the next episode where we'll delve deeper into treatment.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include...
2020-08-101h 02First IncisionBenign Breast DiseasesContinuing the 'breast' module from the general surgical curriculum, this episode takes a deep dive into benign breast diseases. We talk about non-proliferative, proliferative and atypical proliferative lesions, exploring what they are, and what to do about them. Special mention at the end about papillomas and phyllodes tumours.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other p...
2020-08-0333 min
First IncisionBreast Anatomy and EmbryologyWe're kicking off our study with the 'breast' module from the general surgical curriculum. Our first episode gives us an introduction to this topic by covering clinically relevant breast anatomy and embryology.This episode also introduces me, why I'm doing this podcast and what to expect in the future. ReferencesLast's Anatomy Ninth Edition. R. McMinn. Churchill Livingstone 1998.Gray's Anatomy for Students Second Edition. R Drake et al. Churchill Livingstone 2010.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of...
2020-07-2818 min