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The Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 289 - DDH pick up in Urgent CareDevelopmental Dysplasia of the Hips (DDH) in newborns is screened for by midwives, Plunket nurses, and GPs.  While not a routine part of UC practice, spotting signs and referring appropriately is something we should be aware of in urgent care.     Check out the StarshipHospital page on DDH   Check out the OrthoBullets page on DDH     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumb...
2026-01-0210 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 288 - The Jahss ManoeuvreThe Jahss Manoeuvre is a technique used for reducing metacarpal neck fractures with unacceptable volar angulation.   Check out the original paper by Dr S. Jahss JAHSS, S. A.. FRACTURES OF THE METACARPALS: A New Method of Reduction and Immobilization. The Journal of Bone & Joint Surgery 20(1):p 178-186, January 1938.   Check out the OrthoBullets page on Metacarpal fractures, by Dr J Blomberg   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music lice...
2025-12-2607 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareOde to Urgent Care - Christmas Eve 2025This is a re-upload of the poem released last Christmas Eve.  The message still stands, so it warrents another listen this year.   Thank you to all the staff working in urgent care clinics over the holidays.     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For persona...
2025-12-2403 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 287 - Andrographis Paniculata as a cause of angioedemaIn this month's prescriber update there are a couple of interesting pieces on causes of anaphylaxis and angioedema, including a supplement that many may use after indulging at Christmas.     Check out the December 2025 Prescriber update   Report an adverse reaction to CARM     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad Christmas Elves by Fran...
2025-12-1907 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 286 - Sliding DoorsThe movie, Sliding Doors, shows how a simple act like missing getting on a train can result in two different storylines unfurling.   Considering sliding door moments in your practice is a good way to reflect on practice and allows for recognising ways to improve practice.       Sound Effects from pixabay.com used under their content licence.   From users - arunangshubanerjee - 29054022 and freesound_community - 46691455 Metro Train Arrival Ambience in Train Platform tube train pull away   www.rnzcuc.org.nz pod...
2025-12-1217 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 285 - Adventitious BursaeAdventitious bursae arrive throughout life and are not present at birth.   Check out the Radiopaedia page by Rohit Sharma Check out the paper mentioned KUHNS JG. ADVENTITIOUS BURSAS. Arch Surg. 1943;46(5):687–696. doi:10.1001/archsurg.1943.01220110103019       www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education...
2025-12-0506 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 284 - Coryza and CatarrhWhen considering the broad topic of the upper respiratory tract infection, catarrh and coryza is mentioned.  What are they and why do old and outdated medical terms still persist.   Check out the paper mentioned BLOOM H. Catarrh as a family illness. Proc R Soc Med. 1957 Mar;50(3):167-70. doi: 10.1177/003591575705000312. PMID: 13420158; PMCID: PMC1889102.     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score...
2025-11-2813 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 283 - Referral CommunicationWhen making acute referrals to hospital, there are times when the communication is not as straightforward as you would want.  There are many reasons for this but interpersonal and inter professional relationships are at the core of effective communication.   Check out the paper mentioned. Fattahi H, Seproo FG, Fattahi A, Rostami V, Shokri A. General Practitioners' Perspectives on Barriers to Communication With Specialists in the Referral System: A Systematic Review and Meta-Synthesis. Health Sci Rep. 2025 May 22;8(5):e70785. doi: 10.1002/hsr2.70785. PMID: 40415981; PMCID: PMC12098960.       www.rnzcuc.org.nz
2025-11-2113 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 282 - Head injuries in the elderlyDame Jilly Cooper died of an acute subdural haematoma, following a fall.   Pathways for CT head in adults exist to guide us in determining who needs a CT, but we must not forget the importance of safety netting all elderly people after head injury and to consider measures to prevent patients sustaining head injuries in the first place.   Check out the papers mentioned.   Evans LR, Jones J, Lee HQ, Gantner D, Jaison A, Matthew J, Fitzgerald MC, Rosenfeld JV, Hunn MK, Tee JW. Prognosis of Acute Subdural Hematoma in the Elderly: A S...
2025-11-1413 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 281 - Thinking about sparkler related eye injuriesSparklers are a common, handheld firework that are popular with all ages, especially children.  As they are held in front of your face, can they cause eye injuries?   Check out the paper mentioned Shiuey EJ, Kolomeyer AM, Kolomeyer NN. Assessment of Firework-Related Ocular Injury in the US. JAMA Ophthalmol. 2020 Jun 1;138(6):618-623. doi: 10.1001/jamaophthalmol.2020.0832. PMID: 32271352; PMCID: PMC7146523.   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com
2025-11-0710 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 280 - A Poke in the EyeWe must be thorough in reviewing patients who have had direct trauma to their eyes.  Objects that are small enough that the orbit provides no protection are of increased concern.  In addition to other injuries, we need to be aware of orbital floor fractures and commotio retinae.     Check out the Stat Pearls page on Orbital Floor injuries Koenen L, Waseem M. Orbital Floor Fracture. [Updated 2023 Dec 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.  Check out the Radiopaedia page by  Alejandro Planas Callao   Check out the paper me...
2025-10-3117 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 279 - Pisa SyndromePisa syndrome is rare, but identifiable in urgent care and associated with drugs we will commonly see.  It is a reversible condition.  It highlights the importance of a full drug history and to consider medications as causes of strange symptoms.     Check out the Prescriber Update, Vol 46, No 3, September 2025 Check out the paper mentioned - Link Pitton Rissardo J, Murtaza Vora N, Danaf N, Ramesh S, Shariff S, Fornari Caprara AL. Pisa Syndrome Secondary to Drugs: A Scope Review. Geriatrics (Basel). 2024 Jul 30;9(4):100. doi: 10.3390/geriatrics9040100. PMID: 39195130; PMCID: PMC11353465.   www.rnzcu...
2025-10-2408 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 278 - Ocular SiderosisWe should be aware of the early signs of ocular siderosis, also known as siderosis bulbi which would indicate a retained metallic intraocular foreign body.     Check out the Stat Pearls page. Acharya I, Raut AA. Siderosis Bulbi. [Updated 2023 Jan 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad  
2025-10-1712 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareThe STUMBL score - with Dr Ceri BattleDr Ceri Battle is a Consultant Respiratory Physiotherapist and an Honorary Associate Professor in Swansea.  Ceri's PHD work led to the creation of the STUMBL score, a tool to help determine the risk of complications for patients with rib fractures.    Following her pre-recorded talk to our Bootcamp, she discusses the STUMBL score on the podcast and answers questions that arose from her talk last month.   Check out the STUMBL Score on MD Calc   Check out some of Ceri's work Battle C, Hutchings HA, Driscoll T, O'Nei...
2025-10-1037 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 277 - HypochondriasisWhy is it called hypochondriasis, and why might it benefit our patients to identify cases and ensure proper follow-up and treatment? Check out the papers mentioned. Sunderland M, Newby JM, Andrews G. Health anxiety in Australia: prevalence, comorbidity, disability and service use. Br J Psychiatry. 2013 Jan;202(1):56-61. doi: 10.1192/bjp.bp.111.103960. Epub 2012 Apr 12. PMID: 22500013. link Florian Weck, Samantha Richtberg, Julia M.B. Neng, Epidemiology of Hypochondriasis and Health Anxiety: Comparison of Different Diagnostic Criteria, Current Psychiatry Reviews; Volume 10, Issue 1, 2014, . DOI: 10.2174/1573400509666131119004444 link Mataix-Cols D, Isomura K, Sidorchuk A, Rautio D, Ivanov VZ...
2025-10-0312 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareCommunication CPD - Part 2 - Dr Fiona Moir and Dr Renske van den BrinkDr Fiona Moir and Dr Renske van den Brink are directors of Connect Communications.  They both have a background in General Practice and medical education, and they have extensive experience in teaching communication skills to students and experienced clinicians alike.   In Part 2, we consider wellness, burnout prevention, and Balint peer groups, as well as the importance of allocating some of your CPD towards communication-related activities.   Make sure you have listened to Part 1, in which we learn how they came to create Connect Communications, and we discuss why communications skills are important to all areas of our l...
2025-09-2630 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareCommunication CPD - Part 1 - Dr Fiona Moir and Dr Renske van den BrinkDr Fiona Moir and Dr Renske van den Brink are directors of Connect Communications.  They both have a background in General Practice and medical education, and they have extensive experience in teaching communication skills to students and experienced clinicians alike.   In part one of this podcast, they tell us how they came to create Connect Communications, and we discuss why communications skills are important to all areas of our lives, not just our patient conversations.   In part 2, we will consider wellness, burnout prevention and Balint peer groups, as well as considering the importance of using some...
2025-09-1927 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareCould it be Sepsis? A Mother's StoryFor World Sepsis Month, we talk with Ally Hossain, whose son is a sepsis survivor.   What are the important lessons we can take from hearing her son's story so that we can pick up and refer suspected sepsis earlier?     Ally is now the Director of Communications and Engagement for the Sepsis Trust in New Zealand and a board member of the Global Sepsis Alliance.     Check out the Sepsis Trust NZ for more information, including pathways.   Check out the HQSC sepsis resources   Become a s...
2025-09-1252 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 276 - World Sepsis MonthSeptember is World Sepsis Month.  Use this as a reason to explore some sepsis related CPD.   Check out the NZ Sepsis Trust website - https://www.sepsis.org.nz/   Become a Sepsis Superhero - https://stopsepsis.org.nz/   Register for the Webinar by Dr Paul Huggan     Register for the Global Sepsis Alliance Webinar   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music...
2025-09-0505 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 275 - Pityriasis RoseaDo you see a Christmas tree when you see pityriasis rosea?   Check out the Dermnet page by Prof Amanda Oakley     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practic...
2025-08-2908 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 274 - Thinking about ECG artefactWe should be aware of artefacts as a cause of error when interpreting an ECG.   Pérez-Riera AR, Barbosa-Barros R, Daminello-Raimundo R, de Abreu LC. Main artifacts in electrocardiography. Ann Noninvasive Electrocardiol. 2018 Mar;23(2):e12494. doi: 10.1111/anec.12494. Epub 2017 Sep 20. PMID: 28940924; PMCID: PMC6931710. Link   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist...
2025-08-2208 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 273 - Quincke's disease (and other eponyms)Heinrich Quincke has a number of eponyms, but Quincke's disease is isolated angioedema of the uvula.   Check out some related papers. Sanchez GA, Boot M, Lathif A. Quincke's disease: an unusual pathology. J Surg Case Rep. 2023 Mar 4;2023(3):rjad085. doi: 10.1093/jscr/rjad085. PMID: 36896152; PMCID: PMC9989133. Link   Johnson W, Shastri N, Fowler M. Quincke's Disease. West J Emerg Med. 2011 Nov;12(4):370. doi: 10.5811/westjem.2011.3.2246. PMID: 22224120; PMCID: PMC3236162.  Link   Kamath, R.R., Rai, S.J. Quincke’s disease: a case report. Egypt J Otolaryngol 36, 44 (2020).  Link   www.rnzcuc.org...
2025-08-1507 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 272 - Get your CPD at Bootcamp 2025The RNZCUC Virtual Bootcamp 2025 is on Saturday, September 13th, starting at 0830.   Get your tickets here     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal...
2025-08-0807 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 271 - Cauda Equina Syndrome and the DREDo you perform a DRE before referring a suspected case of cauda equina syndrome?   Check out the Stat Pearls page Rider LS, Marra EM. Cauda Equina and Conus Medullaris Syndromes. [Updated 2023 Aug 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-   Check out the papers mentioned Sherlock KE, Turner W, Elsayed S, Bagouri M, Baha L, Boszczyk BM, McNally D. The Evaluation of Digital Rectal Examination for Assessment of Anal Tone in Suspected Cauda Equina Syndrome. Spine (Phila Pa 1976). 2015 Aug 1;40(15):1213-8. doi: 10.1097/BRS.0000000000000902. PMID: 25811266. Link   ...
2025-08-0116 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 270 - EcthymaEcthyma is a deeper form of impetigo and can leave scarring.   Check out the Dermnet pages Ecthyma by Vanessa Ngan and Dr Jannnet Gomez Impetigo by Prof Amanda Oakley and Dr Katie Quirke     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medica...
2025-07-2507 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 269 - The Mallet DeformityWhy is it called a mallet finger?   Check out the OrthoBullets page by Dr Paras    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice a...
2025-07-1809 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 268 - Ear LacerationsWhat to consider when faced with an ear laceration.   Williams CH, Sternard BT. Complex Ear Lacerations. [Updated 2023 Jul 31]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Link   Link to the Laceration Repair Blog     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing...
2025-07-1113 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 267 - Thinking about Wound GlueWound glue is commonly used in urgent care, and it has an interesting history.   Krishnamoorthy B, Najam O, Khan UA, Waterworth P, Fildes JE, Yonan N. Randomized prospective study comparing conventional subcuticular skin closure with Dermabond skin glue after saphenous vein harvesting. Ann Thorac Surg. 2009 Nov;88(5):1445-9. doi: 10.1016/j.athoracsur.2009.06.047. PMID: 19853089. Link    Rushbrook JL, White G, Kidger L, Marsh P, Taggart TF. The antibacterial effect of 2-octyl cyanoacrylate (Dermabond®) skin adhesive. J Infect Prev. 2014 Nov;15(6):236-239. doi: 10.1177/1757177414551562. Epub 2014 Nov 30. PMID: 28989390; PMCID: PMC5074105. Link    Dermnet page - authored by Ali...
2025-07-0409 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 266 - Lunate and Perilunate DislocationsHow can we avoid missing these rare but commonly missed injuries?   Check out the papers mentioned. Pelrine E, Larson E, Freilich A, Dacus AR, Deal N. Treatment and Outcomes of Missed Perilunate Dislocations: A Case Series. J Wrist Surg. 2023 May 8;13(2):171-175. doi: 10.1055/s-0043-1768929. PMID: 38505207; PMCID: PMC10948235. Link   Christina Nypaver, Stephen Liu. Perilunate injuries/lunate dislocations and radiocarpal dislocations.  Annals of Joint, Vol 6, Oct 15, 2021.  Link   Pinto A, Berritto D, Russo A, Riccitiello F, Caruso M, Belfiore MP, Papapietro VR, Carotti M, Pinto F, Giovagnoni A, Romano...
2025-06-2712 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 265 - Peripheral Neuropathy and Vitamin B6Vitamin B6 is both a prescribed medication and available in many over-the-counter preparations.  In high and prolonged doses, it can be a cause of peripheral neuropathy.     Check out the Prescriber Update for June 2025   Check out the StatPearls page Hemminger A, Wills BK. Vitamin B6 Toxicity. [Updated 2023 Feb 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from ww...
2025-06-2008 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 264 - Hutchinson's SignThere are a few Hutchinson's signs, but this one relates to Herpes Zoster Ophthalmicus.     Check out the StatPearls page on Herpes Zoster Ophthalmicus Minor M, Payne E. Herpes Zoster Ophthalmicus. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assis...
2025-06-1309 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 263 - Embedded FishhooksHow do you remove an embedded fishhook?   Check out the ALIEM page by Dr Riveros, Dr Kim and Dr Dyer   Check out the AAFP article by Dr Gammons and Dr Jackson   Link to the UpToDate page (subscription required)   Watch the Greatest Ever Try     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full G...
2025-06-0617 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 262 - The TFCCWe can diagnose a TFCC injury clinically.  Management is much like any sprain, but ongoing issues may need a hand surgeon workup.     Check out the OrthoBullets page by Dr Abassi and Dr Vitale   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualifie...
2025-05-3010 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 261 - DysdiadochokinesiaTesting for dysdiadochokinesia is simple, and something we learned way back at the start of medical training.  But it is a useful and important test to still do in urgent care    Check out the Stat Pearls Page Rocha Cabrero F, De Jesus O. Dysdiadochokinesia. [Updated 2023 Aug 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full...
2025-05-2307 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 260 - Onychomycosis through Urgent CareOnychomycosis is not an urgent condition, but it can present through urgent care.    Check out the recent BPAC page, reviewed by Prof Amanda Oakley     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within y...
2025-05-1611 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareIn-House Simulations in Urgent Care - with Khang Gan and Erin Carn-BennettThis week, we chat with Khang Gan and Erin Carn-Bennett from MedSim Solutions.   We discuss psychologically safe simulations and how they can benefit practice.  We discuss the benefits of in-house resus simulations and how these can be achieved in urgent care.  We also discussed a 4-hour in-house paediatric resus course that they run, which is endorsed as a resus refresher with the College.   Check out the MedSim Solutions endorsed course   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnz...
2025-05-0956 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 259 - MicrohyphaemaIt is important to check for hyphaema, blood in the anterior chamber of the eye, after trauma.  It is also important to use a slit lamp to check for microhyphaema.     Check out Urgent Bite 162 on Seidel's test Check out Urgent Bite 163 on Hypopyon     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podc...
2025-05-0212 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareReflectionANZAC day prompts us to reflect on the past.     As clinicians, reflective practice is a necessary part of our ongoing learning and development.  However, reflecting is not just for our clinical practice.     Check out details of the Te Papa exhibition - Gallipoli: The Scale of Our War.           www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com A loop from I...
2025-04-2506 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 258 - "It hurts when I pee"How can we avoid errors associated with cognitive biases?  In retrospect, we can easily see these biases unfold, but how can we identify them as they happen? Check out the paper mentioned   Croskerry P. Achieving quality in clinical decision making: cognitive strategies and detection of bias. Acad Emerg Med. 2002 Nov;9(11):1184-204. doi: 10.1111/j.1553-2712.2002.tb01574.x. PMID: 12414468. Link to paper   Norman G, Pelaccia T, Wyer P, Sherbino J. Dual process models of clinical reasoning: The central role of knowledge in diagnostic expertise. J Eval Clin Pract. 2024 Aug;30(5):788-79...
2025-04-1814 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 257 - The Vermilion BorderA tip to ensure you align the vermilion border accurately.   Check out the Laceration Repair blog page     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times...
2025-04-1108 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 256 - ColchicineDo you use colchicine for acute gout flares?  Are you aware of the risk factors for toxicity?   Check out the Prescriber update for March 2025     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within y...
2025-04-0412 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 255 - The Knee to Wall TestWhat is the knee to wall test and what does it measure?   Check out the Physiopaedia page on the Knee to Wall Test   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of pra...
2025-03-2810 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 254 - The Patient AgendaDo you establish the patient agenda at each consultation?   Check out the paper mentioned Singh Ospina N, Phillips KA, Rodriguez-Gutierrez R, Castaneda-Guarderas A, Gionfriddo MR, Branda ME, Montori VM. Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters. J Gen Intern Med. 2019 Jan;34(1):36-40. doi: 10.1007/s11606-018-4540-5. Epub 2018 Jul 2. PMID: 29968051; PMCID: PMC6318197.   If you want to join the RNZCUC Urgent Care Research Network, check out the link here.     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.faceb...
2025-03-2109 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 253 - UCL elbow injuries and Tommy JohnAn eponym named after the patient.   Check out the Ortho Bullets Page by Dr M Steffes and Dr C Ahmad   Check out these two videos from YouTube by The Physio Channel and Sports Med review showing two ways to examine the Ulna Collateral ligament of the Elbow     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score...
2025-03-1410 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 252 - Considering BarbersWhat conditions should we consider in hair professionals?    Check out the papers mentioned Al Shenawi H, Al Saad S, Al Shenawi N, Al Rumaihi N, Salmeen Z, Al Sadeh N, Alfehaid AM, Alshelali M, Bin-Jabr MA, Alzeyadi HA, Daoud RM. Prevalence of interdigital pilonidal sinus in hair professionals during the COVID-19 pandemic: A cross-sectional study. J Occup Environ Hyg. 2025 Jan;22(1):31-36. doi: 10.1080/15459624.2024.2420984. Epub 2024 Dec 4. PMID: 39631031. Link to paper   Gannon MX, Crowson MC, Fielding JW. Periareolar pilonidal abscesses in a hairdresser. BMJ. 1988 Dec 24-31;297(6664):1641-2. doi: 10.1136/bmj.297.6664.1641-a. PMID: 3147779; PMCID: PMC...
2025-03-0711 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 251 - Bitot's SpotsSeeing Bitot's spots is pathognomic of vitamin A deficiency.   Check out the papers mentioned Song P, Adeloye D, Li S, Zhao D, Ye X, Pan Q, Qiu Y, Zhang R, Rudan I; Global Health Epidemiology Research Group (GHERG). The prevalence of vitamin A deficiency and its public health significance in children in low- and middle-income countries: A systematic review and modelling analysis. J Glob Health. 2023 Aug 11;13:04084. Link Dermnet page on Vitamin A Deficiency by Brian Wu  Bitot Spots: A Pathognomonic Sign of Vitamin A Deficiency Das, Souvik et al. Th...
2025-02-2808 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 250 - Swiss Cheese and Professor ReasonProfessor James Reason was the originator of the Swiss Cheese model which has been an important model in developing ways to improve patient safety and reduce adverse events in healthcare.     Reason J. Human error: models and management. BMJ. 2000 Mar 18;320(7237):768-70. doi: 10.1136/bmj.320.7237.768. PMID: 10720363; PMCID: PMC1117770. Link to paper   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This...
2025-02-2113 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 249 - Sentinel headaches and SAHWhat is a sentinel headache before a SAH and could they help us pick up earlier on a diagnosis in urgent care?   Check out the papers mentioned The ICHD - 3 link that described the sentinel headache   Wan Z, Meng H, Xu N, Liu T, Chen Z, Sun Y, Wang H. Clinical characteristics associated with sentinel headache in patients with unruptured intracranial aneurysms. Interv Neuroradiol. 2021 Aug;27(4):497-502. doi: 10.1177/1591019920971977. Epub 2020 Nov 4. PMID: 33148104; PMCID: PMC8580530. Link to paper   Pereira JL, de Albuquerque LA, Dellaretti M, de Car...
2025-02-1412 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 248 - Grommet extrusion timeHow long do grommets take to fall out?   Check out the papers mentioned Song CM, Park MH, Kim YH, Lee JH. Factors affecting the extrusion rate of ventilation tubes. Clin Exp Otorhinolaryngol. 2010 Jun;3(2):70-5. doi: 10.3342/ceo.2010.3.2.70. Epub 2010 Jun 30. PMID: 20607075; PMCID: PMC2896736. Link to paper Lin YC, Kao YL, Chen YC, Chen LC, Dang LH, Hung SH. Factors Related to Ventilation Tube Extrusion Time in Children and Adults. Ear Nose Throat J. 2023 Apr;102(4): NP169-NP176. doi: 10.1177/0145561321999204. Epub 2021 Mar 15. PMID: 33720800. Link to paper     www...
2025-02-0709 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 247 - The Vertebral Artery DissectionYou might think that neck pain after minor trauma is probably a musculoskeletal injury.  But do not forget to consider vertebral artery dissection.     Check out the Stat Pearls page. Britt TB, Agarwal S. Vertebral Artery Dissection. [Updated 2023 Mar 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441827/    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com
2025-01-3110 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 246 - The Holstein-Lewis FractureLook out for the Holstein-Lewis Fracture which is associated with radial nerve injury.  Also, be aware of the torsional forces associated with arm wrestling.   Check out the paper mention Moloney DP, Feeley I, Hughes AJ, Merghani K, Sheehan E, Kennedy M. Injuries associated with arm wrestling: A narrative review. J Clin Orthop Trauma. 2021 Apr 20;18:30-37. doi: 10.1016/j.jcot.2021.04.010. Erratum in: J Clin Orthop Trauma. 2021 Jul 30;20:101539. doi: 10.1016/j.jcot.2021.101539. PMID: 33996446; PMCID: PMC8091050.   Check out the Radiopaedia page  Lustosa L, Campos A, Bell D, et al. Holstein-Lewis fracture. Reference arti...
2025-01-2412 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 245 - NeurapraxiaIt is important to check peripheral neurology after trauma.  Neurapraxia, with an o, is one cause of altered sensation.     Check out the Stat Pearls Page for more information. Carballo Cuello CM, De Jesus O. Neurapraxia. [Updated 2023 Aug 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560501/ And their table outlining the classifications Biso GMNR, Munakomi S. Neuroanatomy, Neurapraxia. [Updated 2022 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. [Figure, Seddon and Sunderland Classification of Nerve Injury Contributed by GMN B...
2025-01-1707 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 244 - Is it a Fracture or a Break?Are your patients aware that a fracture is the same as a break?  Do they think that one is worse than the other?   Check out the papers mentioned Peckham TJ. 'Doctor, have I got a fracture or a break'? Injury. 1994 May;25(4):221-2. doi: 10.1016/0020-1383(94)90065-5. PMID: 8206651. Link to abstract Kampa RJ, Pang J, Gleeson R. Broken bones and fractures - an audit of patients' perceptions. Ann R Coll Surg Engl. 2006 Nov;88(7):663-6. doi: 10.1308/003588406X149192. PMID: 17132318; PMCID: PMC1963782. Link to paper Bagley CH, Hunter AR, Bacarese-Hamilton IA. Patients' misunderstanding of co...
2025-01-1012 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 243 - DKA with SGLT-2 inhibitorsType 2 diabetics can present with a DKA associated with SGLT-2 inhibitors.  And it may be euglycaemic.  So be wary.     Check out the Prescriber Update, Vol 45, No 4, Dec 2024 Check out the Stat Pearls page on DKA Lizzo JM, Goyal A, Gupta V. Adult Diabetic Ketoacidosis. [Updated 2023 Jul 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560723/    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc
2025-01-0305 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 242 - Thinking about worms and abdominal painPinworms are often asymptomatic, or cause mild pruritus ani, but do they cause abdominal pain?   Check out the pages mentioned.   Demnet page on pinworms by Daniel Wong   Enterobius vermicularis: a possible cause of symptoms resembling appendicitis Dahlstrom, J.Macarthur, E. et al. Pathology, Volume 25, 5 Link to paper   Panidis S, Paramythiotis D, Panagiotou D, Batsis G, Salonikidis S, Kaloutsi V, Michalopoulos A. Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report. J Med Case Rep. 2011 Nov 30;5:559. doi: 10.1186/1752-1947-5-559. PMID: 22128765; PMCID...
2024-12-2706 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareThe Night Before - An Ode to Urgent CareIf you are working in urgent care over the holiday period, thank you.     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your scope of practice at all times.  For personal medical advice always consult your usual doctor
2024-12-2403 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareA Christmas Bite - Myocardial Infarction at ChristmasWhile the Christmas period is supposed to be a happy holiday for all, there are many increased stressors at this time of year.  These papers give food for thought for the season.     Mohammad MA, Karlsson S, Haddad J, Cederberg B, Jernberg T, Lindahl B, Fröbert O, Koul S, Erlinge D. Christmas, national holidays, sport events, and time factors as triggers of acute myocardial infarction: SWEDEHEART observational study 199 8-2013. BMJ. 2018 Dec 12;363:k4811. doi: 10.1136/bmj.k4811. PMID: 30541902; PMCID: PMC6289164.  Link to paper   Olsson A, Thorén I, Mohammad MA, Rylance R, Platonov PG, Spar...
2024-12-2005 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 241 - Reye SyndromeWe should be familiar with Reye Syndrome and its association with aspirin. Check out the Stat Pearls page Chapman J, Arnold JK. Reye Syndrome. [Updated 2023 Jul 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526101/    Check out the original Reye paper REYE RD, MORGAN G, BARAL J. ENCEPHALOPATHY AND FATTY DEGENERATION OF THE VISCERA. A DISEASE ENTITY IN CHILDHOOD. Lancet. 1963 Oct 12;2(7311):749-52. doi: 10.1016/s0140-6736(63)90554-3. PMID: 14055046.      www.rnzcuc.org.nz podcas...
2024-12-1306 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 240 - The Epitrochlear Lymph NodeDo you palpate for the epitrochlear lymph node?   Check out the papers mentioned Selby CD, Marcus HS, Toghill PJ. Enlarged epitrochlear lymph nodes: an old physical sign revisited. J R Coll Physicians Lond. 1992 Apr;26(2):159-61. PMID: 1588523; PMCID: PMC5375540. https://pmc.ncbi.nlm.nih.gov/articles/PMC5375540/    Catalano O, Nunziata A, Saturnino PP, Siani A. Epitrochlear lymph nodes: Anatomy, clinical aspects, and sonography features. Pictorial essay(). J Ultrasound. 2010 Dec;13(4):168-74. doi: 10.1016/j.jus.2010.10.010. Epub 2010 Nov 18. PMID: 23397026; PMCID: PMC3553226.  https://pmc.ncbi.nlm.nih.gov/articles/PMC3553226/    ...
2024-12-0609 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 239 - The Examination RitualAn interesting and thought-provoking TED talk that argues for the need for clinicians to continue to examine patients thoroughly.     Check out Dr Verghese's TED talk here.   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within y...
2024-11-2911 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 238 - Possible Assistance NeededDo you have a way to quickly and succinctly indicate that there is a possible patient of clinical concern within your clinic?   Read about Pan-pan on Wikipedia.   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work w...
2024-11-2208 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareTachycardic patients in Urgent Care - Dr Lindsey FishThis week we talk with Dr Lindsey Fish, Medical Director of the Peña Southwest Urgent Care Clinic at the Denver Health and Hospital.  She is an Associate Professor of Medicine at the University of Colorado School of Medicine. She was one of the authors of a paper published in the Journal of Urgent Care Medicine that showed patients discharged from urgent care with tachycardia had significantly higher odds of having a return visit to urgent care and higher odds of being admitted to hospital within 7 days.   We discuss this work, its implications for our clin...
2024-11-1538 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 237 - Considering Osgood-Schlatter Disease in AdultsWhile occurring in adolescents, Osgood-Schlatter Disease can persist into adulthood and is an important differential for anterior knee pain.     Check out the OrthoBullets page by Dr Woon   Check out the Radiopaedia page by Hererra   Check out the Case Report Mentioned Murphy CE, Kenny CM. Not just for boys: a rare case of symptomatic Osgood-Schlatter disease in a skeletally mature woman. BMJ Case Rep. 2019 Mar 26;12(3):e228963. doi: 10.1136/bcr-2018-228963. PMID: 30914412; PMCID: PMC6453305. https://pmc.ncbi.nlm.nih.gov/articles/PMC6453305/    www.rnz...
2024-11-0806 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareDr Joshua Russell - Recapping Bootcamp 2024Dr Joshua Russell, Editor in Chief of the Journal of Urgent Care Medicine came to New Zealand from the USA for our Bootcamp in Wellington.  Here we discuss his thoughts on NZ, UC down under, the future of Urgent Care and why UC research is so important.   Details on the JUCM Fellowship in Medical Writing can be found here.   Check out the Bootcamp report    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   M...
2024-11-0154 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 236 - The Koebner PhenomenonWhat is the Koebner Phenomenon?   Check out the Dermnet pages mentioned. Tattoo-associated skin reactions by Ngan and Elghblawi Koebner Phenomenon by Luo   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within...
2024-10-2506 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 235 - Tendon injuries around the PatellaWhat should you look for in quadriceps tendon and patella tendon ruptures?   Check out the Orthobullets pages Patella Tendon by Ben Sharareh MD - https://www.orthobullets.com/knee-and-sports/3024/patellar-tendon-rupture Quadriceps Tenson by Jason McKean MD - https://www.orthobullets.com/knee-and-sports/3023/quadriceps-tendon-rupture    Check out the video by Loz and Liz discussing the injury which is mentioned in the podcast - https://www.youtube.com/watch?v=Qwbni5qEPr8      www.rnzcuc.org.nz podcast@rnzcuc.org.nz https...
2024-10-1815 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 234 - The FelonWhat is a Felon and what should we do about it?   Check out the papers and pages mentioned. Nardi NM, McDonald EJ, Syed HA, et al. Felon. [Updated 2024 Apr 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430933/  Orthobullets page by Leah Ahn MD Koshy JC, Bell B. Hand Infections. J Hand Surg Am. 2019 Jan;44(1):46-54. doi: 10.1016/j.jhsa.2018.05.027. Epub 2018 Jul 14. PMID: 30017648. Clark DC. Common acute hand infections. Am Fam Physician. 2003 Dec 1;68(11):2167-76. PMID: 14677662. https://pubmed.ncbi.nlm...
2024-10-1112 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 233 - Thoracic Aneurysm considerationsSome important considerations when working up chest pain that will make us think of a thoracic aneurysm.     Check out the paper mentioned Habib M, Lindström D, Lilly JB, D'Oria M, Wanhainen A, Khashram M, Dean A, Mani K. Descending thoracic aortic emergencies: Past, present, and future. Semin Vasc Surg. 2023 Jun;36(2):139-149. doi: 10.1053/j.semvascsurg.2023.04.009. Epub 2023 Apr 30. PMID: 37330228.   Check out the MDCalc page for ADDRS   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitte...
2024-10-0412 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 232 - Kehr's SignWhat is Kehr's sign?     Check out the paper mentioned Rastogi V, Singh D, Tekiner H, Ye F, Mazza JJ, Yale SH. Abdominal Physical Signs of Inspection and Medical Eponyms. Clin Med Res. 2019 Dec;17(3-4):115-126. doi: 10.3121/cmr.2019.1420. Epub 2019 Jul 15. PMID: 31308022; PMCID: PMC6886890.     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended...
2024-09-2708 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 231 - Drug induced tendinopathyDrug-induced tendinopathy can occur early, and late in a person's usage.  So we must consider a patient's medication history closely whenever they have symptoms of tendinopathy or rupture.      Check out the September 2024 Prescriber update, Vol 5, No 3.   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer dis...
2024-09-2012 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 230 - Dry SocketDry socket might present to urgent care.  What is it and what should we do about it?   Check out the papers mentioned Chemaly D. How do I manage a patient with dry socket? J Can Dent Assoc. 2013;79:d54. PMID: 23763736.  https://pubmed.ncbi.nlm.nih.gov/23763736/  Mamoun J. Dry Socket Etiology, Diagnosis, and Clinical Treatment Techniques. J Korean Assoc Oral Maxillofac Surg. 2018 Apr;44(2):52-58. doi: 10.5125/jkaoms.2018.44.2.52. Epub 2018 Apr 25. PMID: 29732309; PMCID: PMC5932271. https://pubmed.ncbi.nlm.nih.gov/29732309/      www.rnzcuc.org.nz podcast@rnzcuc...
2024-09-1307 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 229 - Listening to the CaddyA caddy offers words of wisdom to their golfer.  Some of their advice is relevant to urgent care.     Check out the paper mentioned Gotlieb R, Praska C, Hendrickson MA, Marmet J, Charpentier V, Hause E, Allen KA, Lunos S, Pitt MB. Accuracy in Patient Understanding of Common Medical Phrases. JAMA Netw Open. 2022 Nov 1;5(11):e2242972. doi: 10.1001/jamanetworkopen.2022.42972. PMID: 36449293; PMCID: PMC9713608.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9713608/    Check out the LITFL article, by Chris Nickson, Nov 2020  https://litfl.com/communication-in-a-crisis/    www.rnzcuc.org.nz...
2024-09-0614 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 228 - Thinking about the Sail SignWe always look for the sail sign when reviewing radiographs of the elbow, but how often are they associated with occult fractures?   Check out the papers mentioned Skaggs DL, Mirzayan R. The posterior fat pad sign in association with occult fracture of the elbow in children. J Bone Joint Surg Am. 1999 Oct;81(10):1429-33. doi: 10.2106/00004623-199910000-00007. PMID: 10535592. https://pubmed.ncbi.nlm.nih.gov/10535592/ Al-Aubaidi Z, Torfing T. The role of fat pad sign in diagnosing occult elbow fractures in the pediatric patient: a prospective magnetic resonance imaging study. J P...
2024-08-3008 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 227 - The Cluster HeadacheCluster headaches present through urgent care and it is important to differentiate them correctly.   Check out the paper on which Lisa Kudrow has a credit Messinger HB, Messinger MI, Kudrow L, Kudrow LV. Handedness and headache. Cephalalgia. 1994 Feb;14(1):64-7. doi: 10.1046/j.1468-2982.1994.1401064.x. PMID: 8200028.   Check out the paper mentioned Weaver-Agostoni J. Cluster headache. Am Fam Physician. 2013 Jul 15;88(2):122-8. PMID: 23939643.   This links to the ICHD-3 Cluster Headache page   Check out the BPAC article mentioned   For Bootcamp detai...
2024-08-2312 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 226 - The Popeye SignDon't confuse the Popeye Sign with the reverse Popeye Sign.     Check out the Stat Pearls Page -  Hsu D, Anand P, Mabrouk A, et al. Biceps Tendon Rupture. [Updated 2023 Jul 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.   Check out the OrthoBullets Page on distal ruptures.   Get Bootcamp tickets here - https://rnzcuc.org.nz/urgent-care-bootcamp-2024/    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music l...
2024-08-1610 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareTalking the STUMBL Score with Dr David SorrellWhen do you perform a chest X-ray for chest trauma presenting through urgent care? This week we chat about this, and the STUMBL score, with Director of Clinical Training Dr David Sorrell.     Check out the STUMBL score on MD Calc - https://www.mdcalc.com/calc/10468/stumbl-battle-score Check out the paper mentioned by Dave Galvez, Carlos, Arenas-Jimenez, Juan, Del Campo, Jone, Maroto, Sergio, Sirera, Marina, Lirio, Francisco, 2020.  Diagnostic imaging pathways in the setting of acute chest wall trauma.  Journal of Visualized Surgery; Vol 6 (April 2020): https://jovs.amegroups.org/article/view...
2024-08-0923 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 225 - Anticholinergics in the elderlyWe need to be aware of medications with anticholinergic effects, especially in the elderly.     Check out the BPAC article mentioned - https://bpac.org.nz/2024/anticholinergic.aspx#tab1 Check out the ACB calculator by Dr Rebecca King and Steve Rabino - https://www.acbcalc.com/    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This pod...
2024-08-0207 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 224 - Walking on your ankle injuryWeight-bearing at the time of the injury and assessment forms part of the Ottawa ankle rules.     Check out the paper mentioned Chien B, Hofmann K, Ghorbanhoseini M, Zurakowski D, Rodriguez EK, Appleton P, Ellington JK, Kwon JY. Relationship of Self-Reported Ability to Weight-Bear Immediately After Injury as Predictor of Stability for Ankle Fractures. Foot Ankle Int. 2016 Sep;37(9):983-8. doi: 10.1177/1071100716648009. Epub 2016 May 9. PMID: 27162225.   Check out the original Ottawa ankle paper Stiell IG, McDowell I, Nair RC, Aeta H, Greenberg G, McKnight RD, Ahuja J. Use of radiography in acut...
2024-07-2609 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 223 - Using smell to diagnoseSmell can be used to diagnose.   Check out the paper mentioned Trivedi DK, Sinclair E, Xu Y, Sarkar D, Walton-Doyle C, Liscio C, Banks P, Milne J, Silverdale M, Kunath T, Goodacre R, Barran P. Discovery of Volatile Biomarkers of Parkinson's Disease from Sebum. ACS Cent Sci. 2019 Apr 24;5(4):599-606. doi: 10.1021/acscentsci.8b00879. Epub 2019 Mar 20.  https://pubmed.ncbi.nlm.nih.gov/31041379/  Check out the BBC interview with Joy Milne     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/r...
2024-07-1908 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 222 - Antihistamines use in eczemaDo antihistamines help with the itch of dermatitis?   Check out the paper mentioned Nankervis H, Thomas KS, Delamere FM, Barbarot S, Rogers NK, Williams HC. Scoping systematic review of treatments for eczema. Southampton (UK): NIHR Journals Library; 2016 May. PMID: 27280278. Check out the Dermnet NZ page. Authors: Dr Amy Stanway, Department of Dermatology, Waikato Hospital, Hamilton, New Zealand, February 2004; Updated: Honorary Associate Professor Paul Jarrett, Dermatologist, Middlemore Hospital and Department of Medicine, The University of Auckland, Auckland, New Zealand, February 2021. Minor internal update May 2023.   www.rnzcuc.or...
2024-07-1206 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 221 - Overseas medicationWhen you need help with identifying medications from overseas visitors, you can always call your local pharmacist, or you could try this website.   Check out the webpage mentioned - https://www.resourcepharm.com/pharmacist/identification-of-foreign-medicines.html      www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical educati...
2024-07-0504 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 220 - Helping in an emergencyAs medical professionals, we must know our legal and moral obligations to help in case of emergency. Check out the MCNZ page on helping in an emergency.   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your...
2024-06-2806 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 219 - Music to help you focus, sleep and relaxCertain music can help improve your concentration, help you relax and improve your sleep.   Check out https://www.brain.fm/ Check out their white paper.   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work w...
2024-06-2108 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 218 - Thinking about cold and flu remediesCold and flu remedies containing pseudoephedrine are now a class C drug in New Zealand and available from pharmacies.     Check out the prescriber update from June 2024. Check out the Ministry of Health page.   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discuss...
2024-06-1408 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareDr Tony Smith talks Double Sequential and Vector Change Defibrillation for resistant VF/VTDr Tony Smith, Deputy Clinical Director at Hato Hone St John, tells us about Double Sequential and Vector Change Defibrillation for resistant VF/VT.  These new techniques, not currently covered in our NZRC resus algorithms, are being utilised by all ambulance services in New Zealand for patients who do not get ROSC after three shocks.   Tony can be contacted for questions at - Tony.Smith@stjohn.org.nz    Check out the paper mentioned Cheskes S, Verbeek PR, Drennan IR, McLeod SL, Turner L, Pinto R, Feldman M, Davis M, Vaillancourt C, Morri...
2024-06-0730 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareProf. Bruce Arroll talks anxiety, asthma, breathing techniques and the polyvagal theoryProfessor Bruce Arroll talks to us about a practical technique that can help regulate breathing in people having panic attacks or during an asthma attack.  The conversation then leads into discussing the Polyvagal Theory, physician wellness, and chronic pain.   Check out the Goodfellow unit resources. The Gem mentioned The Polyvagal Theory webinar The Beginners Guide to the Polyvagal Theory     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc  
2024-05-3135 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 217 - The ASIS avulsionRemember to consider an ASIS avulsion in young athletes who experience pain and a pop around their hip when sprinting.   Check out the Orthobullets page https://www.orthobullets.com/knee-and-sports/3091/anterior-superior-iliac-spine-asis-avulsion    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualif...
2024-05-2406 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 216 - The Carpal BossA differential to consider when examining a dorsal wrist swelling.   Check out the Radiopaedia pages On Ganglion cysts On Carpal Boss   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for qualified health professionals.  Please ensure you work within your s...
2024-05-1706 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 215 - The World's Strongest CPDMuch like going to the gym, CPD can be a hassle or an imposition, but it can also be fun and hugely rewarding.   Check out the paper mentioned Jeong D, Presseau J, ElChamaa R, Naumann DN, Mascaro C, Luconi F, Smith KM, Kitto S. Barriers and Facilitators to Self-Directed Learning in Continuing Professional Development for Physicians in Canada: A Scoping Review. Acad Med. 2018 Aug;93(8):1245-1254. https://pubmed.ncbi.nlm.nih.gov/29642101/    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc h...
2024-05-1013 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 214 - Are Borborygmi useful?Should we be listening for bowel sounds?  Despite evidence suggesting they are not useful, I still think it is an important part of an urgent care assessment.     Check out the papers mentioned. Elhardello O, Macfie J. Bowel Sounds: Is it Time for Surgeons to Hang-up their Stethoscopes?. World J Surg Surgical Res. 2018; 1: 1066. Link to paper.   Breum BM, Rud B, Kirkegaard T, Nordentoft T. Accuracy of abdominal auscultation for bowel obstruction. World J Gastroenterol. 2015 Sep 14;21(34):10018-24. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4566372/    www.rnzcuc...
2024-05-0311 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 213 - Differentials and the importance of the referral letterWhat impact do your acute referral letters have on the admitting team?   You may have noticed the initial upload contained the wrong audio file of an old podcast.  Sorry, this has been corrected.   Check out the papers mentioned Chauveau P, Mazet-Guillaume B, Baron C, Roy PM, Tanguy M, Fanello S. Impact du contenu du courrier médical sur la qualité du triage initial des patients adultes admis aux urgences [Impact of the referral letter on triage decisions in adult patients admitted to the emergency department]. Sante Publique. 2013 Jul-Aug;25(4):441-51. French.  https...
2024-04-2612 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 212 - The Cozen PhenomenonWe must be aware of the possibility of Cozen's phenomenon in urgent care.   Check out the Radiopedia page by Tim Luijkx https://radiopaedia.org/articles/cozen-fracture-1   Check out the Orthobullets page by Macknett MD et al https://www.orthobullets.com/pediatrics/4025/proximal-tibia-metaphyseal-fractures--pediatric   Check out the obituary of Dr Lewis Cozen.    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from w...
2024-04-1908 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareThinking about Chopart injuries - with Dr Antonio CastroToday we hear of a case of Chopart injury presenting through urgent care.  Thanks to Dr Antonio Castro.     Check out the paper mentioned Metcalfe TSN, Aamir J, Mason LW. Chopart dislocations: a review of diagnosis, treatment and outcomes. Arch Orthop Trauma Surg. 2024 Jan;144(1):131-147. doi: 10.1007/s00402-023-05040-4. Epub 2023 Sep 15. PMID: 37715068; PMCID: PMC10774188.   www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Gr...
2024-04-1216 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareCatching up with Dr Tamsin Lillie2 years ago we spoke with Dr Tamsin Lillie, a Fellow of the RNZCUC who runs a medical charity that helps fund African students through medical training.    Last time we spoke she was calling in from Malawi, but a chance meeting in person prompted a quick catch-up about what has been going on over the last 2 years and her hopes for the charity moving forward.   www.medictomedic.org.nz    www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   M...
2024-04-0519 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 211 - Thinking about medication history takingSome common, non-psychotropic medications can have psychiatric side effects.     Check out the article mentioned Prescriber Update 45(1): 5-8 March 2024  https://www.medsafe.govt.nz/profs/PUArticles/March2024/Unexplained-mood-and-behavioural-changes.html     www.rnzcuc.org.nz podcast@rnzcuc.org.nz https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc   Music licensed from www.premiumbeat.com Full Grip by Score Squad   This podcast is intended to assist in ongoing medical education and peer discussion for quali...
2024-03-2807 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 210 - Hoffmann's SignHoffmann's sign is a simple test that can help in diagnosing cervical myelopathy and upper motor neurone disease as part of a thorough history and examination.    Check out the paper mentioned Nemani VM, Kim HJ, Piyaskulkaew C, Nguyen JT, Riew KD. Correlation of cord signal change with physical examination findings in patients with cervical myelopathy. Spine (Phila Pa 1976). 2015 Jan 1;40(1):6-10. doi: 10.1097/BRS.0000000000000659. PMID: 25341986.  https://pubmed.ncbi.nlm.nih.gov/25341986/    Check out the Stat Pearls page. Whitney E, Munakomi S. Hoffmann Sign. [Updated 2022 Oct 24]. In: StatPearls [Inter...
2024-03-2210 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareWellens' Syndrome - with Dr Ivan Koay and Dr YoosufWellens' Syndrome is an ECG finding indicative of critical LAD stenosis.  Recognising this ECG change is vital.     Check out the Life in the Fast Lane post by Dr Mike Cadogan and Dr Robert Buttner from September 2021 https://litfl.com/wellens-syndrome-ecg-library/   This is a BMJ case report that is worth reading. Ramires TG, Sant'Anna J, Pais J, Picarra BC. Wellens' syndrome: a pattern to remember. BMJ Case Rep. 2018 Apr 10;2018:bcr2018224582. doi: 10.1136/bcr-2018-224582. PMID: 29636339; PMCID: PMC5893974. https://casereports.bmj.com/content/2018/bcr-2018-224582    www.r...
2024-03-1531 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 209 - Abnormal Uterine Bleeding when commencing anticoagulationWe must counsel about the possibility of abnormal uterine bleeding starting, or worsening when commencing oral anticoagulation.   Check out the Prescriber update - December 2023 edition - https://www.medsafe.govt.nz/profs/PUArticles/PDF/Prescriber-Update-44-No.4-December-2023.pdf   Check out the paper mentioned de Jong CMM, Blondon M, Ay C, Buchmuller A, Beyer-Westendorf J, Biechele J, Bertoletti L, Colombo G, Donadini MP, Hendriks SV, Jara-Palomares L, Nopp S, Ruiz-Artacho P, Stephan P, Tromeur C, Vanassche T, Westerweel PE, Klok FA. Incidence and impact of anticoagulation-associated abnormal menstrual bleeding in women after ven...
2024-03-0806 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 208 - Poland SyndromeAn interesting eponymous syndrome with a Kiwi connection.     Check out the Stat Pearls Page Tafti D, Cecava ND. Poland Syndrome. [Updated 2023 May 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK532259/ https://www.ncbi.nlm.nih.gov/books/NBK532259/   Read more about Patrick Clarkson, MBE, FRCS - https://en.wikipedia.org/wiki/Patrick_Clarkson Read more about Jeremy Beadle, MBE - https://en.wikipedia.org/wiki/Jeremy_Beadle        www.rnz...
2024-03-0109 minThe Podcasts of the Royal New Zealand College of Urgent Care
The Podcasts of the Royal New Zealand College of Urgent CareUrgent Bite 207 - Dunbar SyndromeIn cases of ongoing post-prandial epigastric pain and sitophobia despite endoscopy work up and treatment perhaps we should remember to recall Dunbar Syndrome to our differential list.   Check out the paper mentioned Li J, Tan XY, Megahed A, Evangelista A. Dunbar syndrome: An unusual cause of chronic postprandial abdominal pain. Radiol Case Rep. 2020 Aug 2;15(10):1747-1749. doi: 10.1016/j.radcr.2020.07.016. PMID: 32774573; PMCID: PMC7397697. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7397697/  Check out the Radiopedia page Gaillard F, Moore C, Glick Y, et al. Celiac artery compression syndrome. Reference article, Ra...
2024-02-2310 min