The Podcasts of the Royal New Zealand College of Urgent Care https://rnzcuc.podbean.com Home of the Official Podcasts of the RNZCUC - these are intended to provide ongoing education for medical professionals and should not be used for self diagnosis. Always consult your regular doctor. Always work within your scope of practice. Fri, 15 May 2026 13:01:00 +1200 https://podbean.com/?v=5.5 en au ca ie nz gb us Copyright 2026 All Rights Reserved Health & Fitness:Medicine 1440 episodic Podcasts of the Royal New Zealand College of Urgent Care. 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. RNZCUC RNZCUC No false https://pbcdn1.podbean.com/imglogo/image-logo/3239308/plainpodcastLOGO.jpg The Podcasts of the Royal New Zealand College of Urgent Care https://rnzcuc.podbean.com 144 144 Urgent Bite 306 - Bennett Fracture Urgent Bite 306 - Bennett Fracture https://rnzcuc.podbean.com/e/urgent-bite-306-bennett-fracture/ https://rnzcuc.podbean.com/e/urgent-bite-306-bennett-fracture/#comments Fri, 15 May 2026 13:01:00 +1200 rnzcuc.podbean.com/1372423e-b4b1-39b7-b2ef-9584279c8d2d The Bennett Fracture, with two T's, is an intra-articular fracture of the base of the 1st metacarpal that requires referral to the orthopaedic surgeons.  

Check out the Radiopaedia page by Bahman Rasuly

Check out the Stat Pearls Page

Carter KR, Nallamothu SV. Bennett Fracture. 2023 Aug 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 29763211.

 

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

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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, always consult your usual doctor

]]> The Bennett Fracture, with two T's, is an intra-articular fracture of the base of the 1st metacarpal that requires referral to the orthopaedic surgeons.  

Check out the Radiopaedia page by Bahman Rasuly

Check out the Stat Pearls Page

Carter KR, Nallamothu SV. Bennett Fracture. 2023 Aug 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 29763211.

 

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

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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, always consult your usual doctor

]]> RNZCUC false No 416 439 full Urgent Bite 305 - Communication Clarity Urgent Bite 305 - Communication Clarity https://rnzcuc.podbean.com/e/urgent-bite-305-we-leave-now-question/ https://rnzcuc.podbean.com/e/urgent-bite-305-we-leave-now-question/#comments Fri, 08 May 2026 13:01:00 +1200 rnzcuc.podbean.com/c18df489-9864-346b-bf8e-e93a5738f65a Seeing a human and a rock communicate to save the world highlights how the right type of communication technique is needed, in the right setting, and at the right time, to ensure clarity and prevent error.  

 

Check out Project Hail Mary

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

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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, always consult your usual doctor

]]> Seeing a human and a rock communicate to save the world highlights how the right type of communication technique is needed, in the right setting, and at the right time, to ensure clarity and prevent error.  

 

Check out Project Hail Mary

 

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, always consult your usual doctor

]]> RNZCUC false No 1012 438 full Urgent Bite 304 - Essex-Lopresti Fracture Urgent Bite 304 - Essex-Lopresti Fracture https://rnzcuc.podbean.com/e/urgent-bite-304-esses-lopresti-fracture/ https://rnzcuc.podbean.com/e/urgent-bite-304-esses-lopresti-fracture/#comments Fri, 01 May 2026 13:01:00 +1200 rnzcuc.podbean.com/c9b5c346-3919-3205-869c-564a229fb630 The Essex-Lopresti Fracture is a radial head fracture with dislocation of the DRUJ, and an associated tearing of the IO membrane.  They are often missed and have delayed diagnoses.  With the right mechanism of injury we must carefully examine the forearm for not just pain, but also laxity.  

 

Check out the paper mentioned

Wegmann K, Dargel J, Burkhart KJ, Brüggemann GP, Müller LP. The Essex-Lopresti lesion. Strategies Trauma Limb Reconstr. 2012 Nov;7(3):131-9. doi: 10.1007/s11751-012-0149-0. Epub 2012 Oct 25. PMID: 23096260; PMCID: PMC3482440.

Link

 

Check out the Radiopaedia page by Campos

 

Check out the LITFL page by Boden and Cadogan

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

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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, always consult your usual doctor

]]> The Essex-Lopresti Fracture is a radial head fracture with dislocation of the DRUJ, and an associated tearing of the IO membrane.  They are often missed and have delayed diagnoses.  With the right mechanism of injury we must carefully examine the forearm for not just pain, but also laxity.  

 

Check out the paper mentioned

Wegmann K, Dargel J, Burkhart KJ, Brüggemann GP, Müller LP. The Essex-Lopresti lesion. Strategies Trauma Limb Reconstr. 2012 Nov;7(3):131-9. doi: 10.1007/s11751-012-0149-0. Epub 2012 Oct 25. PMID: 23096260; PMCID: PMC3482440.

Link

 

Check out the Radiopaedia page by Campos

 

Check out the LITFL page by Boden and Cadogan

 

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, always consult your usual doctor

]]> RNZCUC false No 812 437 full Healthy Wealth - talking financial education with Dr Katherine Debray Healthy Wealth - talking financial education with Dr Katherine Debray https://rnzcuc.podbean.com/e/healthy-wealth-talking-financial-education-with-dr-katherine-debray/ https://rnzcuc.podbean.com/e/healthy-wealth-talking-financial-education-with-dr-katherine-debray/#comments Fri, 24 Apr 2026 13:01:00 +1200 rnzcuc.podbean.com/92f98e7c-87d8-34d7-b872-e92b3407cf81 Because Med School taught you medicine - not money.

Dr Katherine Debray talks to us about her evidence based financial education designed for Kiwi doctors.  While on pause from NICU training to raise her children, Katherine has undertaken further study in financial advising and has created a course to guide doctors in ways to make decisions about their finances and developed a community of doctors to share and learn together.  

 

Check out Healthy Wealth - https://healthywealth.nz/

 

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, always consult your usual doctor

]]> Because Med School taught you medicine - not money.

Dr Katherine Debray talks to us about her evidence based financial education designed for Kiwi doctors.  While on pause from NICU training to raise her children, Katherine has undertaken further study in financial advising and has created a course to guide doctors in ways to make decisions about their finances and developed a community of doctors to share and learn together.  

 

Check out Healthy Wealth - https://healthywealth.nz/

 

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, always consult your usual doctor

]]> RNZCUC false No 1713 436 full Urgent Bite 303 - Adult Onset Still Disease Urgent Bite 303 - Adult Onset Still Disease https://rnzcuc.podbean.com/e/urgent-bite-303-adult-onset-still-disease/ https://rnzcuc.podbean.com/e/urgent-bite-303-adult-onset-still-disease/#comments Fri, 17 Apr 2026 13:01:00 +1200 rnzcuc.podbean.com/5bfc8e21-2961-34d1-9b5b-2ff4de1e7552 Adult onset Still Disease is a rare condition that presents with intermittent high fevers, arthralgia and a salmon pink rash.  

 

Check out the Stat Pearls page.

Bhargava J, Panginikkod S. Still Disease. 2024 Feb 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 30855928. 

Link

 

Check out the Dermnet Page

 

Check out the Conversation article mentioned

 

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podcast@rnzcuc.org.nz

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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, always consult your usual doctor

]]> Adult onset Still Disease is a rare condition that presents with intermittent high fevers, arthralgia and a salmon pink rash.  

 

Check out the Stat Pearls page.

Bhargava J, Panginikkod S. Still Disease. 2024 Feb 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 30855928. 

Link

 

Check out the Dermnet Page

 

Check out the Conversation article mentioned

 

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, always consult your usual doctor

]]> RNZCUC false No 778 435 full Urgent Bite 302 - Fournier's and SGLT-2 inhibitors Urgent Bite 302 - Fournier's and SGLT-2 inhibitors https://rnzcuc.podbean.com/e/urgent-bite-302-fourniers-and-sglt-2-inhibitors/ https://rnzcuc.podbean.com/e/urgent-bite-302-fourniers-and-sglt-2-inhibitors/#comments Fri, 10 Apr 2026 13:01:00 +1200 rnzcuc.podbean.com/fa85b7ae-1422-3e07-8a0c-d74e2899aa17 In cases of Fournier's Gangrene, and necrotising fasciitis in general, early detection and treatment is vital.  Risk factors help raise the concern and knowing about SGLT-2 inhibitors as an evolving risk factor is important.

 

Check out the Prescriber Update

Check out the Dermnet page by Singh

Check out the Stat Pearls page

Wallace HA, Perera TB. Necrotizing Fasciitis. 2023 Feb 21. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 28613507.

 

 

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, always consult your usual doctor

]]> In cases of Fournier's Gangrene, and necrotising fasciitis in general, early detection and treatment is vital.  Risk factors help raise the concern and knowing about SGLT-2 inhibitors as an evolving risk factor is important.

 

Check out the Prescriber Update

Check out the Dermnet page by Singh

Check out the Stat Pearls page

Wallace HA, Perera TB. Necrotizing Fasciitis. 2023 Feb 21. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan–. PMID: 28613507.

 

 

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, always consult your usual doctor

]]> RNZCUC false No 783 434 full Urgent Bite 301 - Pica disorder Urgent Bite 301 - Pica disorder https://rnzcuc.podbean.com/e/urgent-bite-301-pica-disorder/ https://rnzcuc.podbean.com/e/urgent-bite-301-pica-disorder/#comments Fri, 03 Apr 2026 13:01:00 +1300 rnzcuc.podbean.com/df70c157-4ce4-36a1-b9ab-ea6df68f4578 Pica is an eating disorder that can cause abdominal symptoms, obstruction, poisoning, parasitic infections and is associated with iron deficiency anaemia.  We should be aware of it in the urgent care setting.  

Check out the papers mentioned

Mohammad Rizwan Hussain, Philip Holcroft, Mohammed Tayab Qureshi, EP467 - Bowel obstruction due to colonic lithobezoar in a patient with PICA, BJS, Volume 111, Issue Supplement_8, September 2024, znae197.500, Link

Ganesan PR, Vasauskas AA. The Association Between Pica and Iron-Deficiency Anemia: A Scoping Review. Cureus. 2023 Apr 20;15(4):e37904. doi: 10.7759/cureus.37904. PMID: 37220446; PMCID: PMC10199804. 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 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

]]> Pica is an eating disorder that can cause abdominal symptoms, obstruction, poisoning, parasitic infections and is associated with iron deficiency anaemia.  We should be aware of it in the urgent care setting.  

Check out the papers mentioned

Mohammad Rizwan Hussain, Philip Holcroft, Mohammed Tayab Qureshi, EP467 - Bowel obstruction due to colonic lithobezoar in a patient with PICA, BJS, Volume 111, Issue Supplement_8, September 2024, znae197.500, Link

Ganesan PR, Vasauskas AA. The Association Between Pica and Iron-Deficiency Anemia: A Scoping Review. Cureus. 2023 Apr 20;15(4):e37904. doi: 10.7759/cureus.37904. PMID: 37220446; PMCID: PMC10199804. 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 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

]]> RNZCUC false No 686 433 full Urgent Bite 300 - Continual, Collegiality, Cognition Urgent Bite 300 - Continual, Collegiality, Cognition https://rnzcuc.podbean.com/e/urgent-bite-300-continual-collegiality-cognition/ https://rnzcuc.podbean.com/e/urgent-bite-300-continual-collegiality-cognition/#comments Fri, 27 Mar 2026 13:01:00 +1300 rnzcuc.podbean.com/596f0419-fdf2-3c48-8ddd-c60b9fe30c22 For the 300th Urgent Bite, we reflect on lessons learned from seven and a half years of podcasting.  

 

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, always consult your usual doctor

]]> For the 300th Urgent Bite, we reflect on lessons learned from seven and a half years of podcasting.  

 

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, always consult your usual doctor

]]> RNZCUC false No 1428 432 full Urgent Bite 299 - The Kager Fat Pad Urgent Bite 299 - The Kager Fat Pad https://rnzcuc.podbean.com/e/urgent-bite-299-the-kager-fat-pad/ https://rnzcuc.podbean.com/e/urgent-bite-299-the-kager-fat-pad/#comments Fri, 20 Mar 2026 13:01:00 +1300 rnzcuc.podbean.com/e669923c-0e06-30be-be3c-63cd3e04519a The Kager fat pad is seen in lateral radiographs of the ankle, and the loss or alteration of this pad can indicate injury or pathology in that region.  

 

Check out the paper mentioned

Somford MP, Hoornenborg D, Wiegerinck JJ. Kager's "Bermuda" Triangle. J Foot Ankle Surg. 2014 Jul-Aug;53(4):503-4. doi: 10.1053/j.jfas.2014.02.002. Epub 2014 Apr 17. Erratum in: J Foot Ankle Surg. 2014 Sep-Oct;53(5):676. PMID: 24746534.

 

Check out the Radiopaedia Page by Elfkey

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

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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, always consult your usual doctor

]]> The Kager fat pad is seen in lateral radiographs of the ankle, and the loss or alteration of this pad can indicate injury or pathology in that region.  

 

Check out the paper mentioned

Somford MP, Hoornenborg D, Wiegerinck JJ. Kager's "Bermuda" Triangle. J Foot Ankle Surg. 2014 Jul-Aug;53(4):503-4. doi: 10.1053/j.jfas.2014.02.002. Epub 2014 Apr 17. Erratum in: J Foot Ankle Surg. 2014 Sep-Oct;53(5):676. PMID: 24746534.

 

Check out the Radiopaedia Page by Elfkey

 

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, always consult your usual doctor

]]> RNZCUC false No 594 431 full Urgent Bite 298 - Martha's Rule Urgent Bite 298 - Martha's Rule https://rnzcuc.podbean.com/e/urgent-bite-298-marthas-rule/ https://rnzcuc.podbean.com/e/urgent-bite-298-marthas-rule/#comments Fri, 13 Mar 2026 13:01:00 +1300 rnzcuc.podbean.com/c02718b4-c456-346d-883a-450ad2b9fb42 Martha's Rule is an important new initiative in the NHS England that aims to ensure that patient, family and caregiver concern for deterioration is heard and acted upon.  This is because evidence shows that these groups recognise deterioration earlier, and there are cases, as with Martha Mills, where these concerns are not acted upon quickly enough to prevent harm, or even death.  We should all reflect on Martha's story and Martha's Rule.  

 

Check out details and statistics on Martha's Rule at the NHS Website.

 

You can find NZ Sepsis pathways at the HQSC  and Sepsis Trust websites below.

https://www.hqsc.govt.nz/our-work/improved-service-delivery/sepsis/

 

https://www.sepsis.org.nz/clinical-tools/

 

Check out the Paper from The Lancet.

Mills E, Lin P, Asghari-Jafarabadi M, West A, Craig S. Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. Lancet Child Adolesc Health. 2025 Jul;9(7):450-458. doi: 10.1016/S2352-4642(25)00098-7. Epub 2025 May 29. PMID: 40451224.

 

 

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, always consult your usual doctor

]]> Martha's Rule is an important new initiative in the NHS England that aims to ensure that patient, family and caregiver concern for deterioration is heard and acted upon.  This is because evidence shows that these groups recognise deterioration earlier, and there are cases, as with Martha Mills, where these concerns are not acted upon quickly enough to prevent harm, or even death.  We should all reflect on Martha's story and Martha's Rule.  

 

Check out details and statistics on Martha's Rule at the NHS Website.

 

You can find NZ Sepsis pathways at the HQSC  and Sepsis Trust websites below.

https://www.hqsc.govt.nz/our-work/improved-service-delivery/sepsis/

 

https://www.sepsis.org.nz/clinical-tools/

 

Check out the Paper from The Lancet.

Mills E, Lin P, Asghari-Jafarabadi M, West A, Craig S. Association between caregiver concern for clinical deterioration and critical illness in children presenting to hospital: a prospective cohort study. Lancet Child Adolesc Health. 2025 Jul;9(7):450-458. doi: 10.1016/S2352-4642(25)00098-7. Epub 2025 May 29. PMID: 40451224.

 

 

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, always consult your usual doctor

]]> RNZCUC false No 1139 430 full Urgent Bite 297 - The Barton Fracture Urgent Bite 297 - The Barton Fracture https://rnzcuc.podbean.com/e/urgent-bite-297-the-barton-fracture/ https://rnzcuc.podbean.com/e/urgent-bite-297-the-barton-fracture/#comments Fri, 06 Mar 2026 13:01:00 +1300 rnzcuc.podbean.com/02cc3895-be2b-3f26-83b3-13b7db8ba0ec The Barton fracture is an eponymous fracture of the distal radius.  While perhaps a name less used compared to the Colles, it is still an important injury to recognise and refer to orthopaedics. 

 

Check out the Stat Pearls Page

Szymanski JA, Reeves RA, Taqi M, et al. Barton Fracture. [Updated 2023 May 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. 

Check out the Radiopaedia page

Check out the OrthoBullets page on distal radial fractures, which includes the Barton Fracture

 

 

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, always consult your usual doctor

]]> The Barton fracture is an eponymous fracture of the distal radius.  While perhaps a name less used compared to the Colles, it is still an important injury to recognise and refer to orthopaedics. 

 

Check out the Stat Pearls Page

Szymanski JA, Reeves RA, Taqi M, et al. Barton Fracture. [Updated 2023 May 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. 

Check out the Radiopaedia page

Check out the OrthoBullets page on distal radial fractures, which includes the Barton Fracture

 

 

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, always consult your usual doctor

]]> RNZCUC false No 506 429 full Urgent Bite 296 - Maternal Sepsis Urgent Bite 296 - Maternal Sepsis https://rnzcuc.podbean.com/e/urgent-bote-296-maternal-sepsis/ https://rnzcuc.podbean.com/e/urgent-bote-296-maternal-sepsis/#comments Fri, 27 Feb 2026 13:01:00 +1300 rnzcuc.podbean.com/d6f7bd2e-362e-36d3-aafb-eccdc31ccc91 There is a webinar coming up on March 25 at 1900 NZDT on the topic of Maternal Sepsis.  

Check out the Webinar via this 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 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

]]> There is a webinar coming up on March 25 at 1900 NZDT on the topic of Maternal Sepsis.  

Check out the Webinar via this 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 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

]]> RNZCUC false No 627 428 full Urgent Bite 295 - Subcutaneous Foreign Bodies Urgent Bite 295 - Subcutaneous Foreign Bodies https://rnzcuc.podbean.com/e/urgent-bite-295-subcutaneous-foreign-bodies/ https://rnzcuc.podbean.com/e/urgent-bite-295-subcutaneous-foreign-bodies/#comments Fri, 20 Feb 2026 13:01:00 +1300 rnzcuc.podbean.com/dfc4f141-655c-32f4-aaf6-1821526fa7ad If we suspect a subcutaneous foreign body, we need to know where it is, what it is and how long it has been there.  This requires a good history, a thorough examination and appropriate imaging.  With this information, we can plan the best way to remove, which might involve referral.  

 

Check out the paper mentioned from the American Family Physician

Chan C, Salam GA. Splinter removal. Am Fam Physician. 2003 Jun 15;67(12):2557-62. PMID: 12825845. 

 

Retained foot FB paper mentioned

Chandrashekara CM, George MA, Al-Marboi BS. Neglected Foreign Body, the Cause of Navicular Osteomyelitis in A Paediatric Foot: A Case Report. J Orthop Case Rep. 2013 Jul-Sep;3(3):26-9. doi: 10.13107/jocr.2250-0685.111. PMID: 27298914; PMCID: PMC4719251. 

 

Retained FB in groin paper mentioned

Yhoshu E, Chaudhary G, Gupta MK. Retained wooden foreign body in groin in a child: A case report and review of literature. Afr J Paediatr Surg. 2020 Jul-Dec;17(3 & 4):127-130. doi: 10.4103/ajps.AJPS_22_20. PMID: 33342850; PMCID: PMC8051621.

 

Case of penile FB paper mentioned

Kaneko T, Sakamoto A, Yoshida T, Yanagida K, Yoshimura I, Hagiwara K, Kimura M, Yamada Y, Nakagawa T. Penetrating penile injury due to the splintering of the floorboards in the gymnasium. IJU Case Rep. 2021 May 4;4(4):221-223. doi: 10.1002/iju5.12290. PMID: 34258532; PMCID: PMC8255285.

 

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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, always consult your usual doctor

]]> If we suspect a subcutaneous foreign body, we need to know where it is, what it is and how long it has been there.  This requires a good history, a thorough examination and appropriate imaging.  With this information, we can plan the best way to remove, which might involve referral.  

 

Check out the paper mentioned from the American Family Physician

Chan C, Salam GA. Splinter removal. Am Fam Physician. 2003 Jun 15;67(12):2557-62. PMID: 12825845. 

 

Retained foot FB paper mentioned

Chandrashekara CM, George MA, Al-Marboi BS. Neglected Foreign Body, the Cause of Navicular Osteomyelitis in A Paediatric Foot: A Case Report. J Orthop Case Rep. 2013 Jul-Sep;3(3):26-9. doi: 10.13107/jocr.2250-0685.111. PMID: 27298914; PMCID: PMC4719251. 

 

Retained FB in groin paper mentioned

Yhoshu E, Chaudhary G, Gupta MK. Retained wooden foreign body in groin in a child: A case report and review of literature. Afr J Paediatr Surg. 2020 Jul-Dec;17(3 & 4):127-130. doi: 10.4103/ajps.AJPS_22_20. PMID: 33342850; PMCID: PMC8051621.

 

Case of penile FB paper mentioned

Kaneko T, Sakamoto A, Yoshida T, Yanagida K, Yoshimura I, Hagiwara K, Kimura M, Yamada Y, Nakagawa T. Penetrating penile injury due to the splintering of the floorboards in the gymnasium. IJU Case Rep. 2021 May 4;4(4):221-223. doi: 10.1002/iju5.12290. PMID: 34258532; PMCID: PMC8255285.

 

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podcast@rnzcuc.org.nz

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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, always consult your usual doctor

]]> RNZCUC false No 871 427 full Urgent Bite 294 - Hook of Hamate fracture Urgent Bite 294 - Hook of Hamate fracture https://rnzcuc.podbean.com/e/urgent-bite-294-hook-of-hamate-fracture/ https://rnzcuc.podbean.com/e/urgent-bite-294-hook-of-hamate-fracture/#comments Fri, 13 Feb 2026 13:01:00 +1300 rnzcuc.podbean.com/54d8c21d-194e-3b85-8dbb-084f6b8fd50d The hook of hamate fracture is often a delayed diagnosis.  There are certain mechanism of injuries, usually sporting related, that should make us be more aware of this injury.  

The pull test may also help you consider this diagnosis.  

Wright TW, Moser MW, Sahajpal DT. Hook of hamate pull test. J Hand Surg Am. 2010 Nov;35(11):1887-9. doi: 10.1016/j.jhsa.2010.08.024. Epub 2010 Oct 20. PMID: 20961698. 

 

Check out the OrthoBullets Page on Hoof of Hamate Fractures by Dr Sharareh and Dr Vitale

 

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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, always consult your usual doctor

]]> The hook of hamate fracture is often a delayed diagnosis.  There are certain mechanism of injuries, usually sporting related, that should make us be more aware of this injury.  

The pull test may also help you consider this diagnosis.  

Wright TW, Moser MW, Sahajpal DT. Hook of hamate pull test. J Hand Surg Am. 2010 Nov;35(11):1887-9. doi: 10.1016/j.jhsa.2010.08.024. Epub 2010 Oct 20. PMID: 20961698. 

 

Check out the OrthoBullets Page on Hoof of Hamate Fractures by Dr Sharareh and Dr Vitale

 

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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

]]> RNZCUC false No 535 426 full Urgent Bite 293 - Pompholyx Urgent Bite 293 - Pompholyx https://rnzcuc.podbean.com/e/urgent-bite-293-pompholyx/ https://rnzcuc.podbean.com/e/urgent-bite-293-pompholyx/#comments Fri, 06 Feb 2026 13:01:00 +1300 rnzcuc.podbean.com/2d766b1b-298e-31a6-bc06-5f28f8dfe132 Pompholyx, also known as dyshidrotic eczema, is a condition that might present through urgent care.

Check out the Dermnet NZ page by Maitreyi Jain and Hon Associate Professor Paul Jarrett

 

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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, always consult your usual doctor

]]> Pompholyx, also known as dyshidrotic eczema, is a condition that might present through urgent care.

Check out the Dermnet NZ page by Maitreyi Jain and Hon Associate Professor Paul Jarrett

 

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Music licensed from www.premiumbeat.com

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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

]]> RNZCUC false No 469 425 full Urgent Bite 292 - National Antibiotic Guidelines Urgent Bite 292 - National Antibiotic Guidelines https://rnzcuc.podbean.com/e/urgent-bite-292-national-antibiotic-guidelines/ https://rnzcuc.podbean.com/e/urgent-bite-292-national-antibiotic-guidelines/#comments Fri, 30 Jan 2026 13:01:00 +1300 rnzcuc.podbean.com/98f758a8-f0ec-3e68-968d-d201d651662f New national antibiotic guidelines have been launched in New Zealand to help guide our prescribing and improve antibiotic stewardship. 

Check out the guidelines - https://tewhatakura.nz/

 

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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, always consult your usual doctor

]]> New national antibiotic guidelines have been launched in New Zealand to help guide our prescribing and improve antibiotic stewardship. 

Check out the guidelines - https://tewhatakura.nz/

 

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podcast@rnzcuc.org.nz

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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, always consult your usual doctor

]]> RNZCUC false No 972 424 full Dr Emily Amos - Whole Hearted Medicine Dr Emily Amos - Whole Hearted Medicine https://rnzcuc.podbean.com/e/dr-emily-amos-whole-hearted-medicine/ https://rnzcuc.podbean.com/e/dr-emily-amos-whole-hearted-medicine/#comments Fri, 23 Jan 2026 13:01:00 +1300 rnzcuc.podbean.com/6c5757da-d17b-3c9e-ac74-14277c2bbf5c Dr Emily Amos is a GP who founded Whole Hearted Medicine following an episode of career burnout.  This company provides CPD retreats with a focus on wellbeing education.  

This has been endorsed as a CPD activity for RNZCUC members.  

 

Check out what Whole Hearted Medicine has to offer

 

Check out the CPD retreats

 

Read about some of the evidence related to this area

 

Connect with Emily on LinkedIn

 

Check out Emily's personal website

 

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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, always consult your usual doctor

]]> Dr Emily Amos is a GP who founded Whole Hearted Medicine following an episode of career burnout.  This company provides CPD retreats with a focus on wellbeing education.  

This has been endorsed as a CPD activity for RNZCUC members.  

 

Check out what Whole Hearted Medicine has to offer

 

Check out the CPD retreats

 

Read about some of the evidence related to this area

 

Connect with Emily on LinkedIn

 

Check out Emily's personal website

 

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, always consult your usual doctor

]]> RNZCUC false No 2513 423 full Urgent Bite 291 - Urgent Care Research Network and Bootcamp Meeting Urgent Bite 291 - Urgent Care Research Network and Bootcamp Meeting https://rnzcuc.podbean.com/e/urgent-bite-291-urgent-care-research-network-and-bootcamp-meeting/ https://rnzcuc.podbean.com/e/urgent-bite-291-urgent-care-research-network-and-bootcamp-meeting/#comments Fri, 16 Jan 2026 13:01:00 +1300 rnzcuc.podbean.com/64e9a1ea-50fc-37dd-9c66-05f6e2eb286d Research is essential for establishing best practice.  More urgent care specific research will enable best practice to be established for patients attending urgent care clinics with urgent conditions.  

If you're interested in joining the College's Urgent Care Research Network, check this link - https://rnzcuc.org.nz/urgent-care-research-network/ 

Save the date for the College's Bootcamp, which will incorporate a Research Network meeting - https://rnzcuc.org.nz/bootcamp-and-fellowship-ceremony-2026/ 

 

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, always consult your usual doctor

]]> Research is essential for establishing best practice.  More urgent care specific research will enable best practice to be established for patients attending urgent care clinics with urgent conditions.  

If you're interested in joining the College's Urgent Care Research Network, check this link - https://rnzcuc.org.nz/urgent-care-research-network/ 

Save the date for the College's Bootcamp, which will incorporate a Research Network meeting - https://rnzcuc.org.nz/bootcamp-and-fellowship-ceremony-2026/ 

 

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, always consult your usual doctor

]]> RNZCUC false No 524 422 full Urgent Bite 290 - Epistaxis blood loss estimation Urgent Bite 290 - Epistaxis blood loss estimation https://rnzcuc.podbean.com/e/urgent-bite-290-epistaxis-blood-loss-estimation/ https://rnzcuc.podbean.com/e/urgent-bite-290-epistaxis-blood-loss-estimation/#comments Fri, 09 Jan 2026 13:01:00 +1300 rnzcuc.podbean.com/7ae3ed53-63a2-39c9-9c2d-8dbc860fe00f An epistaxis can be severe enough that a patient becomes anaemic and develops shock.  How good are estimations, by patients and clinicians, of blood loss during an epistaxis?

 

Check out the papers mentioned

Townend ML, Byers S. Visual estimation of blood loss by UK pre-hospital clinicians: an observational study. Br Paramed J. 2018 Jun 1;3(1):16-22. doi: 10.29045/14784726.2018.06.3.1.16. PMID: 33328801; PMCID: PMC7706754.

Link

Beer HL, Duvvi S, Webb CJ, Tandon S. Blood loss estimation in epistaxis scenarios. J Laryngol Otol. 2005 Jan;119(1):16-8. doi: 10.1258/0022215053222752. PMID: 15807956.

Link

Grigg, Sarah, Maunder, John, Betz-Stablein, Brigid, Llewellyn, Stacey, 2020, Reliability of estimating blood loss in epistaxis, Australian Journal of Otolaryngology; Vol 3 (May 2020): Australian Journal of Otolaryngology, 2020

Link

 

 

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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, always consult your usual doctor

]]> An epistaxis can be severe enough that a patient becomes anaemic and develops shock.  How good are estimations, by patients and clinicians, of blood loss during an epistaxis?

 

Check out the papers mentioned

Townend ML, Byers S. Visual estimation of blood loss by UK pre-hospital clinicians: an observational study. Br Paramed J. 2018 Jun 1;3(1):16-22. doi: 10.29045/14784726.2018.06.3.1.16. PMID: 33328801; PMCID: PMC7706754.

Link

Beer HL, Duvvi S, Webb CJ, Tandon S. Blood loss estimation in epistaxis scenarios. J Laryngol Otol. 2005 Jan;119(1):16-8. doi: 10.1258/0022215053222752. PMID: 15807956.

Link

Grigg, Sarah, Maunder, John, Betz-Stablein, Brigid, Llewellyn, Stacey, 2020, Reliability of estimating blood loss in epistaxis, Australian Journal of Otolaryngology; Vol 3 (May 2020): Australian Journal of Otolaryngology, 2020

Link

 

 

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podcast@rnzcuc.org.nz

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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, always consult your usual doctor

]]> RNZCUC false No 612 421 full Urgent Bite 289 - DDH pick up in Urgent Care Urgent Bite 289 - DDH pick up in Urgent Care https://rnzcuc.podbean.com/e/urgent-bite-289-ddh-pick-up-in-urgent-care/ https://rnzcuc.podbean.com/e/urgent-bite-289-ddh-pick-up-in-urgent-care/#comments Fri, 02 Jan 2026 13:01:00 +1300 rnzcuc.podbean.com/e0c56ff7-db1f-3dc3-8286-63cc9924fcdf Developmental 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

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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, always consult your usual doctor

]]> Developmental 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.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, always consult your usual doctor

]]> RNZCUC false No 652 420 full Urgent Bite 288 - The Jahss Manoeuvre Urgent Bite 288 - The Jahss Manoeuvre https://rnzcuc.podbean.com/e/urgent-bite-288-the-jahss-manoeuvre/ https://rnzcuc.podbean.com/e/urgent-bite-288-the-jahss-manoeuvre/#comments Fri, 26 Dec 2025 13:01:00 +1300 rnzcuc.podbean.com/39ab7d1e-d0bd-34e0-bd0a-b79c65821d0f The 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

 

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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, always consult your usual doctor

]]> The 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

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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, always consult your usual doctor

]]> RNZCUC false No 453 419 full Ode to Urgent Care - Christmas Eve 2025 Ode to Urgent Care - Christmas Eve 2025 https://rnzcuc.podbean.com/e/ode-to-urgent-care-christmas-eve-2025/ https://rnzcuc.podbean.com/e/ode-to-urgent-care-christmas-eve-2025/#comments Wed, 24 Dec 2025 18:01:00 +1300 rnzcuc.podbean.com/d570d2a4-b59e-36ce-bdaf-5ff665e795dc This 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

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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

]]> This 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 personal medical advice always consult your usual doctor

]]> RNZCUC false No 238 418 full Urgent Bite 287 - Andrographis Paniculata as a cause of angioedema Urgent Bite 287 - Andrographis Paniculata as a cause of angioedema https://rnzcuc.podbean.com/e/urgent-bite-287-andrographis-paniculata-as-a-cause-of-angioedema/ https://rnzcuc.podbean.com/e/urgent-bite-287-andrographis-paniculata-as-a-cause-of-angioedema/#comments Fri, 19 Dec 2025 13:01:00 +1300 rnzcuc.podbean.com/e93eca1b-7399-3e81-a9d5-8f7ec894a684 In 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

 

 

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Christmas Elves by Francesco D'Andrea

 

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

]]> In 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

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Music licensed from www.premiumbeat.com

Full Grip by Score Squad

Christmas Elves by Francesco D'Andrea

 

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

]]> RNZCUC false No 422 417 full Urgent Bite 286 - Sliding Doors Urgent Bite 286 - Sliding Doors https://rnzcuc.podbean.com/e/urgent-bites-286-sliding-doors/ https://rnzcuc.podbean.com/e/urgent-bites-286-sliding-doors/#comments Fri, 12 Dec 2025 13:01:00 +1300 rnzcuc.podbean.com/b344c943-a20e-3451-9fe2-badd52aa1575 The 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

 

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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, always consult your usual doctor

]]> The 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

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, always consult your usual doctor

]]> RNZCUC false No 1046 416 full Urgent Bite 285 - Adventitious Bursae Urgent Bite 285 - Adventitious Bursae https://rnzcuc.podbean.com/e/urgent-bite-285-adventitious-bursae/ https://rnzcuc.podbean.com/e/urgent-bite-285-adventitious-bursae/#comments Fri, 05 Dec 2025 13:01:00 +1300 rnzcuc.podbean.com/18d36337-0d78-3672-9f0a-56997f47999f Adventitious 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

 

 

 

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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

]]> Adventitious 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

 

 

 

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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

]]> RNZCUC false No 393 415 full Urgent Bite 284 - Coryza and Catarrh Urgent Bite 284 - Coryza and Catarrh https://rnzcuc.podbean.com/e/urgent-bite-284-coryza-and-catarrh/ https://rnzcuc.podbean.com/e/urgent-bite-284-coryza-and-catarrh/#comments Fri, 28 Nov 2025 13:01:00 +1300 rnzcuc.podbean.com/69d8872e-eb2e-3bdc-b721-778e82067dcf When 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.

 

 

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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, always consult your usual doctor 

]]> When 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.

 

 

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Music licensed from www.premiumbeat.com

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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 

]]> RNZCUC false No 817 414 full Urgent Bite 283 - Referral Communication Urgent Bite 283 - Referral Communication https://rnzcuc.podbean.com/e/urgent-bite-283-referral-communication/ https://rnzcuc.podbean.com/e/urgent-bite-283-referral-communication/#comments Fri, 21 Nov 2025 13:01:00 +1300 rnzcuc.podbean.com/42f128c2-58e6-3858-8f1c-d17aa959e649 When 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.

 

 

 

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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, always consult your usual doctor 

]]> When 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.

 

 

 

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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, always consult your usual doctor 

]]> RNZCUC false No 786 413 full Urgent Bite 282 - Head injuries in the elderly Urgent Bite 282 - Head injuries in the elderly https://rnzcuc.podbean.com/e/urgent-bite-282-head-injuries-in-the-elderly/ https://rnzcuc.podbean.com/e/urgent-bite-282-head-injuries-in-the-elderly/#comments Fri, 14 Nov 2025 13:01:00 +1300 rnzcuc.podbean.com/82e0d92f-a614-3225-8244-3a444e2b5b28 Dame 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 Systematic Review. J Neurotrauma. 2019 Feb 15;36(4):517-522. doi: 10.1089/neu.2018.5829. Epub 2018 Aug 14. PMID: 29943683. Link

Manivannan S, Spencer R, Marei O, Mayo I, Elalfy O, Martin J, Zaben M. Acute subdural haematoma in the elderly: to operate or not to operate? A systematic review and meta-analysis of outcomes following surgery. BMJ Open. 2021 Dec 3;11(12):e050786. doi: 10.1136/bmjopen-2021-050786. PMID: 34862284; PMCID: PMC8647543. Link 

Kuhn EN, Erwood MS, Oster RA, Davis MC, Zeiger HE, Pittman BC, Fisher WS 3rd. Outcomes of Subdural Hematoma in the Elderly with a History of Minor or No Previous Trauma. World Neurosurg. 2018 Nov;119:e374-e382. doi: 10.1016/j.wneu.2018.07.168. Epub 2018 Jul 30. PMID: 30071339. Link

MdCalc Canadian CT Head tool

 

BBC Article about Dame Jilly Cooper

 

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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, always consult your usual doctor 

]]> Dame 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 Systematic Review. J Neurotrauma. 2019 Feb 15;36(4):517-522. doi: 10.1089/neu.2018.5829. Epub 2018 Aug 14. PMID: 29943683. Link

Manivannan S, Spencer R, Marei O, Mayo I, Elalfy O, Martin J, Zaben M. Acute subdural haematoma in the elderly: to operate or not to operate? A systematic review and meta-analysis of outcomes following surgery. BMJ Open. 2021 Dec 3;11(12):e050786. doi: 10.1136/bmjopen-2021-050786. PMID: 34862284; PMCID: PMC8647543. Link 

Kuhn EN, Erwood MS, Oster RA, Davis MC, Zeiger HE, Pittman BC, Fisher WS 3rd. Outcomes of Subdural Hematoma in the Elderly with a History of Minor or No Previous Trauma. World Neurosurg. 2018 Nov;119:e374-e382. doi: 10.1016/j.wneu.2018.07.168. Epub 2018 Jul 30. PMID: 30071339. Link

MdCalc Canadian CT Head tool

 

BBC Article about Dame Jilly Cooper

 

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podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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, always consult your usual doctor 

]]> RNZCUC false No 826 412 full Urgent Bite 281 - Thinking about sparkler related eye injuries Urgent Bite 281 - Thinking about sparkler related eye injuries https://rnzcuc.podbean.com/e/urgent-bite-281-thinking-about-sparkler-related-eye-injuries/ https://rnzcuc.podbean.com/e/urgent-bite-281-thinking-about-sparkler-related-eye-injuries/#comments Fri, 07 Nov 2025 13:01:00 +1300 rnzcuc.podbean.com/2d160225-c70c-314e-8c00-e45070693b95 Sparklers 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.

 

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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, always consult your usual doctor 

]]> Sparklers 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.

 

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podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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, always consult your usual doctor 

]]> RNZCUC false No 612 411 full Urgent Bite 280 - A Poke in the Eye Urgent Bite 280 - A Poke in the Eye https://rnzcuc.podbean.com/e/urgent-bite-280-a-poke-in-the-eye/ https://rnzcuc.podbean.com/e/urgent-bite-280-a-poke-in-the-eye/#comments Fri, 31 Oct 2025 13:01:00 +1300 rnzcuc.podbean.com/dde7a394-475a-33e5-a152-3f0e9461475e We 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 mentioned

Raman Bhakhri and Nicole Landry.  Commitio Retinae: A teaching Case Report. Optometric Education: Volume 48 Number 2 (Winter-Spring 2023)  

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

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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, always consult your usual doctor 

]]> We 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 mentioned

Raman Bhakhri and Nicole Landry.  Commitio Retinae: A teaching Case Report. Optometric Education: Volume 48 Number 2 (Winter-Spring 2023)  

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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, always consult your usual doctor 

]]> RNZCUC false No 1075 410 full Urgent Bite 279 - Pisa Syndrome Urgent Bite 279 - Pisa Syndrome https://rnzcuc.podbean.com/e/urgent-bite-279-pisa-syndrome/ https://rnzcuc.podbean.com/e/urgent-bite-279-pisa-syndrome/#comments Fri, 24 Oct 2025 13:01:00 +1300 rnzcuc.podbean.com/25c44998-77ec-3d2b-9e79-0483b0e8bc25 Pisa 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.

 

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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, always consult your usual doctor 

]]> Pisa 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.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, always consult your usual doctor 

]]> RNZCUC false No 520 409 full Urgent Bite 278 - Ocular Siderosis Urgent Bite 278 - Ocular Siderosis https://rnzcuc.podbean.com/e/urgent-bite-278-ocular-siderosis/ https://rnzcuc.podbean.com/e/urgent-bite-278-ocular-siderosis/#comments Fri, 17 Oct 2025 13:38:35 +1300 rnzcuc.podbean.com/2a591102-ed79-3510-bf2f-cf2107759ebb We 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

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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, always consult your usual doctor 

]]> We 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

 

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 

]]> RNZCUC false No 723 408 full The STUMBL score - with Dr Ceri Battle The STUMBL score - with Dr Ceri Battle https://rnzcuc.podbean.com/e/the-stumbl-score-with-dr-ceri-battle/ https://rnzcuc.podbean.com/e/the-stumbl-score-with-dr-ceri-battle/#comments Fri, 10 Oct 2025 13:01:00 +1300 rnzcuc.podbean.com/bcf885b0-1c34-3fc4-8f84-3c9c9ef96bca Dr 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'Neill C, Groves S, Watkins A, Lecky FE, Jones S, Gagg J, Body R, Abbott Z, Evans PA. A multicentre randomised feasibility STUdy evaluating the impact of a prognostic model for Management of BLunt chest wall trauma patients: STUMBL Trial. BMJ Open. 2019 Jul 26;9(7):e029187. doi: 10.1136/bmjopen-2019-029187. PMID: 31350248; PMCID: PMC6661629.  LINK

Battle C, Cole E, Carter K, Baker E. Clinical prediction models for the management of blunt chest trauma in the emergency department: a systematic review. BMC Emerg Med. 2024 Oct 12;24(1):189. doi: 10.1186/s12873-024-01107-6. PMID: 39395934; PMCID: PMC11470733. LINK 

 

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podcast@rnzcuc.org.nz

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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, always consult your usual doctor 

]]> Dr 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'Neill C, Groves S, Watkins A, Lecky FE, Jones S, Gagg J, Body R, Abbott Z, Evans PA. A multicentre randomised feasibility STUdy evaluating the impact of a prognostic model for Management of BLunt chest wall trauma patients: STUMBL Trial. BMJ Open. 2019 Jul 26;9(7):e029187. doi: 10.1136/bmjopen-2019-029187. PMID: 31350248; PMCID: PMC6661629.  LINK

Battle C, Cole E, Carter K, Baker E. Clinical prediction models for the management of blunt chest trauma in the emergency department: a systematic review. BMC Emerg Med. 2024 Oct 12;24(1):189. doi: 10.1186/s12873-024-01107-6. PMID: 39395934; PMCID: PMC11470733. 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 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 

]]> RNZCUC false No 2239 407 full Urgent Bite 277 - Hypochondriasis Urgent Bite 277 - Hypochondriasis https://rnzcuc.podbean.com/e/urgent-bite-278-hypochondriasis/ https://rnzcuc.podbean.com/e/urgent-bite-278-hypochondriasis/#comments Fri, 03 Oct 2025 13:01:00 +1300 rnzcuc.podbean.com/6a51c9e0-a80e-30bd-b6c7-6f0bab63bbd9 Why 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, Rück C, Österman S, Lichtenstein P, Larsson H, Kuja-Halkola R, Chang Z, Brickell I, Hedman-Lagerlöf E, Fernández de la Cruz L. All-Cause and Cause-Specific Mortality Among Individuals With Hypochondriasis. JAMA Psychiatry. 2024 Mar 1;81(3):284-291. doi: 10.1001/jamapsychiatry.2023.4744. PMID: 38091000; PMCID: PMC10719832. link

 

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podcast@rnzcuc.org.nz

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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, always consult your usual doctor 

]]> Why 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, Rück C, Österman S, Lichtenstein P, Larsson H, Kuja-Halkola R, Chang Z, Brickell I, Hedman-Lagerlöf E, Fernández de la Cruz L. All-Cause and Cause-Specific Mortality Among Individuals With Hypochondriasis. JAMA Psychiatry. 2024 Mar 1;81(3):284-291. doi: 10.1001/jamapsychiatry.2023.4744. PMID: 38091000; PMCID: PMC10719832. 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 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 

]]> RNZCUC false No 765 406 full Communication CPD - Part 2 - Dr Fiona Moir and Dr Renske van den Brink Communication CPD - Part 2 - Dr Fiona Moir and Dr Renske van den Brink https://rnzcuc.podbean.com/e/communication-cpd-part-2-dr-fiona-moir-and-dr-renske-van-den-brink/ https://rnzcuc.podbean.com/e/communication-cpd-part-2-dr-fiona-moir-and-dr-renske-van-den-brink/#comments Fri, 26 Sep 2025 13:01:00 +1200 rnzcuc.podbean.com/45ba9fe3-ced5-3b67-8558-bd963d08d62c Dr 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 lives, not just our patient conversations.  

 

Check out what Connect Communications offers on their website

 

If you are an RNZCUC member, you can access the communication suite of videos by following this link.

 

Link to the Balint Society of Australia and New Zealand.

 

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, always consult your usual doctor 

]]> Dr 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 lives, not just our patient conversations.  

 

Check out what Connect Communications offers on their website

 

If you are an RNZCUC member, you can access the communication suite of videos by following this link.

 

Link to the Balint Society of Australia and New Zealand.

 

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, always consult your usual doctor 

]]> RNZCUC false No 1845 405 full Communication CPD - Part 1 - Dr Fiona Moir and Dr Renske van den Brink Communication CPD - Part 1 - Dr Fiona Moir and Dr Renske van den Brink https://rnzcuc.podbean.com/e/communication-cpd/ https://rnzcuc.podbean.com/e/communication-cpd/#comments Fri, 19 Sep 2025 13:01:00 +1200 rnzcuc.podbean.com/0c444e81-9299-3341-b7ec-7d1b4320aa2c Dr 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 of your CPD towards communication-related activities.  

 

Check out what Connect Communications offers on their website

 

If you are an RNZCUC member, you can access the communication suite of videos by following this 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 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 

 

 

 

]]> Dr 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 of your CPD towards communication-related activities.  

 

Check out what Connect Communications offers on their website

 

If you are an RNZCUC member, you can access the communication suite of videos by following this 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 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 

 

 

 

]]> RNZCUC false No 1660 404 full Could it be Sepsis? A Mother's Story Could it be Sepsis? A Mother's Story https://rnzcuc.podbean.com/e/ally-hossain-sepsis/ https://rnzcuc.podbean.com/e/ally-hossain-sepsis/#comments Fri, 12 Sep 2025 13:01:00 +1200 rnzcuc.podbean.com/58cec089-9588-3228-a2ad-3766fa6d0055 For 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 sepsis superhero by donating and helping to raise funds

 

Check out the Global Sepsis Alliance

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

 

Music licensed from www.premiumbeat.com

Billion Stars by Remember the Future

 

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

]]> For 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 sepsis superhero by donating and helping to raise funds

 

Check out the Global Sepsis Alliance

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

 

Music licensed from www.premiumbeat.com

Billion Stars by Remember the Future

 

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

]]> RNZCUC false No 3140 403 full Urgent Bite 276 - World Sepsis Month Urgent Bite 276 - World Sepsis Month https://rnzcuc.podbean.com/e/urgent-bite-276-world-sepsis-month/ https://rnzcuc.podbean.com/e/urgent-bite-276-world-sepsis-month/#comments Fri, 05 Sep 2025 13:01:00 +1200 rnzcuc.podbean.com/4eb81717-384e-3106-85a5-61d42a87eec8 September 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 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 always consult your usual doctor 

]]> September 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 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 always consult your usual doctor 

]]> RNZCUC false No 313 402 full Urgent Bite 275 - Pityriasis Rosea Urgent Bite 275 - Pityriasis Rosea https://rnzcuc.podbean.com/e/urgent-bite-275-pityriasis-rosea/ https://rnzcuc.podbean.com/e/urgent-bite-275-pityriasis-rosea/#comments Fri, 29 Aug 2025 13:01:00 +1200 rnzcuc.podbean.com/c35820ae-bb05-3b32-8049-a3cf21fa09d8 Do 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 practice at all times.  For personal medical advice always consult your usual doctor 

]]> Do 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 practice at all times.  For personal medical advice always consult your usual doctor 

]]> RNZCUC false No 492 401 full Urgent Bite 274 - Thinking about ECG artefact Urgent Bite 274 - Thinking about ECG artefact https://rnzcuc.podbean.com/e/urgent-bite-274-thinking-about-ecg-artefact/ https://rnzcuc.podbean.com/e/urgent-bite-274-thinking-about-ecg-artefact/#comments Fri, 22 Aug 2025 13:01:00 +1200 rnzcuc.podbean.com/d96c190f-6079-3618-8f93-af7f26802a94 We 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 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 

]]> We 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 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 

]]> RNZCUC false No 515 400 full Urgent Bite 273 - Quincke's disease (and other eponyms) Urgent Bite 273 - Quincke's disease (and other eponyms) https://rnzcuc.podbean.com/e/urgent-bite-273-quinckes-disease-and-other-eponyms/ https://rnzcuc.podbean.com/e/urgent-bite-273-quinckes-disease-and-other-eponyms/#comments Fri, 15 Aug 2025 13:01:00 +1200 rnzcuc.podbean.com/1712db4a-ffae-36ee-b18d-6438a9902caa 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.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 always consult your usual doctor 

]]> 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.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 always consult your usual doctor 

]]> RNZCUC false No 468 399 full Urgent Bite 272 - Get your CPD at Bootcamp 2025 Urgent Bite 272 - Get your CPD at Bootcamp 2025 https://rnzcuc.podbean.com/e/urgent-bite-272-get-your-cpd-at-bootcamp-2025/ https://rnzcuc.podbean.com/e/urgent-bite-272-get-your-cpd-at-bootcamp-2025/#comments Fri, 08 Aug 2025 13:01:00 +1200 rnzcuc.podbean.com/2cd0604e-ef1b-362d-9b4f-85919ad622e7 The 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 medical advice always consult your usual doctor 

]]> The 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 medical advice always consult your usual doctor 

]]> RNZCUC false No 453 398 full Urgent Bite 271 - Cauda Equina Syndrome and the DRE Urgent Bite 271 - Cauda Equina Syndrome and the DRE https://rnzcuc.podbean.com/e/urgent-bite-271-cauda-equina-syndrome-and-the-dre/ https://rnzcuc.podbean.com/e/urgent-bite-271-cauda-equina-syndrome-and-the-dre/#comments Fri, 01 Aug 2025 13:01:00 +1200 rnzcuc.podbean.com/df5a7b30-2107-3e28-99f3-6ca79af3e7b7 Do 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

 

Tabrah J, Wilson N, Phillips D, Böhning D. Can digital rectal examination be used to detect cauda equina compression in people presenting with acute cauda equina syndrome? A systematic review and meta-analysis of diagnostic test accuracy studies. Musculoskelet Sci Pract. 2022 Apr;58:102523. doi: 10.1016/j.msksp.2022.102523. Epub 2022 Feb 9. PMID: 35180641. Link 

 

Curtis Lopez C, Berg AJ, Clayton B, Siddique I, Carrasco R, Horner D, Angus M. Evaluation of the role of anal tone and perianal sensation examination in the assessment of suspected cauda equina syndrome. Br J Neurosurg. 2024 Aug;38(4):923-927. doi: 10.1080/02688697.2021.2005775. Epub 2021 Nov 19. PMID: 34796788. 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 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 

]]> Do 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

 

Tabrah J, Wilson N, Phillips D, Böhning D. Can digital rectal examination be used to detect cauda equina compression in people presenting with acute cauda equina syndrome? A systematic review and meta-analysis of diagnostic test accuracy studies. Musculoskelet Sci Pract. 2022 Apr;58:102523. doi: 10.1016/j.msksp.2022.102523. Epub 2022 Feb 9. PMID: 35180641. Link 

 

Curtis Lopez C, Berg AJ, Clayton B, Siddique I, Carrasco R, Horner D, Angus M. Evaluation of the role of anal tone and perianal sensation examination in the assessment of suspected cauda equina syndrome. Br J Neurosurg. 2024 Aug;38(4):923-927. doi: 10.1080/02688697.2021.2005775. Epub 2021 Nov 19. PMID: 34796788. 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 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 

]]> RNZCUC false No 1001 397 full Urgent Bite 270 - Ecthyma Urgent Bite 270 - Ecthyma https://rnzcuc.podbean.com/e/urgent-bite-270-ecthyma/ https://rnzcuc.podbean.com/e/urgent-bite-270-ecthyma/#comments Fri, 25 Jul 2025 13:01:00 +1200 rnzcuc.podbean.com/d584dfb4-1344-3101-b647-22dff45c4817 Ecthyma 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 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 

]]> Ecthyma 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 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 

]]> RNZCUC false No 459 396 full Urgent Bite 269 - The Mallet Deformity Urgent Bite 269 - The Mallet Deformity https://rnzcuc.podbean.com/e/urgent-bite-270-the-mallet-deformity/ https://rnzcuc.podbean.com/e/urgent-bite-270-the-mallet-deformity/#comments Fri, 18 Jul 2025 13:01:00 +1200 rnzcuc.podbean.com/dbbd281e-f7b7-3af6-a315-5315ab6e6a6f Why 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 always consult your usual doctor 

]]> Why 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 always consult your usual doctor 

]]> RNZCUC false No 590 395 full Urgent Bite 268 - Ear Lacerations Urgent Bite 268 - Ear Lacerations https://rnzcuc.podbean.com/e/urgent-bite-268-ear-lacerations/ https://rnzcuc.podbean.com/e/urgent-bite-268-ear-lacerations/#comments Fri, 11 Jul 2025 13:01:00 +1200 rnzcuc.podbean.com/3404fcfe-4bac-3e0e-97a0-5b198e443e13 What 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 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 

]]> What 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 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 

]]> RNZCUC false No 811 394 full Urgent Bite 267 - Thinking about Wound Glue Urgent Bite 267 - Thinking about Wound Glue https://rnzcuc.podbean.com/e/urgent-bite-267-thinking-about-wound-glue/ https://rnzcuc.podbean.com/e/urgent-bite-267-thinking-about-wound-glue/#comments Fri, 04 Jul 2025 13:01:00 +1200 rnzcuc.podbean.com/461aa839-26b5-3e18-b553-b0ecaf7c9691 Wound 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 Alicia Loh

 

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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 

]]> Wound 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 Alicia Loh

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

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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 always consult your usual doctor 

]]> RNZCUC false No 564 393 full Urgent Bite 266 - Lunate and Perilunate Dislocations Urgent Bite 266 - Lunate and Perilunate Dislocations https://rnzcuc.podbean.com/e/urgent-bite-266-lunate-and-perilunate-dislocations/ https://rnzcuc.podbean.com/e/urgent-bite-266-lunate-and-perilunate-dislocations/#comments Fri, 27 Jun 2025 13:01:00 +1200 rnzcuc.podbean.com/c2c28db8-316e-32fd-9c95-f9067231b3d0 How 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 L, Grassi R. Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department. Acta Biomed. 2018 Jan 19;89(1-S):111-123. doi: 10.23750/abm.v89i1-S.7015. PMID: 29350641; PMCID: PMC6179080. Link

 

Dixon A, Hacking C, Elfeky M, et al. Lunate dislocation. Reference article, Radiopaedia.org (Accessed on 26 Jun 2025) https://doi.org/10.53347/rID-10010 

 

Dixon A, Hacking C, Sriselvakumar S, et al. Perilunate dislocation. Reference article, Radiopaedia.org (Accessed on 25 Jun 2025) https://doi.org/10.53347/rID-10004

 

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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 always consult your usual doctor 

]]> How 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 L, Grassi R. Traumatic fractures in adults: missed diagnosis on plain radiographs in the Emergency Department. Acta Biomed. 2018 Jan 19;89(1-S):111-123. doi: 10.23750/abm.v89i1-S.7015. PMID: 29350641; PMCID: PMC6179080. Link

 

Dixon A, Hacking C, Elfeky M, et al. Lunate dislocation. Reference article, Radiopaedia.org (Accessed on 26 Jun 2025) https://doi.org/10.53347/rID-10010 

 

Dixon A, Hacking C, Sriselvakumar S, et al. Perilunate dislocation. Reference article, Radiopaedia.org (Accessed on 25 Jun 2025) https://doi.org/10.53347/rID-10004

 

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Music licensed from www.premiumbeat.com

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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 

]]> RNZCUC false No 746 392 full Urgent Bite 265 - Peripheral Neuropathy and Vitamin B6 Urgent Bite 265 - Peripheral Neuropathy and Vitamin B6 https://rnzcuc.podbean.com/e/urgent-bite-265-peripheral-neuropathy-and-vitamin-b6/ https://rnzcuc.podbean.com/e/urgent-bite-265-peripheral-neuropathy-and-vitamin-b6/#comments Fri, 20 Jun 2025 13:01:00 +1200 rnzcuc.podbean.com/c048a382-b17d-34c6-8d06-50646330b109 Vitamin 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-

 

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Music licensed from www.premiumbeat.com

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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 

]]> Vitamin 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-

 

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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 always consult your usual doctor 

]]> RNZCUC false No 524 391 full Urgent Bite 264 - Hutchinson's Sign Urgent Bite 264 - Hutchinson's Sign https://rnzcuc.podbean.com/e/urgent-bite-264-hutchinsons-sign/ https://rnzcuc.podbean.com/e/urgent-bite-264-hutchinsons-sign/#comments Fri, 13 Jun 2025 13:01:00 +1200 rnzcuc.podbean.com/de47b847-60eb-35f8-96db-be0c83aeaa9a There 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-. 

 

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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 always consult your usual doctor 

]]> There 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-. 

 

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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 

]]> RNZCUC false No 564 390 full Urgent Bite 263 - Embedded Fishhooks Urgent Bite 263 - Embedded Fishhooks https://rnzcuc.podbean.com/e/urgent-bite-263-embedded-fishhooks/ https://rnzcuc.podbean.com/e/urgent-bite-263-embedded-fishhooks/#comments Fri, 06 Jun 2025 13:01:00 +1200 rnzcuc.podbean.com/a2a5031a-fff5-3857-b52d-c7b46fc423f1 How 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

 

 

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podcast@rnzcuc.org.nz

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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 always consult your usual doctor 

]]> How 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

 

 

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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 always consult your usual doctor 

]]> RNZCUC false No 1037 389 full Urgent Bite 262 - The TFCC Urgent Bite 262 - The TFCC https://rnzcuc.podbean.com/e/urgent-bite-262-the-tfcc/ https://rnzcuc.podbean.com/e/urgent-bite-262-the-tfcc/#comments Fri, 30 May 2025 13:01:00 +1200 rnzcuc.podbean.com/a8e8df93-f5ec-36ef-bc1f-d363f4f2f7e6 We 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

 

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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 always consult your usual doctor 

]]> We 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

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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 always consult your usual doctor 

]]> RNZCUC false No 600 388 full Urgent Bite 261 - Dysdiadochokinesia Urgent Bite 261 - Dysdiadochokinesia https://rnzcuc.podbean.com/e/urgent-bite-261-dysdiadochokinesia/ https://rnzcuc.podbean.com/e/urgent-bite-261-dysdiadochokinesia/#comments Fri, 23 May 2025 13:09:52 +1200 rnzcuc.podbean.com/c60995cb-9a58-377e-a828-e5235bb70198 Testing 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-. 

 

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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 always consult your usual doctor 

]]> Testing 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-. 

 

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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 always consult your usual doctor 

]]> RNZCUC false No 472 387 full Urgent Bite 260 - Onychomycosis through Urgent Care Urgent Bite 260 - Onychomycosis through Urgent Care https://rnzcuc.podbean.com/e/urgent-bite-260-onychomycosis-through-urgent-care/ https://rnzcuc.podbean.com/e/urgent-bite-260-onychomycosis-through-urgent-care/#comments Fri, 16 May 2025 13:01:00 +1200 rnzcuc.podbean.com/816c8d31-0604-3ce5-a794-cce8f163e468 Onychomycosis is not an urgent condition, but it can present through urgent care. 

 

Check out the recent BPAC page, reviewed by Prof Amanda Oakley

 

 

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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 always consult your usual doctor 

]]> Onychomycosis 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

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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 always consult your usual doctor 

]]> RNZCUC false No 700 386 full In-House Simulations in Urgent Care - with Khang Gan and Erin Carn-Bennett In-House Simulations in Urgent Care - with Khang Gan and Erin Carn-Bennett https://rnzcuc.podbean.com/e/in-house-simulations-in-urgent-care-with-khang-gan-and-erin-carn-bennett/ https://rnzcuc.podbean.com/e/in-house-simulations-in-urgent-care-with-khang-gan-and-erin-carn-bennett/#comments Fri, 09 May 2025 13:01:00 +1200 rnzcuc.podbean.com/46ecb9a3-f373-33df-b49d-8eecfae17bda This 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

 

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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 always consult your usual doctor 

]]> This 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/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 always consult your usual doctor 

]]> RNZCUC false No 3366 385 full Urgent Bite 259 - Microhyphaema Urgent Bite 259 - Microhyphaema https://rnzcuc.podbean.com/e/urgent-bite-259-microhyphaema/ https://rnzcuc.podbean.com/e/urgent-bite-259-microhyphaema/#comments Fri, 02 May 2025 13:01:00 +1200 rnzcuc.podbean.com/75787c17-fa0b-3e91-851b-6749fe97f5a0 It 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

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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 always consult your usual doctor 

]]> It 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

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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 always consult your usual doctor 

]]> RNZCUC false No 757 384 full Reflection Reflection https://rnzcuc.podbean.com/e/reflection/ https://rnzcuc.podbean.com/e/reflection/#comments Fri, 25 Apr 2025 13:23:28 +1200 rnzcuc.podbean.com/afbebd9a-ee59-30ec-a0b8-4bc9b5a96d91 ANZAC 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.  

 

 

 

 

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Music licensed from www.premiumbeat.com

A loop from Indomitable by Elliot Middleton

 

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 

]]> ANZAC 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 Indomitable by Elliot Middleton

 

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 

]]> RNZCUC false No 384 383 full Urgent Bite 258 - "It hurts when I pee" Urgent Bite 258 - "It hurts when I pee" https://rnzcuc.podbean.com/e/urgent-bite-258-it-hurts-when-i-pee/ https://rnzcuc.podbean.com/e/urgent-bite-258-it-hurts-when-i-pee/#comments Fri, 18 Apr 2025 13:01:00 +1200 rnzcuc.podbean.com/b2007dcd-2847-3adc-b80e-b17b15ed2e14 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):788-796. doi: 10.1111/jep.13998. Epub 2024 Jun 2. PMID: 38825755.

Link to abstract

 

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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 always consult your usual doctor 

]]> 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):788-796. doi: 10.1111/jep.13998. Epub 2024 Jun 2. PMID: 38825755.

Link to abstract

 

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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 

]]> RNZCUC false No 870 382 full Urgent Bite 257 - The Vermilion Border Urgent Bite 257 - The Vermilion Border https://rnzcuc.podbean.com/e/urgent-bite-257-the-vermilion-border/ https://rnzcuc.podbean.com/e/urgent-bite-257-the-vermilion-border/#comments Fri, 11 Apr 2025 13:01:00 +1200 rnzcuc.podbean.com/00960ded-45d2-38bf-b852-7d1f8d4cf50c A tip to ensure you align the vermilion border accurately.

 

Check out the Laceration Repair blog page

 

 

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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 always consult your usual doctor 

]]> A tip to ensure you align the vermilion border accurately.

 

Check out the Laceration Repair blog page

 

 

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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 

]]> RNZCUC false No 529 381 full Urgent Bite 256 - Colchicine Urgent Bite 256 - Colchicine https://rnzcuc.podbean.com/e/urgent-bite-256-colchicine/ https://rnzcuc.podbean.com/e/urgent-bite-256-colchicine/#comments Fri, 04 Apr 2025 13:01:00 +1300 rnzcuc.podbean.com/83d65864-18de-3e60-a9da-dfdb9d6e27eb Do you use colchicine for acute gout flares?  Are you aware of the risk factors for toxicity?

 

Check out the Prescriber update for March 2025

 

 

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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 always consult your usual doctor 

]]> Do 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

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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 always consult your usual doctor 

]]> RNZCUC false No 746 380 full Urgent Bite 255 - The Knee to Wall Test Urgent Bite 255 - The Knee to Wall Test https://rnzcuc.podbean.com/e/urgent-bite-255-the-knee-to-wall-test/ https://rnzcuc.podbean.com/e/urgent-bite-255-the-knee-to-wall-test/#comments Fri, 28 Mar 2025 13:01:00 +1300 rnzcuc.podbean.com/4b2e7ba6-29f2-344a-8423-ccfe74ae37e6 What is the knee to wall test and what does it measure?

 

Check out the Physiopaedia page on the Knee to Wall Test

 

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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 always consult your usual doctor 

]]> What 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

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Music licensed from www.premiumbeat.com

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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 

]]> RNZCUC false No 616 379 full Urgent Bite 254 - The Patient Agenda Urgent Bite 254 - The Patient Agenda https://rnzcuc.podbean.com/e/urgent-bite-254-the-patient-agenda/ https://rnzcuc.podbean.com/e/urgent-bite-254-the-patient-agenda/#comments Fri, 21 Mar 2025 13:01:00 +1300 rnzcuc.podbean.com/c1c49fe2-49b6-3188-b0cd-a75a7e58f8be Do 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

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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 always consult your usual doctor 

]]> Do 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

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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 always consult your usual doctor 

]]> RNZCUC false No 576 378 full Urgent Bite 253 - UCL elbow injuries and Tommy John Urgent Bite 253 - UCL elbow injuries and Tommy John https://rnzcuc.podbean.com/e/urgent-bite-253-ucl-elbow-injuries-and-tommy-john/ https://rnzcuc.podbean.com/e/urgent-bite-253-ucl-elbow-injuries-and-tommy-john/#comments Fri, 14 Mar 2025 13:01:00 +1300 rnzcuc.podbean.com/06edc99a-0c5c-3115-9143-66a357ce8d12 An 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

 

 

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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 always consult your usual doctor 

]]> An 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

 

 

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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 always consult your usual doctor 

]]> RNZCUC false No 621 377 full Urgent Bite 252 - Considering Barbers Urgent Bite 252 - Considering Barbers https://rnzcuc.podbean.com/e/urgent-bite-252-considering-barbers/ https://rnzcuc.podbean.com/e/urgent-bite-252-considering-barbers/#comments Fri, 07 Mar 2025 14:35:38 +1300 rnzcuc.podbean.com/fe9ab5e0-ccd0-35e0-9600-45c5aac42a5c What 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: PMC1838871.  Link to paper

 

Dermnet page on Skin problems for Hairdressers and Barbers.  By Susan Ford Bsc (Hons) 2012 - Link to page

 

Check out this clip from one of Fred Dibnah's BBC documentaries. 

 

 

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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 always consult your usual doctor 

]]> What 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: PMC1838871.  Link to paper

 

Dermnet page on Skin problems for Hairdressers and Barbers.  By Susan Ford Bsc (Hons) 2012 - Link to page

 

Check out this clip from one of Fred Dibnah's BBC documentaries. 

 

 

www.rnzcuc.org.nz

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Music licensed from www.premiumbeat.com

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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 

]]> RNZCUC false No 701 376 full Urgent Bite 251 - Bitot's Spots Urgent Bite 251 - Bitot's Spots https://rnzcuc.podbean.com/e/urgent-bite-251-bitots-spots/ https://rnzcuc.podbean.com/e/urgent-bite-251-bitots-spots/#comments Fri, 28 Feb 2025 13:01:00 +1300 rnzcuc.podbean.com/b37ae01a-5fb3-30cd-9e2f-e8e027af55ab Seeing 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. The American Journal of Medicine, Volume 136, Issue 10, e195 - e196 Link

Management of Bitot Spots.  Umesh Krishna, MD, Sumana J. Kamath, MD, and Madhurima K. Nay­ak, MD Edited by Sharon Fekrat, MD, and Ingrid U. Scott, MD, MPH Dec 2016 EyeNet Magazine.  Link

 

 

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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 

]]> Seeing 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. The American Journal of Medicine, Volume 136, Issue 10, e195 - e196 Link

Management of Bitot Spots.  Umesh Krishna, MD, Sumana J. Kamath, MD, and Madhurima K. Nay­ak, MD
Edited by Sharon Fekrat, MD, and Ingrid U. Scott, MD, MPH Dec 2016 EyeNet Magazine.  Link

 

 

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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 always consult your usual doctor 

]]> RNZCUC false No 533 375 full Urgent Bite 250 - Swiss Cheese and Professor Reason Urgent Bite 250 - Swiss Cheese and Professor Reason https://rnzcuc.podbean.com/e/urgent-bite-250-swiss-cheese-and-professor-reason/ https://rnzcuc.podbean.com/e/urgent-bite-250-swiss-cheese-and-professor-reason/#comments Fri, 21 Feb 2025 13:01:00 +1300 rnzcuc.podbean.com/8099ffe3-c9e1-3806-8966-577d09d7d042 Professor 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

 

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Music licensed from www.premiumbeat.com

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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 

]]> Professor 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

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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 always consult your usual doctor 

]]> RNZCUC false No 807 374 full Urgent Bite 249 - Sentinel headaches and SAH Urgent Bite 249 - Sentinel headaches and SAH https://rnzcuc.podbean.com/e/urgent-bite-249-sentinel-headaches-and-sah/ https://rnzcuc.podbean.com/e/urgent-bite-249-sentinel-headaches-and-sah/#comments Fri, 14 Feb 2025 13:01:00 +1300 rnzcuc.podbean.com/111a0135-0053-3fbb-bc3b-c718d26c1899 What 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 Carvalho GT, Vieira G Jr, Rocha MI, Loures LL, Christo PP, de Sousa AA. Importance of recognizing sentinel headache. Surg Neurol Int. 2012;3:162. doi: 10.4103/2152-7806.105101. Epub 2012 Dec 26. PMID: 23372978; PMCID: PMC3551504.

Link to paper

 

The article on the European Stroke Organisation by Dr Diana 

 

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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 always consult your usual doctor 

]]> What 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 Carvalho GT, Vieira G Jr, Rocha MI, Loures LL, Christo PP, de Sousa AA. Importance of recognizing sentinel headache. Surg Neurol Int. 2012;3:162. doi: 10.4103/2152-7806.105101. Epub 2012 Dec 26. PMID: 23372978; PMCID: PMC3551504.

Link to paper

 

The article on the European Stroke Organisation by Dr Diana 

 

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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 always consult your usual doctor 

]]> RNZCUC false No 743 373 full Urgent Bite 248 - Grommet extrusion time Urgent Bite 248 - Grommet extrusion time https://rnzcuc.podbean.com/e/urgent-bite-248-grommett-extrusion-time/ https://rnzcuc.podbean.com/e/urgent-bite-248-grommett-extrusion-time/#comments Fri, 07 Feb 2025 13:01:00 +1300 rnzcuc.podbean.com/afbea38a-e575-30c8-aaef-7e171fcd6b46 How 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

 

 

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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 always consult your usual doctor 

]]> How 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.rnzcuc.org.nz

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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 always consult your usual doctor 

]]> RNZCUC false No 572 372 full Urgent Bite 247 - The Vertebral Artery Dissection Urgent Bite 247 - The Vertebral Artery Dissection https://rnzcuc.podbean.com/e/urgent-bite-247-the-vertebral-artery-dissection/ https://rnzcuc.podbean.com/e/urgent-bite-247-the-vertebral-artery-dissection/#comments Fri, 31 Jan 2025 13:01:00 +1300 rnzcuc.podbean.com/fbb64c3e-82c1-3093-af76-213e34badc32 You 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

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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 always consult your usual doctor 

]]> You 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/ 

 

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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 always consult your usual doctor 

]]> RNZCUC false No 628 371 full Urgent Bite 246 - The Holstein-Lewis Fracture Urgent Bite 246 - The Holstein-Lewis Fracture https://rnzcuc.podbean.com/e/urgent-bite-246-the-holstein-lewis-fracture/ https://rnzcuc.podbean.com/e/urgent-bite-246-the-holstein-lewis-fracture/#comments Fri, 24 Jan 2025 13:01:00 +1300 rnzcuc.podbean.com/c6688332-7085-3380-b419-f3a08c7a69d6 Look 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 article, Radiopaedia.org (Accessed on 23 Jan 2025) https://doi.org/10.53347/rID-99967

 

Check out the OrthoBullets page by Kellish and Weatherford

 

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> Look 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 article, Radiopaedia.org (Accessed on 23 Jan 2025) https://doi.org/10.53347/rID-99967

 

Check out the OrthoBullets page by Kellish and Weatherford

 

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> RNZCUC false No 747 370 full Urgent Bite 245 - Neurapraxia Urgent Bite 245 - Neurapraxia https://rnzcuc.podbean.com/e/urgent-bite-245-neurapraxia/ https://rnzcuc.podbean.com/e/urgent-bite-245-neurapraxia/#comments Fri, 17 Jan 2025 13:01:00 +1300 rnzcuc.podbean.com/abe0c47f-bd81-3b91-8a0f-7e81de6d9a8d It 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 Biso, MD] Available from: https://www.ncbi.nlm.nih.gov/books/NBK557746/figure/article-25766.image.f1/

 

And the Wikipedia page on Obdormition

 

 

 

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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 always consult your usual doctor 

]]> It 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 Biso, MD] Available from: https://www.ncbi.nlm.nih.gov/books/NBK557746/figure/article-25766.image.f1/

 

And the Wikipedia page on Obdormition

 

 

 

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 always consult your usual doctor 

]]> RNZCUC false No 438 369 full Urgent Bite 244 - Is it a Fracture or a Break? Urgent Bite 244 - Is it a Fracture or a Break? https://rnzcuc.podbean.com/e/urgent-bite-244-is-it-a-fracture-or-a-break/ https://rnzcuc.podbean.com/e/urgent-bite-244-is-it-a-fracture-or-a-break/#comments Fri, 10 Jan 2025 13:01:00 +1300 rnzcuc.podbean.com/5b609a44-28b7-3e25-9a33-ad6dc72a85fd 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 common orthopaedic terminology: the need for clarity. Ann R Coll Surg Engl. 2011 Jul;93(5):401-4. doi: 10.1308/003588411X580179. PMID: 21943466; PMCID: PMC3365461. Link to paper

Yen PH, Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Fed Pract. 2019 Jun;36(6):284-289. PMID: 31258322; PMCID: PMC6590951. Link to paper

 

Check out the two BBC articles mentioned.

Article 1

Article 2

 

 

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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 always consult your usual doctor 

]]> 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 common orthopaedic terminology: the need for clarity. Ann R Coll Surg Engl. 2011 Jul;93(5):401-4. doi: 10.1308/003588411X580179. PMID: 21943466; PMCID: PMC3365461. Link to paper

Yen PH, Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. Fed Pract. 2019 Jun;36(6):284-289. PMID: 31258322; PMCID: PMC6590951. Link to paper

 

Check out the two BBC articles mentioned.

Article 1

Article 2

 

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

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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 always consult your usual doctor 

]]> RNZCUC false No 754 368 full Urgent Bite 243 - DKA with SGLT-2 inhibitors Urgent Bite 243 - DKA with SGLT-2 inhibitors https://rnzcuc.podbean.com/e/urgent-bite-243-dka-with-sglt-2-inhibitors/ https://rnzcuc.podbean.com/e/urgent-bite-243-dka-with-sglt-2-inhibitors/#comments Fri, 03 Jan 2025 13:01:00 +1300 rnzcuc.podbean.com/ddc2d69e-0f2d-341b-8d7a-372c80d2706a Type 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

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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 always consult your usual doctor 

]]> Type 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

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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 always consult your usual doctor 

]]> RNZCUC false No 319 367 full Urgent Bite 242 - Thinking about worms and abdominal pain Urgent Bite 242 - Thinking about worms and abdominal pain https://rnzcuc.podbean.com/e/urgent-bite-242-thinking-about-worms-and-abdominal-pain/ https://rnzcuc.podbean.com/e/urgent-bite-242-thinking-about-worms-and-abdominal-pain/#comments Fri, 27 Dec 2024 13:01:00 +1300 rnzcuc.podbean.com/0dc7051b-43ca-37ef-a9e6-6b9608e6a801 Pinworms 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: PMC3245485. Link to paper

 

Tariq S. Enterobiasis: threadworm infection presenting as acute appendicitis in a 13-year-old girl. BMJ Case Rep. 2015 Jan 14;2015:bcr2014208543. doi: 10.1136/bcr-2014-208543. PMID: 25589531; PMCID: PMC4307057. Link to paper

 

Hammood ZD, Salih AM, Mohammed SH, Kakamad FH, Salih KM, Omar DA, Hassan MN, Sidiq SH, Mustafa MQ, Habibullah IJ, Usf DC, Al Obaidi AE. Enterobius vermicularis causing acute appendicitis, a case report with literature review. Int J Surg Case Rep. 2019;63:153-156. doi: 10.1016/j.ijscr.2019.09.025. Epub 2019 Sep 25. PMID: 31586892; PMCID: PMC6796714. Link to paper

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> Pinworms 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: PMC3245485. Link to paper

 

Tariq S. Enterobiasis: threadworm infection presenting as acute appendicitis in a 13-year-old girl. BMJ Case Rep. 2015 Jan 14;2015:bcr2014208543. doi: 10.1136/bcr-2014-208543. PMID: 25589531; PMCID: PMC4307057. Link to paper

 

Hammood ZD, Salih AM, Mohammed SH, Kakamad FH, Salih KM, Omar DA, Hassan MN, Sidiq SH, Mustafa MQ, Habibullah IJ, Usf DC, Al Obaidi AE. Enterobius vermicularis causing acute appendicitis, a case report with literature review. Int J Surg Case Rep. 2019;63:153-156. doi: 10.1016/j.ijscr.2019.09.025. Epub 2019 Sep 25. PMID: 31586892; PMCID: PMC6796714. Link to paper

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> RNZCUC false No 411 366 full The Night Before - An Ode to Urgent Care The Night Before - An Ode to Urgent Care https://rnzcuc.podbean.com/e/the-night-before-an-ode-to-urgent-care/ https://rnzcuc.podbean.com/e/the-night-before-an-ode-to-urgent-care/#comments Tue, 24 Dec 2024 13:01:00 +1300 rnzcuc.podbean.com/cb200602-57cb-3866-9d1d-f2c7353d2f30 If 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

]]> If 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

]]> RNZCUC false No 212 365 full A Christmas Bite - Myocardial Infarction at Christmas A Christmas Bite - Myocardial Infarction at Christmas https://rnzcuc.podbean.com/e/a-christmas-bite-myocardial-infarction-at-christmas/ https://rnzcuc.podbean.com/e/a-christmas-bite-myocardial-infarction-at-christmas/#comments Fri, 20 Dec 2024 13:01:00 +1300 rnzcuc.podbean.com/6d7e9606-25b1-3216-b23c-49e8be9e385d While 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, Sparv D, Erlinge D. Christmas holiday triggers of myocardial infarction. Scand Cardiovasc J. 2021 Dec;55(6):340-344. doi: 10.1080/14017431.2021.1983638. Epub 2021 Sep 29. PMID: 34585998.  - Link to paper

 

www.rnzcuc.org.nz

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Music licensed from www.premiumbeat.com

Christmas Elves by - Francesco D'Andrea

 

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

]]> While 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, Sparv D, Erlinge D. Christmas holiday triggers of myocardial infarction. Scand Cardiovasc J. 2021 Dec;55(6):340-344. doi: 10.1080/14017431.2021.1983638. Epub 2021 Sep 29. PMID: 34585998.  - Link to paper

 

www.rnzcuc.org.nz

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https://www.facebook.com/rnzcuc

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Music licensed from www.premiumbeat.com

Christmas Elves by - Francesco D'Andrea

 

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

]]> RNZCUC false No 359 364 full Urgent Bite 241 - Reye Syndrome Urgent Bite 241 - Reye Syndrome https://rnzcuc.podbean.com/e/urgent-bite-241-reye-syndrome/ https://rnzcuc.podbean.com/e/urgent-bite-241-reye-syndrome/#comments Fri, 13 Dec 2024 13:01:00 +1300 rnzcuc.podbean.com/e5358245-64f5-3dad-90ed-bcbbf3999026 We 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

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> We 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

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 always consult your usual doctor 

]]> RNZCUC false No 413 363 full Urgent Bite 240 - The Epitrochlear Lymph Node Urgent Bite 240 - The Epitrochlear Lymph Node https://rnzcuc.podbean.com/e/urgent-bite-240-the-epitrochlear-lymph-node/ https://rnzcuc.podbean.com/e/urgent-bite-240-the-epitrochlear-lymph-node/#comments Fri, 06 Dec 2024 13:01:00 +1300 rnzcuc.podbean.com/6e5e2672-d700-3d68-8f76-f12bdd87e737 Do 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/ 

 

Pannu AK, Prakash G, Jandial A, Kopp CR, Kumari S. Epitrochlear lymphadenopathy. Korean J Intern Med. 2019 Nov;34(6):1396. doi: 10.3904/kjim.2018.218. Epub 2018 Dec 6. PMID: 30514055; PMCID: PMC6823563.

https://pmc.ncbi.nlm.nih.gov/articles/PMC6823563/

 

Freeman AM, Matto P. Lymphadenopathy. [Updated 2023 Feb 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513250/ 

 

 

 

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 always consult your usual doctor 

]]> Do 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/ 

 

Pannu AK, Prakash G, Jandial A, Kopp CR, Kumari S. Epitrochlear lymphadenopathy. Korean J Intern Med. 2019 Nov;34(6):1396. doi: 10.3904/kjim.2018.218. Epub 2018 Dec 6. PMID: 30514055; PMCID: PMC6823563.

https://pmc.ncbi.nlm.nih.gov/articles/PMC6823563/

 

Freeman AM, Matto P. Lymphadenopathy. [Updated 2023 Feb 20]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK513250/ 

 

 

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> RNZCUC false No 563 362 full Urgent Bite 239 - The Examination Ritual Urgent Bite 239 - The Examination Ritual https://rnzcuc.podbean.com/e/urgent-bite-239/ https://rnzcuc.podbean.com/e/urgent-bite-239/#comments Fri, 29 Nov 2024 13:01:00 +1300 rnzcuc.podbean.com/a0dc9a63-6128-366b-9468-d72f807794ee An 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

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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 always consult your usual doctor 

]]> An 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 your scope of practice at all times.  For personal medical advice always consult your usual doctor 

]]> RNZCUC false No 662 361 full Urgent Bite 238 - Possible Assistance Needed Urgent Bite 238 - Possible Assistance Needed https://rnzcuc.podbean.com/e/urgent-bite-238-possible-assistance-needed/ https://rnzcuc.podbean.com/e/urgent-bite-238-possible-assistance-needed/#comments Fri, 22 Nov 2024 13:01:00 +1300 rnzcuc.podbean.com/98e1312b-a9ee-3545-b377-9cc5cd5ccb01 Do 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

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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 always consult your usual doctor 

]]> Do 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 within your scope of practice at all times.  For personal medical advice always consult your usual doctor 

]]> RNZCUC false No 509 360 full Tachycardic patients in Urgent Care - Dr Lindsey Fish Tachycardic patients in Urgent Care - Dr Lindsey Fish https://rnzcuc.podbean.com/e/tachycardic-patients-in-urgent-care-dr-lindsey-fish/ https://rnzcuc.podbean.com/e/tachycardic-patients-in-urgent-care-dr-lindsey-fish/#comments Fri, 15 Nov 2024 13:01:00 +1300 rnzcuc.podbean.com/013ac2fc-6430-3ffa-b43f-0e65b73ce07e This 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 clinical practice, and how to undertake this sort of research in the urgent care setting.  

You can read the paper here.

Maia VRN, Loh R, Weinstock M, Fish L. Return Visits and Hospitalization Rates of Adult Patients Discharged with Tachycardia After an Urgent Care Visit: A Retrospective Cohort Study. J Urgent Care Med. 2024; 18 (9):37-41

 

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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 always consult your usual doctor 

 

]]> This 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 clinical practice, and how to undertake this sort of research in the urgent care setting.  

You can read the paper here.

Maia VRN, Loh R, Weinstock M, Fish L. Return Visits and Hospitalization Rates of Adult Patients Discharged with Tachycardia After an Urgent Care Visit: A Retrospective Cohort Study. J Urgent Care Med. 2024; 18 (9):37-41

 

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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 always consult your usual doctor 

 

]]> RNZCUC false No 2285 359 full Urgent Bite 237 - Considering Osgood-Schlatter Disease in Adults Urgent Bite 237 - Considering Osgood-Schlatter Disease in Adults https://rnzcuc.podbean.com/e/urgent-bite-237-considering-osgood-schlatter-disease-in-adults/ https://rnzcuc.podbean.com/e/urgent-bite-237-considering-osgood-schlatter-disease-in-adults/#comments Fri, 08 Nov 2024 12:04:00 +1300 rnzcuc.podbean.com/5615ee8c-1197-393a-b596-f4dbed3cab70 While 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/ 

 

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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 always consult your usual doctor 

]]> While 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.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> RNZCUC false No 364 358 full Dr Joshua Russell - Recapping Bootcamp 2024 Dr Joshua Russell - Recapping Bootcamp 2024 https://rnzcuc.podbean.com/e/dr-joshua-russell-recapping-bootcamp-2024/ https://rnzcuc.podbean.com/e/dr-joshua-russell-recapping-bootcamp-2024/#comments Fri, 01 Nov 2024 13:01:00 +1300 rnzcuc.podbean.com/0b0b19b3-5ab9-3e6c-b929-3c879e6f1905 Dr 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 

 

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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 always consult your usual doctor 

]]> Dr 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

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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 always consult your usual doctor 

]]> RNZCUC false No 3253 357 full Urgent Bite 236 - The Koebner Phenomenon Urgent Bite 236 - The Koebner Phenomenon https://rnzcuc.podbean.com/e/urgent-bite-236-the-koebner-phenomenon/ https://rnzcuc.podbean.com/e/urgent-bite-236-the-koebner-phenomenon/#comments Fri, 25 Oct 2024 13:01:00 +1300 rnzcuc.podbean.com/e3483332-801f-3f41-8dca-d48d9cbb8494 What is the Koebner Phenomenon?

 

Check out the Dermnet pages mentioned.

Tattoo-associated skin reactions by Ngan and Elghblawi

Koebner Phenomenon by Luo

 

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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 always consult your usual doctor 

]]> What 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

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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 always consult your usual doctor 

]]> RNZCUC false No 393 356 full Urgent Bite 235 - Tendon injuries around the Patella Urgent Bite 235 - Tendon injuries around the Patella https://rnzcuc.podbean.com/e/urgent-bite-235-tendon-injuries-around-the-patella/ https://rnzcuc.podbean.com/e/urgent-bite-235-tendon-injuries-around-the-patella/#comments Fri, 18 Oct 2024 13:24:01 +1300 rnzcuc.podbean.com/3e607a99-6e53-3722-9a67-c8cdd43304be What 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 

 

 

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podcast@rnzcuc.org.nz

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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 always consult your usual doctor 

]]> What 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://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> RNZCUC false No 911 355 full Urgent Bite 234 - The Felon Urgent Bite 234 - The Felon https://rnzcuc.podbean.com/e/urgent-bite-234-the-felon/ https://rnzcuc.podbean.com/e/urgent-bite-234-the-felon/#comments Fri, 11 Oct 2024 13:01:00 +1300 rnzcuc.podbean.com/49ddf5ac-74ea-358f-ba5b-bfd5ddebd824 What 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.nih.gov/14677662/ 

Tannan SC, Deal DN. Diagnosis and management of the acute felon: evidence-based review. J Hand Surg Am. 2012 Dec;37(12):2603-4. doi: 10.1016/j.jhsa.2012.08.002. PMID: 23174075.

Proegler C. The Panaritium (Felon)-Consequences and Treatment. Chic Med J. 1872 Nov;29(11):656-660. PMID: 37413177; PMCID: PMC9802920. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9802920/ 

Billroth T. Panaritium. Atlanta Med Surg J (1884). 1884 Mar;1(1):35-37. PMID: 35827592; PMCID: PMC8925372.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8925372/ 

 

 

www.rnzcuc.org.nz

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> What 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.nih.gov/14677662/ 

Tannan SC, Deal DN. Diagnosis and management of the acute felon: evidence-based review. J Hand Surg Am. 2012 Dec;37(12):2603-4. doi: 10.1016/j.jhsa.2012.08.002. PMID: 23174075.

Proegler C. The Panaritium (Felon)-Consequences and Treatment. Chic Med J. 1872 Nov;29(11):656-660. PMID: 37413177; PMCID: PMC9802920. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9802920/ 

Billroth T. Panaritium. Atlanta Med Surg J (1884). 1884 Mar;1(1):35-37. PMID: 35827592; PMCID: PMC8925372.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8925372/ 

 

 

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 always consult your usual doctor 

]]> RNZCUC false No 753 354 full Urgent Bite 233 - Thoracic Aneurysm considerations Urgent Bite 233 - Thoracic Aneurysm considerations https://rnzcuc.podbean.com/e/urgent-bite-233-thoracic-aneurysms/ https://rnzcuc.podbean.com/e/urgent-bite-233-thoracic-aneurysms/#comments Fri, 04 Oct 2024 13:01:00 +1300 rnzcuc.podbean.com/23b0759c-97fb-39db-b8b4-5b4a114fcdf3 Some 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

 

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podcast@rnzcuc.org.nz

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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 always consult your usual doctor 

]]> Some 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://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 always consult your usual doctor 

]]> RNZCUC false No 722 353 full Urgent Bite 232 - Kehr's Sign Urgent Bite 232 - Kehr's Sign https://rnzcuc.podbean.com/e/urgent-bite-232-the-kehrs-sign/ https://rnzcuc.podbean.com/e/urgent-bite-232-the-kehrs-sign/#comments Fri, 27 Sep 2024 13:01:00 +1200 rnzcuc.podbean.com/e0e94365-6a80-3fe0-8e08-bda1d241154c What 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 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 

]]> What 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 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 

]]> RNZCUC false No 490 352 full Urgent Bite 231 - Drug induced tendinopathy Urgent Bite 231 - Drug induced tendinopathy https://rnzcuc.podbean.com/e/urgent-bite-231-drug-induced-tendinopathy/ https://rnzcuc.podbean.com/e/urgent-bite-231-drug-induced-tendinopathy/#comments Fri, 20 Sep 2024 13:01:00 +1200 rnzcuc.podbean.com/b7623296-8b53-39e3-a450-3ba55afc31af Drug-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

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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 always consult your usual doctor 

]]> Drug-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 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 

]]> RNZCUC false No 756 351 full Urgent Bite 230 - Dry Socket Urgent Bite 230 - Dry Socket https://rnzcuc.podbean.com/e/urgent-bite-230-dry-socket/ https://rnzcuc.podbean.com/e/urgent-bite-230-dry-socket/#comments Fri, 13 Sep 2024 13:01:00 +1200 rnzcuc.podbean.com/139e0490-4c08-39ed-ad74-812cf3bfc8ad Dry 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.org.nz

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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 always consult your usual doctor 

 

 

 

]]> Dry 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.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 always consult your usual doctor 

 

 

 

]]> RNZCUC false No 432 350 full Urgent Bite 229 - Listening to the Caddy Urgent Bite 229 - Listening to the Caddy https://rnzcuc.podbean.com/e/urgent-bite-228-listening-to-the-caddy/ https://rnzcuc.podbean.com/e/urgent-bite-228-listening-to-the-caddy/#comments Fri, 06 Sep 2024 13:01:00 +1200 rnzcuc.podbean.com/3204d563-7b5c-32ca-99d8-1b1ca3c87e98 A 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

podcast@rnzcuc.org.nz

https://www.facebook.com/rnzcuc

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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 always consult your usual doctor 

]]> A 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

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 always consult your usual doctor 

]]> RNZCUC false No 873 349 full Urgent Bite 228 - Thinking about the Sail Sign Urgent Bite 228 - Thinking about the Sail Sign https://rnzcuc.podbean.com/e/urgent-bite-228-thinking-about-the-sail-sign/ https://rnzcuc.podbean.com/e/urgent-bite-228-thinking-about-the-sail-sign/#comments Fri, 30 Aug 2024 13:01:00 +1200 rnzcuc.podbean.com/bd50af53-2aca-3eb4-9b5f-26a826ec5c8d We 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 Pediatr Orthop B. 2012 Nov;21(6):514-9. doi: 10.1097/BPB.0b013e328355e5d8. PMID: 22735922.

https://pubmed.ncbi.nlm.nih.gov/22735922/

Kappelhof B, Roorda BL, Poppelaars MA, The B, Eygendaal D, Mulder PGH, van Bergen CJA. Occult Fractures in Children with a Radiographic Fat Pad Sign of the Elbow: A Meta-Analysis of 10 Published Studies. JBJS Rev. 2022 Oct 24;10(10). doi: 10.2106/JBJS.RVW.22.00114. PMID: 36326720.

https://pubmed.ncbi.nlm.nih.gov/36326720/ 

Scheier E, Fuchs L, Taragin BH, Balla U, Shavit I. Children With Elbow Injuries and Sonographic Elevated Posterior Fat Pad but No Identifiable Posterior Fat Pad on Lateral Radiographs: A Case Series. J Ultrasound Med. 2023 Jul;42(7):1617-1624. doi: 10.1002/jum.16173. Epub 2023 Jan 12. PMID: 36633969.

https://pubmed.ncbi.nlm.nih.gov/36633969/

 

Check out the Radiopaedia Article on the Sail Sign

Gaillard F, Feger J, Ismail M, et al. Sail sign (elbow). Reference article, Radiopaedia.org (Accessed on 29 Aug 2024) https://doi.org/10.53347/rID-2014

Check out the original paper by Norell

NORELL HG. Roentgenologic visualization of the extracapsular fat; its importance in the diagnosis of traumatic injuries to the elbow. Acta radiol. 1954 Sep;42(3):205-10. doi: 10.3109/00016925409174478. PMID: 13206822.

 

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 always consult your usual doctor 

]]> We 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 Pediatr Orthop B. 2012 Nov;21(6):514-9. doi: 10.1097/BPB.0b013e328355e5d8. PMID: 22735922.

https://pubmed.ncbi.nlm.nih.gov/22735922/

Kappelhof B, Roorda BL, Poppelaars MA, The B, Eygendaal D, Mulder PGH, van Bergen CJA. Occult Fractures in Children with a Radiographic Fat Pad Sign of the Elbow: A Meta-Analysis of 10 Published Studies. JBJS Rev. 2022 Oct 24;10(10). doi: 10.2106/JBJS.RVW.22.00114. PMID: 36326720.

https://pubmed.ncbi.nlm.nih.gov/36326720/ 

Scheier E, Fuchs L, Taragin BH, Balla U, Shavit I. Children With Elbow Injuries and Sonographic Elevated Posterior Fat Pad but No Identifiable Posterior Fat Pad on Lateral Radiographs: A Case Series. J Ultrasound Med. 2023 Jul;42(7):1617-1624. doi: 10.1002/jum.16173. Epub 2023 Jan 12. PMID: 36633969.

https://pubmed.ncbi.nlm.nih.gov/36633969/

 

Check out the Radiopaedia Article on the Sail Sign

Gaillard F, Feger J, Ismail M, et al. Sail sign (elbow). Reference article, Radiopaedia.org (Accessed on 29 Aug 2024) https://doi.org/10.53347/rID-2014

Check out the original paper by Norell

NORELL HG. Roentgenologic visualization of the extracapsular fat; its importance in the diagnosis of traumatic injuries to the elbow. Acta radiol. 1954 Sep;42(3):205-10. doi: 10.3109/00016925409174478. PMID: 13206822.

 

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 always consult your usual doctor 

]]> RNZCUC false No 492 348 full Urgent Bite 227 - The Cluster Headache Urgent Bite 227 - The Cluster Headache https://rnzcuc.podbean.com/e/urgent-bite-227-the-cluster-headache/ https://rnzcuc.podbean.com/e/urgent-bite-227-the-cluster-headache/#comments Fri, 23 Aug 2024 13:01:00 +1200 rnzcuc.podbean.com/2a0543e7-b724-3730-8548-6847029a71c7 Cluster 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 details - 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 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 always consult your usual doctor 

]]> Cluster 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 details - 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 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 always consult your usual doctor 

]]> RNZCUC false No 731 347 full Urgent Bite 226 - The Popeye Sign Urgent Bite 226 - The Popeye Sign https://rnzcuc.podbean.com/e/urgent-bite-226-the-popeye-sign/ https://rnzcuc.podbean.com/e/urgent-bite-226-the-popeye-sign/#comments Fri, 16 Aug 2024 13:31:31 +1200 rnzcuc.podbean.com/4be9c7eb-a556-3dae-a5af-b9a8e6fe9923 Don'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 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 always consult your usual doctor 

]]> Don'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 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 always consult your usual doctor 

]]> RNZCUC false No 630 346 full Talking the STUMBL Score with Dr David Sorrell Talking the STUMBL Score with Dr David Sorrell https://rnzcuc.podbean.com/e/talking-the-stumbl-score-with-dr-david-sorrell/ https://rnzcuc.podbean.com/e/talking-the-stumbl-score-with-dr-david-sorrell/#comments Fri, 09 Aug 2024 13:01:00 +1200 rnzcuc.podbean.com/e0622350-ea2f-31cc-a733-2dfc18c2d111 When 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/34041/html 

 

Details of the Bootcamp 2024 in Wellington - 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 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 always consult your usual doctor 

]]> When 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/34041/html 

 

Details of the Bootcamp 2024 in Wellington - 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 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 always consult your usual doctor 

]]> RNZCUC false No 1386 345 full Urgent Bite 225 - Anticholinergics in the elderly Urgent Bite 225 - Anticholinergics in the elderly https://rnzcuc.podbean.com/e/urgent-bite-225-anticholinergics-in-the-elderly/ https://rnzcuc.podbean.com/e/urgent-bite-225-anticholinergics-in-the-elderly/#comments Fri, 02 Aug 2024 13:01:00 +1200 rnzcuc.podbean.com/746c7992-d3a2-3179-b010-7c182835dc58 We 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 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 

]]> We 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 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 

]]> RNZCUC false No 444 344 full Urgent Bite 224 - Walking on your ankle injury Urgent Bite 224 - Walking on your ankle injury https://rnzcuc.podbean.com/e/urgent-bite-224-walking-in-your-ankle-injury/ https://rnzcuc.podbean.com/e/urgent-bite-224-walking-in-your-ankle-injury/#comments Fri, 26 Jul 2024 13:01:00 +1200 rnzcuc.podbean.com/b2acb697-1fb1-3a29-a0d6-70828bbdf4e5 Weight-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 acute ankle injuries: physicians' attitudes and practice. CMAJ. 1992 Dec 1;147(11):1671-8. PMID: 1362372; PMCID: PMC1336591.

 

Check out the MDCalc 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.  For personal medical advice always consult your usual doctor 

]]> Weight-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 acute ankle injuries: physicians' attitudes and practice. CMAJ. 1992 Dec 1;147(11):1671-8. PMID: 1362372; PMCID: PMC1336591.

 

Check out the MDCalc 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.  For personal medical advice always consult your usual doctor 

]]> RNZCUC false No 567 343 full Urgent Bite 223 - Using smell to diagnose Urgent Bite 223 - Using smell to diagnose https://rnzcuc.podbean.com/e/urgent-bite-223-using-smell-to-diagnose/ https://rnzcuc.podbean.com/e/urgent-bite-223-using-smell-to-diagnose/#comments Fri, 19 Jul 2024 13:01:00 +1200 rnzcuc.podbean.com/b9b0edc3-4eac-3aa8-9937-2d32ffeae17a Smell 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/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 always consult your usual doctor 

]]> Smell 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/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 always consult your usual doctor 

]]> RNZCUC false No 533 342 full Urgent Bite 222 - Antihistamines use in eczema Urgent Bite 222 - Antihistamines use in eczema https://rnzcuc.podbean.com/e/urgent-bite-222-antihistamines-use-in-eczema/ https://rnzcuc.podbean.com/e/urgent-bite-222-antihistamines-use-in-eczema/#comments Fri, 12 Jul 2024 13:01:00 +1200 rnzcuc.podbean.com/50845261-1bd6-39b6-8ee8-9fbdba4dc30e Do 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.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 always consult your usual doctor 

]]> Do 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.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 always consult your usual doctor 

]]> RNZCUC false No 383 341 full Urgent Bite 221 - Overseas medication Urgent Bite 221 - Overseas medication https://rnzcuc.podbean.com/e/urgent-bite-221-overseas-medication/ https://rnzcuc.podbean.com/e/urgent-bite-221-overseas-medication/#comments Fri, 05 Jul 2024 13:01:00 +1200 rnzcuc.podbean.com/38e65b9c-76a8-36e6-a17e-7cf54e8cd697 When 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 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 

]]> When 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 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 

]]> RNZCUC false No 270 340 full