BMJ Best Practice Podcast

BMJ Group
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Sep 9, 2024 • 21min

Upper Airway Cough Syndrome

In this discussion, Professor Fan Chung, an expert in Respiratory Medicine from Imperial College London, delves into the often-overlooked issue of Upper Airway Cough Syndrome (UACS). He highlights that chronic cough may stem from UACS in many cases, emphasizing the importance of correct diagnosis and treatment. The conversation covers the efficacy of different antihistamines, the link between UACS and asthma, and the challenges in managing symptoms, especially in children. Chung advocates for a comprehensive treatment approach addressing both upper and lower airway concerns.
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Aug 20, 2024 • 24min

Type 2 diabetes

Gregg Simonson, Director of Professional Training at the International Diabetes Center, dives into the intricacies of type 2 diabetes. He highlights its prevalence and common complications, stressing the importance of accurate diagnosis and personalized care. The discussion uncovers crucial management strategies, emphasizing medications like GLP-1 and SGLT2, along with lifestyle adjustments. Simonson debunks myths surrounding the disease, attributing factors beyond willpower to its development, and advocates for technology in enhancing diabetes management.
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Jul 29, 2024 • 35min

Hyperthyroidism

Hyperthyroidism The global prevalence of overt hyperthyroidism is between 0.2% to 1%. Graves disease is the most common form of hyperthyroidism in most areas of the world but there are other causes including toxic nodular goitre. Complications of hyperthyroidism are common - from bone loss to atrial fibrillation to heart failure.  So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Dr Salman Razvi, Consultant Endocrinologist and Senior Lecturer at Queen Elizabeth Hospital, Gateshead. Competing interests: SR has received speaker fees from Merck, IBSA and Abbott Pharmaceuticals Ltd and research funding from Merck.
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Jul 15, 2024 • 26min

Pre eclampsia

Pre eclampsia Pre-eclampsia is common. It has been reported to affect between 2% and 8% of all pregnancies worldwide.  And complications are common as well - from eclampsia to fetal growth restriction to pulmonary oedema. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Emeritus Professor James Walker of the University of Leeds. Please note: Remember to do a FBC, U&E, and LFTs in affected patients. Competing interests: JJW is Honorary President of the Baby Lifeline Training Company and Honorary Medical Director of Action on Pre-eclampsia. He lectures and teaches on pre-eclampsia and maternal safety both nationally and internationally, and is the author of national and local reports into safety investigations for the Healthcare Services Investigation Branch and national and local bodies as Clinical Director.
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Jul 1, 2024 • 20min

BMJ Best Practice: Improving Primary Care

Dr. Dan Bunstone discusses the value of using BMJ Best Practice for patient care and learning in primary care. He highlights challenges faced by generalists in keeping up with new evidence, benefits of stepping out of comfort zones, enhancing knowledge sharing, managing patients with multiple conditions, and the importance of reliable sources for evidence-based information.
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Jun 17, 2024 • 22min

Acute otitis media

Acute otitis media is common. More than 80% of children experience at least one episode of acute otitis media before the age of 2 years. And complications are common also - from perforated tympanic membrane to otitis media with effusion. So it is important that we get the diagnosis and management of this condition right. To find out more about this problem and what we can do about it, please do listen to his podcast interview with Dr. Carlos Armengol of the Pediatric Associates of Charlottesville in the US. Competing interests: none
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Jun 3, 2024 • 19min

Animal bites

Dr. Oliver Spencer discusses the prevalence and seriousness of animal bites, with a focus on dog bites in the UK. The podcast covers assessment processes, wound examination, and personalized management strategies. Tips on preventing animal bites and understanding human bite risks are also highlighted.
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May 21, 2024 • 28min

Burns

A podcast episode discussing the management of burns, highlighting the prevalence and complications of burns injuries. Topics include diagnosing and managing burns, tetanus assessment, pain management, tissue removal techniques, and debunking common myths about burn treatment.
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May 8, 2024 • 29min

COPD: an update on diagnosis and management

COPD is common. It is the third leading cause of death worldwide, causing 3.23 million deaths in 2019. And anyone who has worked in a hospital will know that exacerbations are common also. So it is important that we get the diagnosis and management of this condition right. To find out more details about this problem and what we can do about it, please do listen to his podcast interview with Neil Greening, Associate Professor and Honorary Consultant Physician at the Institute for Lung Health, Leicester. Competing interests: Dr Greening has received honoraria, lecture fees, travel for conferences and consultancy fees from AstraZeneca, GlaxoSmithKline, Chiesi, Sanofi and Pulmonx. His Institution has received grant funding and consultancy fees from GSK, and Roche.
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Apr 26, 2024 • 23min

Syncope

Syncope is common. It accounts for approximately 1% of all emergency department visits and 2% of all hospital admissions from the emergency department. Causes include dysrhythmias, pulmonary embolism, subarachnoid haemorrhage, and acute coronary syndrome - to name but a few. So what if anything can we do to ensure that it is diagnosed and managed correctly? To answer this and other important questions, please do have a listen to this podcast interview with Professor Shamai Grossman, Associate Professor of Medicine and Emergency Medicine at Harvard Medical School. Competing interests: none

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