BMJ Best Practice Podcast

BMJ Group

Episodes

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13 snips
Nov 4, 2024 • 23min

Uterine fibroids

Professor Ayman Al-Hendy, a Tenured Professor at the University of Chicago, dives into the world of uterine fibroids, the most common tumors of the female pelvis. He discusses the critical importance of accurate diagnosis, including the role of imaging techniques like ultrasound and MRI. Al-Hendy also sheds light on distinguishing benign fibroids from the more dangerous leomyosarcoma. The conversation compares surgical options to medical treatments, emphasizing informed choices for effective management and the complexities related to fertility and long-term health.
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Oct 10, 2024 • 28min

BMJ Best Practice and The Darzi Review

The Darzi report states that “a recurring theme is that the recommendations of previous reviews have not been universally adopted.” So can we do better this time? In this podcast, Professor Martyn Patel discusses how healthcare professionals can use BMJ Best Practice to improve care in areas where Darzi says that it needs to improve. In things like comorbidities, cardiovascular care, and emergency medicine. Martyn works for Norwich Medical School, Norfolk and Norwich University Hospital, and is also an expert panel member of BMJ Best Practice. 
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Oct 1, 2024 • 21min

Testicular cancer

Among men aged 15 to 44 years, testicular tumours are the most common cancer diagnosed. And testicular cancer can cause considerable morbidity and mortality. 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 Corbin Eule, Assistant Professor of Medical Oncology at the University of Colorado Anschutz Medical Campus. And importantly Corbin is BMJ Best Practice author on testicular cancer. Competing interests: None
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Sep 24, 2024 • 16min

Precocious puberty

The prevalence of precocious puberty is difficult to estimate - it is probably between  1 in 500 and 1 in 5000 children. Unfortunately, complications are common - from distress to short stature to psychological problems. 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 this podcast interview with Dr Comfort King of BMJ and Dr Talat Mushtaq, Consultant in Paediatric Endocrinology at Leeds Teaching Hospitals. Competing interests: TM has received support from Novo Nordisk and Pfizer to attend overseas conferences. He has also received honoraria from Kyowa Kirin for lectures and educational events.
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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

Dr. Salman Razvi, a Consultant Endocrinologist and Senior Lecturer at Queen Elizabeth Hospital, delves into hyperthyroidism, primarily focusing on Graves' disease. He highlights the global prevalence and serious complications like heart failure. The discussion covers symptoms, diagnosis, and the nuances of treating hyperthyroidism, especially in pregnancy. Razvi also addresses the challenges of weight management post-treatment and the impact of hereditary factors and lifestyle choices on the condition.
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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

Dr. Carlos Armengol, a pediatrician from Pediatric Associates of Charlottesville, shares vital insights on acute otitis media, a condition affecting over 80% of children. He discusses effective diagnosis techniques and the importance of correlating visual findings with medical history. The conversation delves into pain management strategies and the cautious use of antibiotics, particularly in older children. Special attention is given to managing otitis media in those with type 1 diabetes and immunocompromised children, highlighting the complexities involved in their treatment.

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