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PODCAST

The Podcasts of the Royal New Zealand College of Urgent Care

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.

health & fitness medicine

All Episodes

09:32

Urgent Bite 248 - Grommet extrusion time

The Podcasts of the Royal New Zealand College of... ·

2025/02/07

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:

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10:28

Urgent Bite 247 - The Vertebral Artery Dissection

The Podcasts of the Royal New Zealand College of... ·

2025/01/31

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:

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12:27

Urgent Bite 246 - The Holstein-Lewis Fracture

The Podcasts of the Royal New Zealand College of... ·

2025/01/24

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:

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07:18

Urgent Bite 245 - Neurapraxia

The Podcasts of the Royal New Zealand College of... ·

2025/01/17

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

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12:34

Urgent Bite 244 - Is it a Fracture or a Break?

The Podcasts of the Royal New Zealand College of... ·

2025/01/10

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

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05:19

Urgent Bite 243 - DKA with SGLT-2 inhibitors

The Podcasts of the Royal New Zealand College of... ·

2025/01/03

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:

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06:51

Urgent Bite 242 - Thinking about worms and abdominal...

The Podcasts of the Royal New Zealand College of... ·

2024/12/27

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

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03:32

The Night Before - An Ode to Urgent Care

The Podcasts of the Royal New Zealand College of... ·

2024/12/24

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

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05:59

A Christmas Bite - Myocardial Infarction at Christmas

The Podcasts of the Royal New Zealand College of... ·

2024/12/20

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;

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06:53

Urgent Bite 241 - Reye Syndrome

The Podcasts of the Royal New Zealand College of... ·

2024/12/13

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:

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09:23

Urgent Bite 240 - The Epitrochlear Lymph Node

The Podcasts of the Royal New Zealand College of... ·

2024/12/06

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:

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11:02

Urgent Bite 239 - The Examination Ritual

The Podcasts of the Royal New Zealand College of... ·

2024/11/29

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

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08:29

Urgent Bite 238 - Possible Assistance Needed

The Podcasts of the Royal New Zealand College of... ·

2024/11/22

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

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38:05

Tachycardic patients in Urgent Care - Dr Lindsey Fish

The Podcasts of the Royal New Zealand College of... ·

2024/11/15

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

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06:04

Urgent Bite 237 - Considering Osgood-Schlatter...

The Podcasts of the Royal New Zealand College of... ·

2024/11/07

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:

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54:13

Dr Joshua Russell - Recapping Bootcamp 2024

The Podcasts of the Royal New Zealand College of... ·

2024/11/01

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 https://www.facebook.com/rnzcuc https://twitter.com/rnzcuc Music licensed

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06:33

Urgent Bite 236 - The Koebner Phenomenon

The Podcasts of the Royal New Zealand College of... ·

2024/10/25

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 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

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15:11

Urgent Bite 235 - Tendon injuries around the Patella

The Podcasts of the Royal New Zealand College of... ·

2024/10/18

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 -

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12:33

Urgent Bite 234 - The Felon

The Podcasts of the Royal New Zealand College of... ·

2024/10/11

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

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12:02

Urgent Bite 233 - Thoracic Aneurysm considerations

The Podcasts of the Royal New Zealand College of... ·

2024/10/04

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

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