Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Ali and Nik discuss: 

• Lynch syndrome: what’s the role of primary care? How can people access testing, and what support and surveillance can be offered? 
• Diagnosing pelvic inflammatory disease: a challenge in general practice. We consider how we can approach making a diagnosis of pelvic inflammatory disease in general practice. This is important because it has significant sequelae, including subfertility and chronic pelvic pain. 

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that suggests there might be problems developing ‘down below’!

Lynch syndrome: what does it mean for general practice?  

Molecular testing strategies for Lynch syndrome in people with colorectal cancer (NICE DG27, 2017). 

NICE guidance on testing for Lynch syndrome in colorectal cancer (NICE NG151, 2020) 

NHS England: Implementing Lynch syndrome testing and surveillance pathways handbook v.1.2. 

Guidelines for the management of hereditary colorectal cancer from the British Society of Gastroenterology (BSG)/Association of Coloproctology of Great Britain and Ireland (ACPGBI)/United Kingdom Cancer Genetics Group (UKCGG) 

The Royal Marsden: A beginner’s guide to Lynch syndrome 

Diagnosing pelvic inflammatory disease: a challenge in general practice  

BASHH guidelines on the diagnosis and management of PID (UK national guideline for the management of pelvic inflammatory disease, 2018 – updated 2019) 

Video byte:

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Ali and Nik discuss: 

• Neurodiversity in the workforce. We’ve been teaching about autism, ADHD and the umbrella approach to neurodiversity on our digital and face to face courses. You told us that you found this useful and empowering, in supporting patients and colleagues. So, we thought we’d share our article on supporting a neurodiverse workforce – this might provide tips we can apply to ourselves, to a trainee or a colleague. 
• Spotting and supporting those with Parkinson’s disease. Parkinson’s disease is increasing in prevalence as our population ages. Our role in primary care is to spot it early and refer and then, alongside our secondary care colleagues, to support people living with the condition with potentially complex symptoms and drug regimens.

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from April will be covered next week along with a new best intentions story to put a smile on your face.

Neurodiversity in the workforce  

Br Med Bull, 2020, 135(1): 108–125

CMAJ 2022; 194(27): E951

BJGP 2021; 71 (708): 294

The CIPD guide to neuroinclusion at work

Inside Our Autistic Minds BBC iPlayer

Boggled Docs: Inside Autistic Minds

Spotting and supporting those with Parkinson’s disease  

NICE 2017, NG71

BJGP 2024;74:e482

Impulsive and compulsive behaviour from Parkinson’s UK

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Fiona and Nik discuss: 

• What jumped out at us from our brand new video byte: ‘Ramadan - Impact on diabetes and other chronic illnesses’
• Spotting Myeloma… let’s make it less tricky. Myeloma has been a popular topic in our recent Cancer and GP Update courses. So, to celebrate the launch of the NEW season of GP Update courses we wanted to share this Pearl on myeloma.

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that will have you checking what you’re drying your hands with!

Ramadan

Video

Red Whale Knowledge - Ramadan: impact on diabetes and other chronic disease

Myeloma

NICE 2015, NG12

Myeloma UK’s diagnostic tool for primary care

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Send us a text

Grab your trainers, your dog lead, your gardening clothes or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Fiona and Nik discuss: 

• Anabolic steroid use. Body image concerns and pursuing an increasingly muscular appearance is becoming a growing issue, particularly for men and boys. 
• Nature… so important that we should prescribe it? Yes! Special guest Hussain Al-Zubaidi joins us to talk about the power of nature and green social prescribing in transforming patient health.

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from March will be covered next week along with a new best intentions story to put a smile on your face.

Anabolic steroid use

BJGP 2015;65:626 

BJGP 2024;74(741):187 

BMJ 10-minute consultation (BMJ 2016;355:i5023)

Green social prescribing

The National Academy for Social Prescribing:

Full toolkit on green social prescribing 

RCGP - parkrun practice initiative

Videos

Red Whale Knowledge - green social prescribing 

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Ali and Nik discuss: 

• ‘I’ve got a pain in my foot.’ Do you feel less confident when consulting about feet? We can help…
• ‘These mouth ulcers won’t clear up.’ We talk about Behçet’s syndrome, a rare multi system inflammatory condition.

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that will have you in a spin!

Links

Support for clinicians in Scotland

National wellbeing hub : support to stay well for everyone working in health, social care and social work in Scotland.

Support for clinicians in Wales

Support for clinicians in Northern Ireland

Northern Ireland Medical and Dental Training Agency (NIMDA)

Support for clinicians on the Isle of Man, Guernsey and Jersey

Support for clinicians in England

Support for NHS people (NHS England)

Sign up for GP trainee essentials

I’ve got a pain in my foot…

 2020 BMJ 10-minute Consultation on forefoot pain (BMJ 2020;371: m3704).

 These mouth ulcers won’t clear up

 British Association of Dermatologists and British Society for Rheumatology living guideline for managing people with Behçets 2

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Send us a text

Grab your trainers, your dog lead, your dancing shoes or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Ali, Nik and special guests Hussain Al-Zubaidi and Osman Bhatti discuss: 

• Dance for health. What is the evidence that this helps. Which disease is particularly helped by the tango?
• Ramadan: supporting patients with long-term conditions. How can we best support those with long-term conditions during this time?  

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from February will be covered next week along with a new best intentions story to put a smile on your face.

Links

Sign up for GP trainee essentials

Let’s dance? Dance for health…

Let’s Dance - communication toolkit

Ramadan: impact on diabetes and other chronic diseases

BMJ Practice Pointer acknowledging that fasting may impact chronic disease control. BMJ 2022;376e:063613

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Fiona and Nik discuss: 

• Spinal cord compression and cauda equina syndrome. They’re on our (long!) list of things we never want to miss. They’re uncommon presentations, but they cause us a lot of anxiety. We can help…
• The new NICE guidance on menopause, published in December 2024. Much stayed the same, but we focus on the bits that may change our practice…

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that will have you checking your phone and your headphones before launching into your next consultation!

Spinal cord compression and cauda equina syndrome

 Red flags to screen for malignancy and fracture in patients with low back pain: systematic review

BMJ 2013;347:f7095

GRIFT 2023 cauda equina

national suspected cauda equina pathway

Musculoskeletal Association of Chartered Physiotherapists – cauda equina information cards (cards in 29 different languages)

NICE guideline on menopause 2024: practice-changing points

NICE NG23

BMS statement in response to the publication of the updated NICE Menopause guideline (NG23)

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Fiona and Nik discuss: 

• Acute cough and pneumonia in adults. Who needs face-to-face assessment? Who needs antibiotics?
• ‘I got this new gadget’… we consider technology to support health and wellbeing. 

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from January will be covered next week along with a new best intentions story to put a smile on your face.

Acute cough and pneumonia in adults

The Independent: ‘What is a quad-demic?’ 12.12.2024

https://www.independent.co.uk/news/uk/nhs-england-flu-symptoms-tedros-adhanom-ghebreyesus-b2663301.html

Triaging adults with respiratory tract infections (NICE 2023, NG237)

https://www.nice.org.uk/guidance/ng237

Cough (acute): antimicrobial prescribing (NICE 2019, NG120)

https://www.nice.org.uk/guidance/ng120

Pneumonia in adults (NICE 2023, CG191)

https://www.nice.org.uk/guidance/cg191

Technology to support health and wellbeing

Timeline of major milestones in the development of wearable sensors and a summary of their building blocks

https://www.nature.com/articles/s41578-022-00460-x/figures/1

Effectiveness of physical activity monitors in adults: systematic review and meta-analysis

BMJ 2022;376:e068047

https://www.bmj.com/content/376/bmj-2021-068047

Pedometers can help people get more active as part of an exercise programme.  

BMJ 2020;369:m877

https://www.bmj.com/content/369/bmj.m877

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Ali and Nik discuss: 

• Wintering, time to restore ourselves. We share an article from our lifestyle medicine course, offering a roadmap to wellbeing that we can use to support ourselves, family members and patients as we embark on 2025. 

Listen as soon as you can to ensure you have full access to all the free resources. 

And hear a best intentions story that will have you double checking the address before going on a home visit!

Roadmap to wellbeing: microskills for positive change

Clinican wellbeing articles on Red Whale Knowledge:

Burnout in health professionals

Mental health in health professionals

Moral distress and moral injury

Strengths and vulnerabilities in clinicians

Practitioner health

Department of Health 2014, The relationship between wellbeing and health

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.

Send us a text

Grab your trainers, your dog lead, or a cuppa and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Ali and Nik discuss: 

• 3% of adults presenting to primary care with an acute cough have pertussis, but would you spot it?
• What is our role in primary care if a patient approaches us for advice about antibiotic prophylaxis for STIs?

Listen as soon as you can to ensure you have full access to all the free resources. 

The rest of the Pearls from December will be covered next week along with a new best intentions story to put a smile on your face.

Pertussis
BMJ 2019;364:l401 

UKHSA Guidance on the management of cases of pertussis in England during the re-emergence of pertussis in 2024 

Whooping Cough Net - symptoms (examples of full-blown whooping cough and attenuated forms in immunised individuals. Also information for patients about why treatment is ineffective. Site by Doug Jenkinson, a GP in ( Nottinghamshire) 

Testing guidelines from the UKHSA can be found here. 

The Green Book on Pertussis

Prophylaxis for sexually transmitted infections 

BASHH Position statement on Doxycycline as Prophylaxis for Sexually Transmitted Infections 2021 

The IPERGAY trial (Lancet Inf Diseases 2018;18(3):308) 

CDC guidance 1

Send us your feedback [email protected] or send a voice message

Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here.

Follow us: X, Facebook, Instagram, LinkedIn

Disclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast.