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In this episode, Kevin examines some common questions regarding vitamin B12 deficiency. In whom should we suspect it? What investigations should be carried out in primary care? How is it associated with folate deficiency? Once a deficiency in vitamin B12 is detected, how should it be managed? Finally, what approach should be taken during the current COVID-19 pandemic, when intramuscular administra...

In the first episode in a new season of the podcast, Kevin discusses helpful guidance on the corrected QT interval in the context of primary care prescribing. Why should we be concerned about prolongation of the QT interval? Which medications can affect QT interval? What other risk factors for QT prolongation should be considered? And for which patients should we recommend electrocardiogram monito...

Kevin is joined by Drs Patrick Holmes, Amrit Lamba and Amar Puttanna to discuss the key take-home points from last week’s American Diabetes Association Virtual Scientific Sessions congress. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/diabetes-and-endocrinology/diabetes-special-round-up-from-the-ada-2020-virtual-congress . Did y...

Kevin discusses the findings of NHS research on COVID-19 in people with diabetes with study author Professor Partha Kar, National Specialty Advisor – Diabetes with NHS England. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/diabetes-and-endocrinology/diabetes-and-covid-19-related-mortality-in-england-an-interview-with-partha-kar ....

In the first episode in a new season of the podcast, Kevin discusses helpful guidance on the corrected QT interval in the context of primary care prescribing. Why should we be concerned about prolongation of the QT interval? Which medications can affect QT interval? What other risk factors for QT prolongation should be considered? And for which patients should we recommend electrocardiogram monito...

Kevin discusses some helpful and important clinical guidance on the prevention of adrenal crisis during the pandemic. Notably, this includes not only those patients with primary adrenal insufficiency but also all of those patients on long-term steroid treatment. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/diabetes-and-endocrino...

Kevin summarises recommendations from the Faculty of Sexual and Reproductive Healthcare to help support women with contraceptive requirements as primary care cuts back on non-essential face-to-face contact to reduce viral transmission. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/covid-19/effective-contraception-provision-during...

Kevin covers recently updated guidance from the British Society for Haematology on managing vitamin B12 supplementation in primary care within the context of the pandemic. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/covid-19/vitamin-b12-supplementation-during-the-covid-19-pandemic . Did you know? With GPnotebook Pro, you can ea...

Kevin covers helpful BSR guidance including a risk stratification and scoring grid for those with rheumatological conditions who are receiving immunosuppressive therapies, and considers which patients should be advised to practice shielding. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/covid-19/british-society-for-rheumatology-g...

Kevin discusses evidence-based practical advice to potentially reduce transmission of coronavirus, in the form of nasal irrigation and gargling with saline solution. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/infectious-disease/ep-10-covid-19-could-nasal-irrigation-reduce-transmission-and-is-there-a-role-for-anosmia-in-screeni...

Kevin considers the challenges related to managing osteoporosis in the context of conflicting clinical guidelines, including who to assess for fracture risk, who to treat (and with what agent) and how long to treat individuals for. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/rheumatology/tips-hacks-on-the-diagnosing-managing-os...

Dr Kevin Fernando explains why the thinking around gout needs to change, along with common questions in relation to its management in primary care. What lifestyle advice should be given? When should urate-lowering therapy be offered, and what options are available? For those with a history of gout, how can future episodes be avoided? Access episode show notes containing key references and take-hom...

Dr Kevin Fernando provides a practical overview of the utility of sodium–glucose cotransporter 2 inhibitors, focusing on dosing, cardiovascular and renal safety and the management of adverse events, including dehydration and genital infections. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/diabetes-and-endocrinology/appropriate-u...

Have your notebooks at the ready as Dr Kevin Fernando rounds off 2019 with tips on topical oestrogen, mirtazapine prescribing, symptoms associated with withdrawal of varenicline, valvular atrial fibrillation and gout, among others. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-information/top-10-hacks-tips-from-gpnotebook...

Dr Kevin Fernando considers the optimal use of these tests: can we reduce unecessary testing, unecessary referrals and primary care workload? Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-practice/tips-hacks-on-the-use-of-esr-crp-in-primary-care . Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the...

Dr Kevin Fernando summarises the key points for primary care from the NICE guideline update. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/cardiovascular-medicine/hacks-tips-on-managing-hypertension-in-primary-care-including-nice-ng136-key-messages . Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podc...

Dr Kevin Fernando discusses detection and management of the condition in primary care, including how presentation in children differs from that in adults. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/paediatrics/obstructive-sleep-apnoea-in-children . Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the pod...

Dr Kevin Fernando takes us through brief case scenarios to illustrate diagnostic tips and pitfalls in primary care. Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/diabetes-and-endocrinology/diagnostic-dilemmas-and-classification-conundrums-in-diabetes . Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the po...

Kevin discusses interpretation and management of mildly abnormal liver blood tests in primary care. What are the possible causes? And what should the next step be? Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-practice/abnormal-liver-blood-test . Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the...