MEM Cast

This week one of your MEM hosts Dr Cristina Cusu, Renal Registrar in Leicester, speaks to you about causes and management of anaemia in patients with advanced chronic kidney disease. Enjoy listening. 

On this episode , Dr Hina Khan is discussing about Motor neuron Disease , it's pathophysiology, variants and clinical features and presentation. 

Dr Tom Crabtree and Dr Rachel Saville discuss the new diagnosis of type 1 diabetes. When to think about it, what tests to arrange and how to get your patients into follow-up and started on insulin! 

This week we are happy to welcome Dr Matthew Graham-Brown Consultant Nephrologist in Leicester (Glenfield and Leicester General Hospital). Dr Graham-Brown is going to discuss Cardio-Renal Syndrome (CRS) with us, we all in medicine encounter the clinical conundrum of a patient that is fluid overloaded and might have acute or chronic kidney or heart failure.  Listen to this excellent talk for tips o...

Point-of-care ultrasound is rapidly gaining an evidence base to support its use as an aide to traditional management techniques in the acutely unwell adult patients. This episode DR Latif Raiyan Rahman talks about POCUS and its implications, limitations and training opportunities. 

Geneticist, Dr Nora Shannon, joins your MEMcast host, Dr Rachel Saville to discuss the diagnosis of Neurofibromatosis type 1. We discuss its inheritance pattern and the diagnostic criteria, and how to distinguish from NF2 in your practice and your exams!

In this episode Dr Sharon Man joins Dr Cristina Cusu once again to continue discussion on cardiac syncope, discussing cardiac arrhythmia in context of syncope. Narrow complex tachycardia, broad complex tachycardia, bundle branch block, AV block all discussed in this episode and we finish with other investigations like ECHO or EP studies. Enjoy listening. 

Dr Hina Khan is giving an informative talk on GBS -diagnostic criteria,investigation, treatment and prognosis. 

This week's MEMcast host, Dr Rachel Saville is joined by genetic councillor, Keri Oliver to talk about Huntingtons Disease.  We discuss: - Confidentiality and communication skills: Think PACES communication and ethics station! - Diagnostic vs predictive testing  - Counselling - Inheritance and impact of a diagnosis

We are delighted to be joined by Dr Sharon Man, senior cardiology registrar in East Midlands. Dr Man is going to discuss syncope in general and cardiac syncope in particular: epidemiology, history taking and high risk features. We are going to be lucky and get her to join in for one of our next episode to discuss rhythm abnormalities in context of syncope. Enjoy listening. 

Guillian Barre Syndrome is a neurological emergency which consists  of heterogeneous clinical syndromes characterized by acute immune mediated polyneuropathy.   

Dr Dale Gardiner, a Consultant Intensivist at Nottingham University Hospitals, joins us for an engaging discussion regarding Metabolic Acidosis, the use of the Boston Rule to assess for appropriate compensation, and when to be most worried! 

We are happy to be joined by Dr Claire Stewart Sexual health and HIV registrar in the East Midlands, for a special episode. We are discussing  history taking and examination in sexual health, something we do not perform routinely unfortunately. Dr Stewart will also discuss key conditions we should be considering according to signs and symptoms and also touches on time frame for screening for STIs....

Dr Queenie Pang, a respiratory registrar in the East Midlands, talks to us about referrals in to tertiary care for asthma management. We talk a little about her research into Mepolizumab, when it would be used and how it works, and the MDT approach to severe asthma management. 

We are delighted to be joined once again by Dr Ameen Jubber, Rheumatology registrar in East Midlands. Dr Jubber is going to give us a quick overview of one of the most common inflammatory arthritis - gout. Listen to this excellent talk about diagnosis and treatment.  

Viral Encephalitis is inflammation of brain caused by viruses. It commonly presents with Headache, altered mental state, fever, and/or seizures. 

Hypoglycemia is common in hospitalised patients and is associated with worse outcomes, including increased mortality. Dr Tom Crabtree, one of our diabetes registrars in the East Midlands, gives us an overview of hypoglycaemia - its recognition, possible causes and management options. 

Idiopathic Intracranial Hypertension (IIH) is is a disorder of increased intracranial pressure that occurs mainly in overweight women of childbearing years. Having the commonest presentation of headache, we encounter of these patients quite often in acute setting. On this episode , we are talking about how we should approach in diagnosis and management. 

We are delighted to be joined this week by Dr Os Iyasere, Consultant Nephrologist in Leicester. Dr Iyasere will enlighten us on how to diagnose and manage patients with polycystic kidneys. Wonderful insight into autosomal dominant polycystic kidney disease. Enjoy listening. 

This week we have the pleasure of introducing the latest member of the MEMcast team - Dr Rodric Francis! Rodric is a microbiology and infectious diseases registrar in the East Midlands, and in this episode we talk about antibiotic resistance mechanisms and the importance of antibiotic stewardship. 

We often encounter patients presenting with bilateral leg weakness in emergency department, ward and clinic. If we have a good systematic approach , we will be more confident to reach differentials and outline a management plan.

We return this week with doctor Dimitris Papamargaritis, we are discussing obesity management in context of type 2 diabetes. You are going to hear about the most important studies like Look ahead and SOS (Swedish Obese Subjects) and what we have learnt over the years about management of diabetes and obesity plus new treatments in pipeline. Essential listening. 

We are happy to welcome Dr Dimitris Papamargaritis this week, one of the National Institute for Health and Care Research (NIHR) Academic clinical lecturer in Diabetes and Endocrinology in the East Midlands. Doctor Papamargaritis will explain obesity - causes, management options and future treatment options.  

We often encounter patients presenting with Headache, then gradually developing focal neurological deficit and/or seizure. Because of its variable clinical presentation, diagnosis of CVST is challenging. However if timely diagnosed and treated, it can lead to very good recovery. 

We talk to Dr Andrew Spence, a senior gastro registrar about things to look out for in the PACES abdominal station from a Gastro point of view, with a few tips on how to prepare for this station in your revision.