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Medicine East Midlands

MEM Cast

A Medicine , Health & Fitness and Education podcast

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About the show

A series of education podcasts for core medical trainees and medical students covering the whole curriculum for the MRCP exam.

Newest episodes

Malignant Melanoma

9 min

In this episode, we're in a dermatology skin cancer clinic, and work through a case of suspected malignant melanoma. We work through key history, examination, differential diagnoses, investigations and management principles. This will not only help prepare you for MRCP questions but also for your time in dermatology clinic.

MRCP: Passing it on - Advice from those who have been there

13 min

In this episode of MEMcast, doctors who have passed the exams share practical advice, personal experiences and words of encouragement to support your preparation. Built around the power of community, this episode brings together colleagues passing on what they’ve learned to help others move forward. Wherever you are in your MRCP journey, join us as we learn and grow together.

Managing the acute medical take (part 2)

17 min

This is part 2 of a conversation I had with Dr Meshva Amin on managing the acute medical take as the medical registrar. We talk about delegating, prioritising, dealing with other specialties and knowing when to escalate. Let us know your experiences over on instagram @mem.cast. 

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The newest 50 of 300 episodes

Malignant Melanoma

9 min

In this episode, we're in a dermatology skin cancer clinic, and work through a case of suspected malignant melanoma. We work through key history, examination, differential diagnoses, investigations and management principles. This will not only help prepare you for MRCP questions but also for your time in dermatology clinic.

MRCP: Passing it on - Advice from those who have been there

13 min

In this episode of MEMcast, doctors who have passed the exams share practical advice, personal experiences and words of encouragement to support your preparation. Built around the power of community, this episode brings together colleagues passing on what they’ve learned to help others move forward. Wherever you are in your MRCP journey, join us as we learn and grow together.

Managing the acute medical take (part 2)

17 min

This is part 2 of a conversation I had with Dr Meshva Amin on managing the acute medical take as the medical registrar. We talk about delegating, prioritising, dealing with other specialties and knowing when to escalate. Let us know your experiences over on instagram @mem.cast. 

PACES part 1: Preparation and clinical examination

19 min

Join Dr Latif Rahman and myself today as we discuss an examiners perspective on the PACES clinical examinations stations and preparation tipsThis episode will cover;🩺 Exam format and linked marking📚 Preparing through everyday clinical work🤝 Making the most of practice partners💡 Improving your examination techniqueWhat’s your biggest PACES preparation challenge right now? Tell us below 👇#PACES #MRCPPACES #ClinicalExamination #MedicalEducation #Memcast

Eczema

11 min

In this episode we discuss the key distinguishing features of eczema from other scaly rashes and work through a case of eczema herpeticum.

Intrinsic renal disease (part 2)

29 min

In this episode of MEMcast, we delve further into intrinsic renal disease, exploring the role of urine dipstick testing in differentiating intrinsic renal pathology from other causes of acute kidney injury. We take a practical approach to interpreting urinary findings, identifying when further immunological investigations are indicated, and understanding when a kidney biopsy should be considered to establish a diagnosis and guide management. We hope this episode will improve your understanding of intrinsic renal disease, strengthen your clinical reasoning and make your approach to investigating AKI more confident and systematic.

Managing the Acute Medical Take

18 min

This is episode 313 of MEMCast. In this week's episode we speak to Dr Meshva Amin an ST4 Geriatrics trainee on her experiences stepping up the role of medical registrar and how to navigate leading the acute medical take as a new med reg. 

Peripheral Neuropathy

36 min

In this episode of Memcast, we are joined by Dr Ambrose, Consultant Neurologist at Queen’s Medical Centre, Nottingham, to work through a practical approach to peripheral neuropathy. We discuss how to phenotype neuropathy before investigating it, using the clinical history and examination to distinguish patterns such as length-dependent polyneuropathy, demyelinating and axonal neuropathies, mononeuritis multiplex, GBS, CIDP and inherited neuropathies such as Charcot–Marie–Tooth disease.

Skin and connective tissue disease

14 min

In this episode, we discuss key skin findings that can be clues to potential connective tissue disease. Conditions discussed include sarcoidosis, dermatomyositis and systemic lupus erythematosus.

Intrinsic renal disease part 1

24 min

In this episode of MEMcast, we explore intrinsic kidney disease, both as a distinct disorder and as part of the continuum. We discuss how to differentiate pre-renal, intrinsic and post-renal causes of AKI, the clinical features that should raise suspicion of intrinsic renal disease, and important clues.

Hyperparathyroidism part 2

14 min

In this episode of MEMcast, we delve deeper into secondary hyperparathyroidism in chronic kidney disease, taking a practical approach to its investigation and management, including phosphate control, vitamin D therapy, calcimimetics and parathyroidectomy. We also explore the key differences between primary, secondary and tertiary hyperparathyroidism, and the biochemical and clinical features that help distinguish between them.

Secondary hyperparathyroidism part 1

14 min

In this episode of MEMcast, we explore secondary hyperparathyroidism in chronic kidney disease, a common but sometimes challenging complication of CKD. We break down why PTH rises as kidney function declines, explore the relationship between calcium, phosphate, vitamin D and PTH, and discuss how to recognise, investigate and manage these abnormalities in clinical practice.

Approach to papilloedema

21 min

Dr Sanjida Chowdhury, a neurology registrar is walking us through an approach to papilloedema

Pleural Infection Update

31 min

During this weeks episode of pleural infection, Dr Thomas Bond is joined by Dr Mayurun Selvan, a Respiratory Consultant in lister hospital. The pair take a deep dive into diagnosis and management, discussing prognostic scoring and how to treat refractory patients! Don't forget to tune in! 🎧

Renal anaemia part 2

13 min

In this episode, we take a practical approach to the management of anaemia in chronic kidney disease. We discuss the principles of treatment, and key considerations in patient care. We also explore erythropoiesis-stimulating agents (ESAs) and hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF-PHIs), including their mechanisms of action, indications, contraindications, and how to apply current guidance in everyday clinical practice.

Renal Anaemia part 1

13 min

Join us as we explore anaemia of chronic kidney disease. We explore what it means and the varied pathophysiological mechanisms that drives this disorder. We also talk about practical ways of approaching diagnosis. 

Cardiorenal syndrome part 2

23 min

Dr Shahar Khan joins us to simplify the understanding of cardiorenal syndrome. We’ll discuss its management in both acute and chronic phases, including effective diuresis and medications that offer significant survival benefits for these patients. 

Approach to Tremor

28 min

Dr Sanjida Chowdhury, Senior Neurology Registrar takes us through a systematic approach to tremor. 

Pneumothorax: Management

16 min

This week we will have episode 2 of our pneumothorax series, covering the management of pneumothorax using the BTS guidelines management flowchart.🔊Tune in to listen to Dr Rachel Maguire and Dr Thomas Bond discuss which patients require intervention and who can be treated conservatively.

Pneumothorax: Presentation and Investigations

13 min

The creator of MEMCast Dr Rachel Maguire will be joining Dr Thpmas Bond this week to talk about all things pneumothorax! Relive the on call tensions about interventions and re-inflate your knowledge with this weeks episode!

Cardio-renal syndrome part 1

27 min

In this episode of MEMcast, we are joined by Dr Shahar Khan to discuss cardio-renal syndrome, a condition where dysfunction of the heart and kidneys are closely interconnected. We explore what cardio-renal syndrome is, the underlying pathophysiology, and how to differentiate it from other causes of acute kidney injury. We also discuss the key clinical signs, risk factors, and a practical approach to diagnosis.

Bone Marrow Failure

25 min

This week Dr Aritri Mandal rejoins Dr Thomas Bond on the podcast to cover bone marrow failure! Don't miss out on how to recognise, investigate and manage the consequences of pancytopenias.

Parkinson's Disease Part 2

11 min

In this episode, Dr. Mahzabin Islam, consultant neurologist, talks us through the clinical examination of Parkinson’s disease, approaches to assessing Parkinsonism, as well as recent research updates and the role of diet and lifestyle modifications in Parkinson’s disease.

Understanding Hypertension part 2

17 min

We welcome Dr Macconaill on our latest MEMcast episode, which dives into the management of hypertension, from practical lifestyle interventions to choosing the right medications, all with the goal of reducing cardiovascular risk. We focus on a patient-centred approach, moving beyond the blood pressure reading to truly support our patients in achieving long-term health outcomes.

Myopericarditis

23 min

Dr Thomas Bond and Dr Mrinal Thakur discuss the ins and outs of diagnosing and treating myopericardial syndrome. We discuss the new ESC guidelines and a few interesting cases to illustrate the key elements of managing this potentially life threatening diagnosis, don't miss out!

Parkinson's Disease Part 1

14 min

In this episode, Dr. Mahjabin Islam, consultant neurologist, walks us through the pathophysiology, as well as the motor and non-motor features of Parkinson’s disease.

Understanding Hypertension 1

22 min

In this episode of Memcast, we dive into hypertension, one of the most common yet often underestimated conditions in clinical practice. We explore how hypertension is diagnosed, the nuances that are often overlooked, and why accurate measurement matters more than we think. We unpack the real impact on patients, from silent end-organ damage to more symptomatic and pronounced organ failure.

Cardiovascular Immune Mediated Inflammatory Disorders

19 min

This week we are jointed By Professor Maya Buch, Chief Investigator of the UK Cardio-IMID partnership to talk about the cutting edge of cardio-rheumatology. If you are interested in the link between inflammation and heart disease you won't want to miss out on this weeks episode!

Ventricular Tachycardia: Long Term Management

23 min

This week Dr Thomas Bond and Dr Daniel Ng discuss the ins and outs of VT prevention, from ICD's to amiodarone! Tune in to find out what to do after you have cardioverted!

Aspergillosis 2

12 min

In this episode of MEMcast, we dive into pulmonary aspergillosis, a condition that is often overlooked but carries significant clinical consequences if missed.We uncover the red flag symptoms that should make you pause, guide you through the diagnostic challenges, and break down the management decisions that can change outcomes.Join us as we bring clarity to a condition every clinician should feel confident recognising.

Acute Mesenteric Ischemia

20 min

Dr Tanveer Hossain, a post-CCT robotic surgery fellow in upper gastrointestinal surgery and endoscopy at Southampton Hospital. Dr Hussain has extensive experience in the management of complex gastrointestinal conditions and advanced minimally invasive surgical techniques. In today’s episode, he will be sharing his expertise on acute mesenteric ischemia, helping us understand how to recognise it early and how it is managed from a surgical perspective.

Aspergillosis part 1

11 min

Join us on this episode of MEMcast as we discuss approaches to identifying and managing patients with aspergillosis, offering practical insights for healthcare professionals and students.We explore the different clinical forms from allergic disease to chronic and invasive infection, and highlight the key risk factors that should sharpen your clinical suspicion.

Acute Management of Ventricular Tachycardia

28 min

Join Dr Thomas Bond and Dr Daniel Ng as we share the first of our 2 episodes covering VT. Episode one will tell you everything you need to know about how to manage a patient on call when you are handed a "dodgy" ECG that turns out to be VT! Don't miss out on key strategies to handle this on-call emergency.

Managing cDMARDs on the ward

23 min

Ever wondered what do with patient on methotrexate, with and infection, awaiting surgery, with a flare of their arthritis? In this episode Dr Thomas Bond and Dr Harris Fayyaz cover the practical points for managing patients on conventional DMARDs, covering when to stop and when they are safe to continue! 

Clinical Approach to Acute shortness of breath

13 min

Dr Rafid Ahmed, consultant in Acute medicine , currently working in University Hospital of Derby and Burton NHS Foundation Trust, is walking us through clinical approach to acute shortness of breath.

Atherosclerosis

19 min

Ever wondered why some plaques rupture and others sit there politely not causing an MI? Dr Chris Wall talks to us about atherosclerosis in this weeks episode, describing what makes a plaque "vulnerable", and the role of inflammation in plaque development. Don't miss out on this atherosclerosis rundown.If you get chance, please take 5 minutes to let us know what you think of the podcast: https://docs.google.com/forms/d/e/1FAIpQLSfEEdl5sLI7qguJG6nWS9roU5uTzQ13PKjKqzmP-gZhlCrgXg/viewform

Functional Neurological Disorder part 2

14 min

Dr Sumeet Singhal, consultant neurologist at Nottingham University Hospitals NHS Foundation Trust, discussed about Clinical approach to FND . 

Tumour Lysis Syndrome

23 min

This week we take a closer look at Tumour Lysis Syndrome, following the September guideline update from the BSH. Dr Aritri Mandal covers everything you need to know about diagnosing, monitoring and treating this life threatening complication of malignancy!Please look at our instagram page for questions related to the topicPlease click on our linktree on our instagram page to access our feedback form!https://www.instagram.com/mem.cast/

SLE Treatment

25 min

Dr Shireen Shaffu covers all aspects of SLE treatment, from induction to maintenance therapy. We cover how to manage patients and pregnancy, as well as side effects of therapeutic drugs. Tune in for a whistlestop tour of all thingse SLE treatment!

Friedrich's Ataxia

15 min

In this episode, we explore Friedreich’s ataxia:  what it is, the key clinical signs and symptoms, how it is diagnosed, and the essential aspects of ongoing care. 

Functional Neurological Disorder Part 1

15 min

Dr Sumeet Singhal is a consultant neurologist, working at Nottingham University Hospitals NHS Foundation Trust. He is an FND expert and discusses presentations of FND. 

VEXAS Syndrome

10 min

VEXAS syndrome is an autoinflammatory syndrome affecting predominantly men over 50s. Tune in this week to learn about this rare but important differential in your patients with fevers and rashes who are not responding to antibiotics. Dr Thomas Bond will take you through how VEXAS came to be discovered, and how you can discover it in your patients!

Traumatic brain injury

12 min

Head injuries extend beyond the brain, impacting multiple organ systems and leading to complex complications. In this episode, we explore traumatic brain injury, its systemic effects and complications , and key considerations in critical care management.

Medical ethics and communication

20 min

In this episode, we tackle some of the most common ethical and professionalism scenarios you’ll face in the PACES exam. We’ll walk through the core principles of medical ethics (autonomy, beneficence, non-maleficence, and justice) and show you how to apply these concept in clinical practice.

Calcium Pyrophosphate Deposition Disease

15 min

CPPD is a common occurrence in our elderly inpatients. It can cause significant disability and is important to diagnose and treat. Dr Thomas Bond covers the common and rarer manifestations of this condition to make sure you are confident in treating patients suffering with CPPD.

Understanding Asthma

34 min

In this episode, we explore how to recognise asthma mimics, when to question the diagnosis, and how bedside tests and updated guidelines can guide management. We break down what every clinician should know.

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