MEM Cast
A series of education podcasts for core medical trainees and medical students covering the whole curriculum for the MRCP exam.
Episodes
Episode 318: Eczema
In this episode we discuss the key distinguishing features of eczema from other scaly rashes and work through a case of eczema herpeticum.
Episode 317: Intrinsic renal disease (part 2)
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 cons
Episode 313: Managing the Acute Medical Take
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.
Episode 316: Peripheral Neuropathy
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,
Episode 315: Skin and connective tissue disease
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.
Episode 314: Intrinsic renal disease part 1
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.
Episode 313: Hyperparathyroidism part 2
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 featur
Episode 312: Secondary hyperparathyroidism part 1
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.
Episode 311: Approach to papilloedema
Dr Sanjida Chowdhury, a neurology registrar is walking us through an approach to papilloedema
Episode 310: Pleural Infection Update
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! 🎧
Episode 309: Renal anaemia part 2
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
Episode 308: Approach to a patient with first fit
Dr Sanjida Chowdhury, Neurology Registrar takes us through the approach to a patient with first fit
Episode 307: Renal Anaemia part 1
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.
Episode 306: Cardiorenal syndrome part 2
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.
Episode 305: Approach to Tremor
Dr Sanjida Chowdhury, Senior Neurology Registrar takes us through a systematic approach to tremor.
Episode 304: Pneumothorax: Management
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.
Episode 303: Pneumothorax: Presentation and Investigations
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!
Episode 302: Cardio-renal syndrome part 1
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 a
Episode 301: Bone Marrow Failure
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.
Episode 300: Parkinson's Disease Part 2
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.
Episode 299: Understanding Hypertension part 2
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.
Episode 298: Myopericarditis
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!
Episode 297: Parkinson's Disease Part 1
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.
Episode 296: Understanding Hypertension 1
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.
Episode 295: Cardiovascular Immune Mediated Inflammatory Disorders
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!
Episode 294: Ventricular Tachycardia: Long Term Management
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!
Episode 293: Aspergillosis 2
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 sh
Episode 292: Acute Mesenteric Ischemia
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 recogni
Episode 291: CADASIL (Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy)
This week we discuss about CADASIL, a hereditary small vessel disease and rare cause of stroke, it's clinical features, pathophysiology, diagnosis and management approach.
Episode 290: Aspergillosis part 1
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.
Episode 289: Acute Management of Ventricular Tachycardia
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.
Episode 288: Managing cDMARDs on the ward
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!
Episode 287: Clinical Approach to Acute shortness of breath
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.
Episode 286: Functional Neurological Disorder Part 3
Dr Sumeet Singhal , consultant neurologist is discussing about management approach to FND.
Episode 285: Atherosclerosis
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: h
Episode 284: Functional Neurological Disorder part 2
Dr Sumeet Singhal, consultant neurologist at Nottingham University Hospitals NHS Foundation Trust, discussed about Clinical approach to FND .
Episode 283: Tumour Lysis Syndrome
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 fe
Episode 282: SLE Treatment
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!
Episode 281: Friedrich's Ataxia
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.
Episode 280: Functional Neurological Disorder Part 1
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.
Episode 279: VEXAS Syndrome
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!
Episode 278: Traumatic brain injury
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.
Episode 277: Reversible Cerebral Vasoconstriction Syndrome (RCVS)
This week Dr Sanjida Chowdhury, Neurology Trainee, discusses RCVS, it's overview, psychophysiology, clinical presentation, investigation and treatment.
Episode 276: Medical ethics and communication
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.
Episode 275: Calcium Pyrophosphate Deposition Disease
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.
Episode 274: Understanding Asthma
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.
Episode 273: Subacute Combined Degeneration of Spinal Cord
This week Dr Sanjida Chowdhury discussed about Subacute Combined Degeneration of Spinal Cord, it's causes, and Management approach.
Episode 272: Systemic Lupus Erythematosus: Diagnosis
This week we are joined by the connective tissue disease lead at University Hospitals Leicester, Dr Shireen Shaffu, to talk about diagnosing lupus. Dr Shaffu provides excellent insight into a systematic approach for lupus assessment. We discuss various disease manifestations, diagnostic criteria and investigations. If you have ever wanted to get one over on Dr House, this week is your wee
Episode 271: Alcohol Withdrawal
Dr Anirudh Kumar discusses practical aspects of assessment and management of alcohol withdrawal syndrome in this episode.Please see the following resource referenced in today's podcast:CIWA-Ar ScaleFollow us on Instagram!Join our Discord server or follow our podcast via our Linktree!
Episode 270: Nephrotoxicity
Not all that’s prescribed is harmless, especially to your kidneys. Our latest episode is now live. In this episode, we’re diving deep into drug-induced nephrotoxicity. You’ll learn: Which medications are most nephrotoxic, how they damage the kidneys, and how to approach management when a drug is suspected
Episode 269: Spasticity
This week, Dr Javvad Haider joins us once again to talk about the management of spasticity. This episode covers a good chink of neurophysiology and pathophysiology to help understand how spasticity is triggered, so we can arrange the best treatments
Episode 268: Ascitic Tap and Abdominal Paracentesis Part 2
Dr Katarina Vojtekova Nizamis, Gastroenterology Registrar in Nottingham, takes us through practical aspects of Abdominal Paracentesis in the second of two parts on this topic.Please see the following two videos referenced in today's podcast:]Royal Derby Hospital - Abdominal Therapeutic Paracentesis VideoMedical Education Lothian - Preparing you for Ascitic InterventionsWe recommend consid
Episode 267: History-taking and communication ( PACES/MRCP)
In this episode, we explore how to approach the history-taking station in PACES, including what themes to prioritise, the role of body language and non-verbal communication, and common mistakes candidates make. Whether you're revising for the exam or improving real-life skills, this one's packed with practical tips.
Episode 266: Takayasu Arteritis
This week we are covering an important cause of large vessel vasculitis! Takeyasu Arteritis is a complex disease with varying manifestations. Dr Thomas Bond cover's the myriad of presentations of this dangerous condition, as well as covering the immune dysregulation required to allow it in the first place! Don't forget to check out our linktree and leave us some feedback!https://linktr.ee
Episode 265: Ascitic Tap and Abdominal Paracentesis Part 1
Dr Katarina Vojtekova Nizamis, Gastroenterology Registrar in Nottingham, takes us through practical aspects of Ascitic Tap and Abdominal Paracentesis in the first of two parts on this topic.We recommend considering listening to the following other podcast episodes to supplement this episode:Episode 16 - Ascites and TIPS ProcedurePodomatic Apple Podcasts SpotifyEpisode 265 - Ascitic Tap an
Episode 264: Advance care planning
In this episode, we explore what advance care planning really means and how to approach these conversations in clinical practice. We talk about common pitfalls, how to navigate difficult or sensitive moments, and why these discussions are such a vital part of good medical care. Whether you're new to these conversations or looking to strengthen your approach, this episode offers insight,
Episode 263: Sickle Cell Disease Treatment
This week Dr Amy Webster joins us again for part two of our Sickle Cell Disease series. This week we discuss treatment of outpatients with Sickle cell, and cover what to do when patients are admitted with acute crisis. If you have time, filling out our feedback survey will help us improve the podcast!Check out our Link-tree below:https://linktr.ee/memcast?fbclid=PAZXh0bgNhZW0CMTEAAac5brlP
Episode 262: Deprescribing
Dr Anirudh Kumar, Geriatric Medicine Registrar, demystifies resources and tools to aid evidence-based deprescribing decisions, particularly for older people.We recommend considering listening to the following other podcast episodes to supplement this episode:Episode 226 - Anticholinergic BurdenPodomatic Apple Podcasts SpotifyFollow us on Instagram!Join our Discord server or follow our pod
Episode 261: Inclusion Body myositis
This week we are discussing about Inclusion body myositis, it's overview, pathophysiology, clinical features, investigations and management.
Episode 260: Aortic dissection
Mr Giovanni Mariscalco joins us again to discuss a serious but often under-recognised emergency: aortic dissection. This condition can mimic more benign causes of chest or back pain, but when it strikes, every minute counts. A missed diagnosis can lead to a fatal outcome. In this episode, we break down the classic and subtle presentations, the key investigations (and where clinicians ofte
Episode 259: Horner's syndrome
Dr Sanjida Chowdhury, Specialty Registrar in Neurology, giving us an overview of Horner's syndrome
Episode 258: Malignant Pleural Effusion
Dr Shaheen Shahid, Respiratory Registrar at Royal Derby Hospital, shares a comprehensive summary of management of malignant pleural effusions as per BTS guidelines.We recommend considering listening to the following other podcast episodes to supplement this episode:Episode 19 - Pleural EffusionPodomatic Apple Podcasts SpotifyEpisode 34 - PneumothoraxPodomatic Apple Podcasts Spotify Episod
Episode 257: Clinical Presentation of Sickle Cell Disease
This week we talk to Dr Amy Webster, a consultant haematologist in Leicester and head of the haemoglobinopathy service here.We talk about the pathophysiology behind the disease this week, as well as the varying ways patients present. We also cover some of the challenges patients face in hospital getting the treatment they need. Be sure to tune in!Also check out our link tree for q feedbac
Episode 256: Genetic disorders and the Kidney 2 - Alport syndrome
We explore Alport syndrome, a genetic kidney disease that goes beyond the kidneys. From the role of genetics test, involved in making diagnosis, to the clinical features, and management, we cover it all.
Episode 255: Motor Neuron Disease Part 2
Dr Michael Knopp (consultant Neurologist) is discussing about management, prognosis and recent advancements in Motor neuron disease.
Episode 253: Iron Deficiency Anaemia
Dr Mohamed Elnagar, Gastroenterology Registrar at Royal Derby Hospital, returns to the podcast to boost our knowledge on investigating and treating iron deficiency anaemia.Follow us on Instagram!Join our Discord server or follow our podcast via our Linktree!
Episode 254: Rehabilitation Medicine
Dr Javvad Haider, head of Rehabilitation Medicine at NUH has joined Dr Thomas Bond today to teach everyone about Rehab medicine! We cover as much as we can about the specialty, including the patients you see, the training you get and the new and exciting developments that are happening right now - like the National Rehab Centre! Don't miss out on the opportunity to learn about this exciti
Episode 251: Leadership
Welcome to our latest episode, where we’re thrilled to have Dr. Yusuf, a renal chief registrar, join the conversation! Together, we delve into the nuances of leadership, tackling tough workplace concerns, and navigating difficult conversations. Yusuf shares real-world insights from his medical journey, highlighting strategies for open communication, dealing with difficult situations, and
Episode 250: Graves Disease
Everything from goitre to orbitopathy will be covered in this weeks comprehensive Grave's Disease episode. Dr Thomas Bond picks Dr Shahriar Shafiq's brains, covering thyroid antibodies testing, important points in the clinical history and crucial aspects of treatment. Make sure to tune in!
Episode 249: Urinary Incontinence
Dr Lizzie Moriarty, Consultant Geriatrician at King's Mill Hospital, Mansfield, takes us through all things related to urinary incontinence today.Here are links to the previous episode referenced on Anticholinergic Burden:SpotifyPodomaticApple PodcastsFollow us on Instagram!Join our Discord server or follow our podcast via our Linktree!
Episode 248: Motor Neuron Disease Part 1
Dr Michael Knopp , consultant neurologist , Royal Derby Hospital is discussing motor neuron disease .
Episode 247: Surgical management of aortic valve disease
This week, we’re thrilled to welcome Mr. Giovanni Mariscalco, Consultant and Head of Service for Cardiac Surgery, as we explore the surgical management of aortic valve disease and its relevance to medical practice. In this episode, we cover: Identifying patients who require surgery, types of prosthetic valves and their indications, the evolving role of TAVI Don’t miss this deep dive into
Episode 246: Carpal Tunnel Syndrome
This week Dr Sanjida Chowdhury, Specialist Registrar in neurology discussed about Carpal tunnel syndrome.
Episode 245: Advance Care Planning
This week, Dr Anirudh Kumar takes us through the practicalities of Advance Care Planning, referencing the Gold Standards Framework.You can read more about Gold Standards Frameworks here.Follow us on Instagram!Join our Discord server or follow our podcast via our Linktree!
Episode 244: Deprivation
Deprivation will affect our patients no matter which specialty we choose. It is a vast and multifaceted problem, often the root cause of our patients ill health, and yet often goes underappreciated in the high pressure of hospital medicine. Dr Shilpa Sisodia joins Dr Thomas Bond once again to break down how difficult deprivation can make it for patients to improve their help, and talks ab
Episode 243: ICU P2 Renal failure and ECMO
This week, we continue our discussion with Dr Yusuff Hakeem, picking up where we left off. We're diving deeper into the complexities of intensive care, focusing specifically on the intricacies of Extracorporeal Membrane Oxygenation (ECMO) and patients experiencing renal failure. Tune in now for this crucial episode
Episode 242: Myositis
Ever had a raised CK and wondered what the next steps are? This week Dr Thomas Bond interviews Dr Maumer Durrani, Head of the Rheumatology service at University Hospitals Leicester, to get key answers about the diagnosis and management of Myositis. The importance of cancer screening and lung disease is covered, along with the acute and maintenance treatments of inflammatory muscle disease
Episode 241: Complications of Parkinson's Disease
Dr Laura Daunt, Consultant Geriatrician at Queen's Medical Centre, Nottingham, talks about common complications that patients with Parkinson's Disease may have, either from disease progression or treatment side-effects.This is a follow-on to a previous episode on Parkinson's Disease, click the link to your podcast provider to access it:SpotifyPodomaticApple PodcastsFollow us on Instagram!
Episode 240: Myasthenia Gravis part 3
Dr Philip Ambrose talks us through recent advancements in MG and managemnt of myasthenic crisis
Episode 239: ICU escalation and Shock
This week, we’re thrilled to have Dr. Yusuff Hakeem join us as we delve into the critical process of escalating care to the intensive care team and the management of shock. Dr. Yusuff shares invaluable insights and practical advice that you won’t want to miss.Tune in now.
