Previews – MNP

Musculoskeletal | Neurology | Paediatrics

Adrian ChojnowskiExamination of the Hand
Adrian Chojnowski (Consultant Orthopaedic Surgeon)

Mr Adrian Chojnowski is a Consultant Orthopaedic and Trauma Surgeon with a specialist interest in the upper limb. His research and particular interest relates to disorders of the wrist such as carpal instability and Dupuytrens Disease.

In this short lecture Adrian gives a brief overview of the anatomy of the hand followed by a demonstration of the examination of the musculature, bones and nerves of the hand.

There is a brief discussion of the common hand pathologies and findings, including rheumatoid arthritis, carpal tunnel compression and trigger finger.

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Karl GaffneySpondyloarthropathy
Karl Gaffney (Consultant Rheumatologist)

Karl Gaffney has been a Consultant Rheumatologist at Spire Norwich Hospital and The Norfolk & Norwich University Hospital NHS Foundation Trust since 1996. He is also Clinical Director for Rheumatology, Honorary Senior Lecturer at the University of East Anglia, Chair of Rheumatology Training East of England Deanery, Medical Advisor and Trustee of the National Ankylosing Spondylitis Society and President of The National Osteoporosis Society (Norwich & District Group).

Karl has particular expertise and research interest in the management of ankylosing spondylitis, rheumatoid arthritis and osteoporosis

The spondyloarthropathies are a group of rheumatological diseases that comprise spinal inflamation, peripheral arthropathy and enthesitis ( inflamation of tendon and ligament insertion). Ankylosing spondylitis is the most well known disease of the group, and spondyloarthropathy can complicate psoriasis and inflammatory bowel disease or be caused by a reaction to an infection.

This lecture covers this subject classically and comprehensively, covering epidemiology, diagnosis, imaging and management. Of interest to GPs is the realisation that these diseases comprise up to 5% of chronic back pain, and that they are generally under diagnosed and diagnosed late. Karl takes us through the symptomatology and the problems that exist in diagnosis. There is a problematic 8.5 years lag between onset of first symptoms and diagnosis overall, obviously a delay that should be greatly improved upon.

It would be very useful to use this lecture to stimulate a discussion amongst the members of your practice and to perform an audit on patients to see if there are any potentially undiagnosed cases.

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Deborah KayAn Overview of Podiatric Biomechanics
Deborah Kay (Specialist Podiatrist)

Deborah Kay is a podiatrists who perfoms biomechanical assessments and who diagnoses, treast, and help prevent diseases and disorders affecting the feet and ankles of adults and children.

A Biomechanics assessment is an investigation into your lower limb function – looking closely for abnormalities and compensations.

Deborah Kay's lecture is all about how to assess a foot for problems. She begins with talking generally about the biomechanics of the foot and how gait works, before talking more specifically about the common foot pathologies we see in General Practice.

This is a very useful lecture for General Practice as  foot problems are so common. Finding your way to an appropriate referal or management plan will be easier once you have digested this lecture.

  • Weight Loss?
  • Footwear
  • Foot Orthotics (Off the Shelf)
  • Podiatry Referral (Biomechanics)
  • Physiotherapy Referral
  • Orthopaedic Referral


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Willy NotcuttManagement of Musculoskeletal Back Pain
Willy Notcutt (Consultant in Pain Management)

Back pain affects 8 out of 10 people at some time in their lives but is rarely due to any serious disease or damage. Dr Willie Notcutt is a Consultant Anaesthetist and Pain Management Expert, whose lecture recorded here is an excellent overview and update on the management of low back pain.

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Neurology

hamelijnck31ADHD in adults: diagnosis and treatment
Dr Jaap Hamelijnck (Consultant Psychiatrist)

Japan Hamelijnck’s 2-part lecture on the treatment of adult ADHD is an excellent and up to date resource. It covers the evidence base, the treatment, shared cared protocols and how to monitor and refer back to psychiatry.

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Simon ShieldsHeadache Diagnosis and Management
Simon Shields (Neurology Consultant)

Simon Shields is a Consultant Neurologist working at the Norfolk and Norwich Hospital. His lecture recorded here is about headache. At the outset he tells us that " its usually migraine" (covered in Part 2)

In Part 1 he deals with those causes of headache that we as GPs do not want to miss, the Secondary Headaches. In Part 2 he deals with the Primary Headaches, which are those that we commonly come across and manage in primary care.

An essential lecture topic for GPs, this is a lecture that you will find very helpful and reassuring. Simon has laid out his lecture in an easy to use format with many tips and insights into the diagnostic process and patient management.

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Paediatrics

Ibrahim ZalaSafeguarding Children
Ibrahim Zala (Consultant Paediatrician)

Zala Ibrahi's lecture is very comprehensive and looks at the problem of safeguarding children from a doctor's point of view, concentrating on the presentation of child abuse to medical services. The beginning of this lecture finds Zala getting used to delivering a lecture in a slightly different format from usual, but you will see that after a few initial slides her lecture takes off. It is a wealth of information that GPs will find extremely useful.
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Kate ArmonRecognising and managing the acutely ill child
Kate Armon (Paediatric Consultant)

Dr Kate Armon is a Consultant Paediatrician, specialising in Paediatric rheumatology and ambulatory/emergency paediatrics.

She obtained a Doctor of Medicine degree with research into common presenting problems to the paediatric A&E department, and developing evidence based and consensus ratified guidelines on two of the commonest presenting problems.

One of the most challenging aspects of a GPs workload is in the assessment of the ill child. It is a daunting task to have to decide whether to manage an unwell child oneself, or to refer on for a paediatric assessment. Kate shows how the initial assessment is undertaken in the paediatric department of a hospital and summarises the process in the "3 Minute Toolkit".

As a GP this lecture is one that you will want to watch on a regular basis, so as to update your basic skills and knowledge.

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K BalasubramanianRash in children
K Balasubramanian (Consultant Paediatrician)

A rash is a reaction of the skin. Many different agents can cause similar rashes because the skin has a limited number of possible responses. Very often the associated symptoms, in addition to the rash, help establish the diagnosis.

Dr Krishnan Balasubramanian is a Consultant Paediatrician at Maidstone Hospital, Maidstone and Tunbridge Wells Hospital at Pembury, Kent since 2008. Has special interest in Paediatric Cardiology and Nephrology.

This lecture is a comprehensive overview of the rashes that affect children and is split into 3 sections: rashes with an infective aetiology; rashes with a non-infective aetiology and rashes that affect babies.

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John ChapmanIntroduction to Paediatric Allergy
John Chapman (Consultant Paediatrician)

John Chapman is a consultant paediatrician whose main interest is in managing children with allergies. His talk here will give you a great insight into the current understanding and management strategies that are employed.

There is lot of information covered in these 3 lectures. You will cover a little bit of basic immunology and become acquainted with the essential terminology and concepts in use in Part 1. Invaluable background to help you when you discuss these issues with parents.

In Part 2 John concentrates on food allergies, aero-allergies and seasonal allergens, discusses skin prick testing and emergency planning.

In Part 3 John gives us a fascinating insight into how allergies can be treated, other than by simple avoidance behaviour. Not to be missed.

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Naomi EltonADHD: A Guide for GPs
Naomi Elton (Consultant in Child & Adolescent Psychiatry)

Naomi Elton is an experienced Consultant in Child and Adolescent Psychiatry. She is Associate Clinical Director for Community Children\'s Services at Cambridge and Peterborough Foundation Trust. Attention deficit hyperactivity disorder (ADHD) is a group of behavioural symptoms that include inattentiveness, hyperactivity and impulsiveness Common symptoms of ADHD include:

  • a short attention span
  • restlessness or constant fidgeting
  • being easily distracted

ADHD can occur in people of any intellectual ability. However, many people with ADHD also have learning difficulties. They may also have additional problems such as sleep disorders.
Naomi\'s lecture on ADHD will bring you up-to-date with the current management of this condition, as well as discussing some of the controversies that surround it.

Part 1: What is ADHD?
Part 2: Assessment & Treatment
Part 3: Medication

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Tina IraniDepression in Adolescents
Tina Irani (Child and Adolescent Forensic Psychiatrist)

Childhood and adolescent depression is a problem that is often recurrent and which can continue into adulthood.
It can occur alongside other psychiatric disorders and is accompanied by increased risk of suicide, substance abuse and behavioural problems.

The prevalence of childhood depression has been estimated to be 1% in prepubertal children and about 3% in postpubertal young people, and is experienced by twice as many adolescent girls than boys.
The prevalence does seem to be increasing although this may be a result of better awareness within the medical profession and society in general.
Adolescents with depression frequently have psychological, social, education and family difficulties.

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Krystyna MatykaType 1 diabetes in childhood
Krystyna Matyka (Paediatric Consultant)

The UK has the world’s fifth highest rate of Type 1 diagnosis in children aged up to 14, according to a new data compiled by Diabetes UK. Krystyna Matyka is a Consultant Paediatrician and a Senior lecturer at Warwick medical School. Krystyna runs a weight management clinic for children with problems of excess weight and is a member of the Paediatric Diabetes Clinical team at University Hospital Coventry and Warwickshire. Krystyna is on the Committee of the Association of the Study of Obesity and is Chair of the Science and Research Working Group of the Professional Advisory Council of Diabetes UK.

Her research interests include the influence of physical activity in metabolic risk in children from different ethnic backgrounds and also hypoglycaemia in Type 1 diabetes and its impact on diabetes management.

This lecture is an expert overview of diabetes management in children. GPs will find the information of invaluable use to their management of their younger patients with insulin dependent diabetes, not to mention their older patients as well.

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