Podcast 026: Dermatology With Dr Pablo Fernández-Peñas

Skin is good. Skin is great. Skin is important to every person, especially when it comes to quality of life.

In this episode, Professor Pablo talks about why dermatology is extremely exciting and matters as a specialty.

Podcast

About the guest speaker

Dr Pablo Fernández-Peñas is Professor in Dermatology at the University of Sydney, Head of the Department of Dermatology at Westmead Hospital and Director of the Centre for Translational Skin Research in Sydney, Australia. Previously, he was Staff Specialist (Dermatology) at Hospital Universitario de la Princesa, Clinical Professor at the Universidad Autonoma in Madrid, Spain and Head of Research at the Skin and Cancer Foundation Australia.

Since 2007, Professor Pablo has expanded clinical, research and education services in Western Sydney. He opened the Dermatology Comprehensive Clinical Centre at Westmead Hospital and set up the Dermatology Clinical Trials and Research Unit, participating in 40+ clinical trials.

Professor Pablo’s main fields of interest are oncodermatology, immunology, quality of life, and information technologies. He has 180+ publications in peer review journals.

As well as being a passionate teacher and researcher, Professor Pablo’s hobbies include bushwalking, travelling and music.

Music credits

Opening and closing themes by Lily Chen.

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Paediatrics At A Glance

  1. Hirschsprung’s disease = aganglionic. Failure of nerves to migrate. Biopsy as diagnosis. Removal of affected intestine.
  2. Pyloric stenosis = hypochloraemic hypokalaemic metabolic alkalosis. Non-bilious vomiting.
  3. Children are not just small adults, but adults are definitely just large children.

Podcast 025: Anaesthetics Nursing With Pete Kelly

Nursing and doctoring are hearty friends who hold hands while prancing off into the sunset. Together, their teamwork is something that can make health care great. Long live patient welfare!

In this episode, Pete talks about what nursing involves, different types of nursing and how nurses and doctors can work together to make a better patient experience.

Podcast

About the guest speaker

Pete Kelly has been nursing for 17 years – with 16 of those in anaesthetic nursing. His passion for patient care in the perianaesthetic field is backed up by his involvement in research and education, specifically pertaining to difficult airway management and trauma anaesthesia.

Pete is keen to see the field of anaesthetic nursing grow with the addition of skills and responsibilities.

Additional credits

Maniacal laughter by Justin “Purple J” Lambert, Stan “Disapproving Head Shake” Domeshok, German “German Dave” Dave and Anushka “Gate Opener” Wikramanayake.

Fan feedback by Justin “Purple J” Lambert, Stan “Disapproving Head Shake” Domeshok, German “German Dave” Dave, Anushka “Gate Opener” Wikramanayake, Katie “Spanish Influenza” Honan and Sal “Moral Support” Yeung.

Music credits

Opening and closing jingles by Katie “Spanish Influenza” Honan.

Backing music by Lily Chen.

Management Of COPD

It’s always the greatest when mnemonics match the thing they’re relating to.

Even if it does involve a couple of extra Ps.

COPPPPD

Inhaled Corticosteroids if FEV1>50% with 2+ exacerbations/year and a short course of systemic corticosteroids for severe exacerbations

Home Oxygen and oxygen during exacerbations to maintain SpO2 at 88-92%

Prevention with smoking cessation and immunisations against influenza and pneumococcus

Physical activity

Pulmonary rehabilitation

Penicillin, meaning amoxycillin or the non-penicillin doxycycline for severe exacerbations

Inhaled bronchoDilators

References

  1. Chronic obstructive pulmonary disease. In: eTG complete [Internet]. Melbourne: Therapeutic Guidelines Limited (eTG July 2018 edition); 2015 Mar.

Light’s Criteria For Pleural Effusions

If any of the following conditions are met, it is an exudate, full of protein and turbid, unclear fluid. Think malignancy or certain infections.

Light’s Criteria

  1. Pleural fluid protein / serum protein > 0.5
  2. Pleural fluid LDH / serum LDH > 0.6
  3. Pleural fluid LDH > 2/3 x upper limit of normal serum LDH

Memory Aid

  • Pleural
    • Criterion 1 = protein
    • Criterion 2 = LDH
    • Criterion 3 = LDH again
  • Increasing numbers
    • 0.5
    • 0.6
    • 0.666666 to infinity

References

  1. MDCalc. (2018). Light’s Criteria for Exudative Effusions. [online] Available at: https://www.mdcalc.com/lights-criteria-exudative-effusions [Accessed 14 Sep. 2018].
  2. Exeter Clinical Laboratory International. (2018). Transudate or Exudate / Blood Sciences Test. [online] Available at: https://www.exeterlaboratory.com/test/transudate-or-exudate/ [Accessed 14 Sep. 2018].