Red Whale Primary Care Pod

• Adrenal insufficiency and Addison’s disease. Plus a bacterial vaginosis plot twist?

  Send us a textGrab your trainers, your dog lead, or even shake your jingle bells, and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Fi and Nik discuss : Spotting adrenal crisis. Adrenal insufficiency and Addison’s disease can be easy to miss. We've recently updated our article on this, so we thought we’d share it as a Pearl, distilling the 2024 NICE guidance for you.Recurrent bacterial vaginosis: time to consider partner treatment? Bacterial vaginosis is the commonest cause of pathological vaginal discharge in women of reproductive age. But it’s not an easy diagnosis for us to confirm – although we can suspect it clinically and manage empirically.  We’ll give you a refresher on BV infection and diagnosis in primary care and then think about managing recurrent BV, where there’s a new development.Listen as soon as you can to ensure you have full access to all the free resources. Further Pearls from November will be covered next time.Useful LinksAdrenal insufficiency and Addison’s diseaseFor professionals:The Society of Endocrinology – adrenal crisisFor patients:Addison’s Disease Self-help Group (include sections on emergency kits and sick day rules; there doesn’t appear to be a patient group for other forms of adrenal insufficiency) GP Trainee Essentials support package information, and the Red Whale CalendarSend us your feedback [email protected] or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here. Follow us: X, Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast....

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• Problematic social media use or addiction? ( Plus genital warts: what can be managed in primary care and what should be referred?)

  Send us a textGrab your trainers, your dog lead, or your drink of choice and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Fi and Nik discuss: Genital warts: spotting, treating and referring. Are you confident to diagnose? Do you know what additional screening should be offered? Are you comfortable with what can be managed in primary care and what should be referred?Addictive behaviours. The word ‘addiction’ conjures specific images for each of us. Perhaps it is a person struggling to stop smoking, or a person who uses IV drugs? Or perhaps it is a behaviour more ‘normalised’ and ubiquitous in our society – alcohol or social media use? All can impact health. We share our article on addictive behaviours, and consider: The difference between addiction and impulse control. How we can identify addictive behaviour. Factors that make individuals more susceptible. Listen as soon as you can to ensure you have full access to all the free resources. Links:Genital wartsBASHH - genital wartsRed Whale byte: HPV and genital warts Problematic social media use or addiction?UK Rehab – social media addiction (includes a free 24/7 helpline)Boggled Docs episode covering "The Social Dilemma" on Netflix  GP Trainee Essentials support package information, and the Red Whale CalendarSend us your feedback [email protected] or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here. Follow us: X, Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast....

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• Managing menopause after a diagnosis of breast cancer

  Send us a textGrab your trainers, your dog lead, or your drink of choice and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Fi and Nik have special guest Lucy Cox, the Red Whale women’s health course lead to discuss : Managing menopause after breast cancer. A diagnosis of breast cancer is life-changing at any age. Women in this situation will commonly seek our advice and we really want to help them at this vulnerable time, but for pre- and perimenopausal women conflicting media coverage over the safety of different menopause treatment options after breast cancer have created a recipe for confusion and frustration for patients and clinicians alike... We'll also briefly cover ultra-processed food. Joe Wicks’ recent documentary ‘Licensed to Kill’ has brought this topic back into the spotlight. While the scare-tactic language in the title and promo are perhaps not the best way to support people to make sustained change, the programme contained some important points and may well result in questions coming primary care’s way. We have an exclusive clip of Nik talking to Hussain all about this on Boggled Docs.  Listen as soon as you can to ensure you have full access to all the free resources. Further Pearls from October will be covered next time.Links:Boggled Docs: Ultra-processed food: licensed to kill? GP Trainee Essentials support package information, and the Red Whale CalendarSend us your feedback [email protected] or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here. Follow us: X, Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast....

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• Who is eligible for cervical cancer screening, and how do you decide whether varicella post-exposure prophylaxis is needed?

  Send us a textGrab your trainers, your dog lead, and perhaps a pumpkin spice latte, and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the second of two episodes this month, Ali and Nik discuss: The NEW cervical screening intervals that apply in England from 1 July 2025: moving to a 5-yearly screening interval for all women and people with a cervix aged 25–64y who have tested negative for HPV and have no other risk factors (those living with HIV will be offered an annual screen). Varicella vaccination- this will finally be rolled out as part of the UK childhood vaccination schedule from 1 January 2026 – this is good news. What you might have missed is that guidance on post-exposure prophylaxis from the UKHSA has changed…wait for it…3 times in the past 2 years! We share our article on varicella and provide everything you need to know to decide whether post-exposure prophylaxis is needed. Listen as soon as you can to ensure you have full access to all the free resources. Cervical cancer screeningCancer Research UK - cervical cancer screening (more information about HPV triage and what the results mean)LGBT Health - smear leaflet (specific information leaflet for lesbian and bisexual women)OUTpatients – cancer risk and screeningOUTpatients – trans clinics offering cervical screeningVaricella UKHSA guidance on post exposure prophylaxis for chickenpox and shingles GP Trainee Essentials support package information, and the Red Whale CalendarSend us your feedback [email protected] or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here. Follow us: X, Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast....

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• Are you ready for the autumn asthma spike?

  Send us a textGrab your trainers, your dog lead, and enjoy the crunchy leaves under your feet as you savour your drink of choice and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom.  In the first of two episodes this month, Ali and Nik discuss: Asthma: the autumn spike. The Primary Care Respiratory Society has drawn our attention to this. It refers to the significant increase in asthma admissions that occurs each autumn in the UK, particularly impacting children and young people. We can help prevent this by ensuring every person living with asthma has a personalised asthma action plan, appropriate prevention treatment, annual review AND review after every exacerbation.  Listen as soon as you can to ensure you have full access to all the free resources. The rest of the Pearls from September will be covered next time.Useful links:Asthma and Lung UK - resources for healthcare professionals (includes great PAAPs for adults and children for MART, AIR and conventional asthma regimens; they can be downloaded for free or you can order free print versions) GP Trainee Essentials support package information, and the Red Whale CalendarSend us your feedback [email protected] or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here. Follow us: X, Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast....

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