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Testicular torsion is a urological emergency that usually affects young men, and a high index of suspicion is vital to ensure prompt diagnosis and management. A history and physical examination consistent with testicular torsion requires immediate surgical assessment for scrotal exploration – and if the initial examination suggests testicular torsion, the surgical approach should take precedence over other diagnostic tests. In this episode, Dr Roger Henderson discusses what to look for when diagnosing this condition, the importance of prompt treatment and the options available in primary care.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/urology/ep-111-testicular-torsion (https://gpnotebook.com/en-GB/podcasts/urology/ep-111-testicular-torsion).Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more (https://gpnotebook.com/en-GB/gpnotebook-pro).

Disclosing sexual violence is a difficult and emotional prospect for a patient and the way a GP responds can set the course of that person’s journey. It is important we get it right, but it is a complex topic. In this second part of our series on sexual violence, Dr James Waldron is joined again by Hayley Wilson (Consent and Sexual Violence Development Officer at Nottingham Trent University) to explore the consultation in detail. This episode discusses how to respond to a disclosure and the importance of “listen, believe, validate” when supporting a patient. They outline the concept (and myth) of the “perfect victim”, the importance of the language we use and how to help guide someone who has made a disclosure.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-information/ep-110-sexual-violence-part-2 (https://gpnotebook.com/en-GB/podcasts/general-information/ep-110-sexual-violence-part-2).Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more (https://gpnotebook.com/en-GB/gpnotebook-pro).

Hypothyroidism, or an underactive thyroid gland, is increasingly common as people get older, but it may often be undiagnosed or diagnosed late due to the insidious nature of some of its symptoms. These include fatigue, weight gain, sensitivity to cold, constipation, dry skin, hair loss and depression. Common causes of hypothyroidism include autoimmune diseases, thyroid surgery, radiation therapy, certain medications and iodine deficiency, which is the leading cause globally. Treatment typically involves hormone replacement therapy, and with proper treatment and monitoring most people with hypothyroidism can lead normal, healthy lives. In this episode, Dr Roger Henderson provides an overview of hypothyroidism and considers differential diagnoses, testing, referral criteria, thyroxine replacement principles and prognosis.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/diabetes-and-endocrinology/ep-109-hypothyroidism (https://gpnotebook.com/en-GB/podcasts/diabetes-and-endocrinology/ep-109-hypothyroidism).Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more (https://gpnotebook.com/en-GB/gpnotebook-pro).

Restless leg syndrome (RLS) is prevalent in around 5–10% of the population and can result in an impact on quality of life that is comparable to conditions such as type 2 diabetes and osteoarthritis. It can result in significant impairments in sleep, energy, daily activities and behaviour and is associated with anxiety and depression in those who experience it. In this episode, Dr Kate Chesterman discusses the diagnosis and investigation of this distressing condition along with three principles that will help to guide its management.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/neurology/ep-108-restless-leg-syndrome (https://gpnotebook.com/en-GB/podcasts/neurology/ep-108-restless-leg-syndrome).Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more (https://gpnotebook.com/en-GB/gpnotebook-pro).

Benign prostatic hyperplasia (BPH) is an extremely common condition seen in clinical practice, and one which can cause considerable difficulties in older men. Common symptoms include frequent urination, difficulty starting urination, weak urine stream or the need to urinate during the night – all of which significantly impact on quality of life. Treatment options vary depending on symptom severity and can include no treatment, medication, minimally invasive procedures or surgery. In this episode, Dr Roger Henderson looks at the key things to remember when assessing a patient with BPH and covers the newer treatments now available as well as more traditional conventional options.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/urology/ep-107-benign-prostatic-hyperplasia (https://gpnotebook.com/en-GB/podcasts/urology/ep-107-benign-prostatic-hyperplasia).Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more (https://gpnotebook.com/en-GB/gpnotebook-pro).

Understanding sexual violence is vitally important in primary care. A GP may be the first (or only) individual spoken to by a person who has experienced sexual violence. But how often does the experience disclosed represent the full scope of the issue? How much sexual violence goes unreported? What has changed about our understanding of sexual violence and its context? In this episode, the first of a series looking at this topic, Dr James Waldron speaks with Hayley Wilson (Consent and Sexual Violence Development Officer at Nottingham Trent University) about the spectrum of problems related to sexual violence and the critical importance of understanding this topic and responding well from the outset.Access episode show notes containing key references and take-home points at: https://gpnotebook.com/en-GB/podcasts/general-information/ep-106-sexual-violence-part-1 (https://gpnotebook.com/en-GB/podcasts/general-information/ep-106-sexual-violence-part-1).Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more (https://gpnotebook.com/en-GB/gpnotebook-pro).