『Primary Care Guidelines』のカバーアート

Primary Care Guidelines

Primary Care Guidelines

著者： Juan Fernando Florido Santana
無料で聴く

概要

A podcast intended for healthcare professionals wanting to keep up to date relevant information about clinical practice guidelines

All rights reserved. 衛生・健康的な生活 身体的病い・疾患
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  • Podcast - NICE Thyroid Disease Part 2: Thyrotoxicosis and Low TSH

    Podcast - NICE Thyroid Disease Part 2: Thyrotoxicosis and Low TSH
    2026/10/25
    The video version of this podcast can be found here: · https://youtu.be/68bAZA9H9hQThis episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through a section of the NICE guideline on Thyroid disease: assessment and management [NG145], particularly the section on hyperthyroidism, always focusing on what is relevant in Primary Care only.I am not giving medical advice; this episode is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The NICE clinical guideline on Menopause: identification and management[NG23] can be found here: · https://www.nice.org.uk/guidance/NG23 The resources consulted can be found here:Thyroid disease: assessment and management -NICE guideline [NG145] can be found here:· https://www.nice.org.uk/guidance/NG145 TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description.Hello and welcome, I’m Fernando, a GP in the UK. Today we are going to go through the NICE guideline on Thyroid disease, always focusing on what is relevant in Primary Care only.So let’s jump into it.Let’s now have a look at thyrotoxicosisFirst, we will have confirmed the diagnosis with a low TSH and raised FT4 and / or FT3.Then we will need to differentiate between thyrotoxicosis with hyperthyroidism (for example, Graves' disease or toxic nodular disease) and thyrotoxicosis without hyperthyroidism (for example, transient thyroiditis). We will do so by:● measuring TSH receptor antibodies (TRAbs) to confirm Graves' disease. and● considering technetium scanning of the thyroid gland if TRAbs are negative.We will only consider ultrasound for thyrotoxicosis if they have a palpable thyroid nodule. In terms of treatment, we need to be aware that transient thyrotoxicosis without hyperthyroidism like in thyroiditis usually only needs supportive treatment (for example, beta-blockers).Otherwise we can consider antithyroid drugs along with supportive treatment for adults with hyperthyroidism who are waiting for specialist assessment and further treatment, bearing in mind that the use of carbimazole is subject to MHRA advice on contraception (Drug Safety Update, February 2019) and risk of acute pancreatitis (Drug Safety Update, February 2019).Before starting antithyroid drugs, we will check a full blood count and liver ...
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    5 分
  • Podcast - NICE News - September 2026

    Podcast - NICE News - September 2026
    2026/10/11
    The video version of this podcast can be found here: · https://youtu.be/djfeYkbyoYUThis episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode I go through new and updated recommendations published in September 2026 by the National Institute for Health and Care Excellence (NICE), focusing on those that are relevant to Primary Care only. I am not giving medical advice; this video is intended for health care professionals, it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido.Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through Tracks: 00:00 – Introduction and welcome00:25 – Suspected sepsis02:13 – Psychosis and schizophrenia04:04 – KardiaMobile 6L05:38 – Thank you and good-bye There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The Full NICE News bulletin for September 2026 can be found here: · https://www.nice.org.uk/guidance/published?from=2026-09-01&to=2026-09-30 The updated NICE guideline on Suspected sepsis in people aged 16 or over: recognition, assessment and early management [NG253] can be found here:· https://www.nice.org.uk/guidance/ng253The updated NICE clinical guideline on Psychosis and schizophrenia in adults: prevention and management [DG178] can be found here:· https://www.nice.org.uk/guidance/cg178The updated NICE Health Tech guidance on KardiaMobile 6L for measuring cardiac QT interval in adults having antipsychotic medication: early value assessment [HTG694] can be found here:· https://www.nice.org.uk/guidance/htg694TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the episode description.Hello and welcome! I’m Fernando, a GP in the UK. In today’s episode, we’ll look at the NICE updates published in September 2026, focusing on what is relevant in Primary Care only. If you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the episode description.Hello and welcome! I’m Fernando, a GP in the UK. In today’s episode, we’ll look at the NICE updates published in September 2026, focusing on what is relevant in Primary Care only.This month, we have brief updates in two areas: suspected sepsis, and psychosis and schizophrenia, including QT interval monitoring in people taking antipsychotic medication.Right, let’s jump into it.Let's start with the updated NICE guideline on suspected sepsis in adults.The main change is that NICE has updated its recommendations on procalcitonin testing.And let’s remember ...
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    6 分
  • Podcast - NICE Thyroid Disease Part 1: TFTs and Hypothyroidism

    Podcast - NICE Thyroid Disease Part 1: TFTs and Hypothyroidism
    2026/09/27
    The video version of this podcast can be found here: · https://youtu.be/kmIhZKT8SA8This episode makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". The content on this channel reflects my professional interpretation/summary of the guidance and I am in no way affiliated with, employed by or funded/sponsored by NICE.NICE stands for "National Institute for Health and Care Excellence" and is an independent organization within the UK healthcare system that produces evidence-based guidelines and recommendations to help healthcare professionals deliver the best possible care to patients, particularly within the NHS (National Health Service) by assessing new health technologies and treatments and determining their cost-effectiveness; essentially guiding best practices for patient care across the country.My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this episode, I go through a section of the NICE guideline on Thyroid disease: assessment and management [NG145], particularly the section on hypothyroidism, always focusing on what is relevant in Primary Care only.I am not giving medical advice; this episode is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement. Disclaimer:The Video Content on this channel is for educational purposes and not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this YouTube channel. The statements made throughout this video are not to be used or relied on to diagnose, treat, cure or prevent health conditions. In addition, transmission of this Content is not intended to create, and receipt by you does not constitute, a physician-patient relationship with Dr Fernando Florido, his employees, agents, independent contractors, or anyone acting on behalf of Dr Fernando Florido. Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release] Music provided by Audio Library Plus Watch: https://youtu.be/aBGk6aJM3IU Free Download / Stream: https://alplus.io/halfway-through There is a podcast version of this and other videos that you can access here: Primary Care guidelines podcast: · Redcircle: https://redcircle.com/shows/primary-care-guidelines· Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK· Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here: The Practical GP YouTube Channel: https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk The NICE clinical guideline on Menopause: identification and management[NG23] can be found here: · https://www.nice.org.uk/guidance/NG23 The resources consulted can be found here:Thyroid disease: assessment and management -NICE guideline [NG145] can be found here:· https://www.nice.org.uk/guidance/NG145 TranscriptIf you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the episode description.Hello and welcome, I’m Fernando, a GP in the UK. Today we are going to go through the NICE guideline on Thyroid disease, always focusing on what is relevant in Primary Care only.So let’s jump into it.We will check TFTs if there is:● a clinical suspicion of thyroid disease, bearing in mind that 1 symptom alone may not be indicative of thyroid disease● type 1 diabetes or other autoimmune diseases, (but we will not offer testing only because of type 2 diabetes).● new-onset AF● depression or unexplained anxiety● abnormal growth in children and young people, or with an unexplained change in behaviour or school performance.● And we will be aware that in menopausal women symptoms of thyroid dysfunction may be mistaken for menopauseWe will not test for TFTs during an acute illness unless we suspect the acute illness is due to thyroid dysfunction, because it may affect the test results.So, what tests do we do as initial screening when thyroid dysfunction is suspected?This will depend on whether we suspect a primary cause, that is, a cause arising from the thyroid gland, or a secondary cause, that is, a cause arising from the pituitary gland.So, we will always measure TSH. Then, if a primary cause is suspected in an adult:● if the TSH is high, that is, suggestive of hypothyroidism, we will need the free thyroxine (FT4) level● if the TSH is low, that is, suggestive of hyperthyroidism, we will need FT4 and ...
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    8 分
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