This week we are covering an important cause of large vessel vasculitis! Takeyasu Arteritis is a complex disease with varying manifestations. Dr Thomas Bond cover's the myriad of presentations of this dangerous condition, as well as covering the immune dysregulation required to allow it in the first place!

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Dr Katarina Vojtekova Nizamis, Gastroenterology Registrar in Nottingham, takes us through practical aspects of Ascitic Tap and Abdominal Paracentesis in the first of two parts on this topic.

We recommend considering listening to the following other podcast episodes to supplement this episode:

Episode 16 - Ascites and TIPS Procedure
Podomatic Apple Podcasts Spotify
Episode 265 - Ascitic Tap and Abdominal Paracentesis Part 2
Links TBC

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In this episode, we explore what advance care planning really means and how to approach these conversations in clinical practice. We talk about common pitfalls, how to navigate difficult or sensitive moments, and why these discussions are such a vital part of good medical care. Whether you're new to these conversations or looking to strengthen your approach, this episode offers insight, reflection, and practical advice

This week Dr Amy Webster joins us again for part two of our Sickle Cell Disease series. This week we discuss treatment of outpatients with Sickle cell, and cover what to do when patients are admitted with acute crisis.

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Dr Anirudh Kumar, Geriatric Medicine Registrar, demystifies resources and tools to aid evidence-based deprescribing decisions, particularly for older people.

We recommend considering listening to the following other podcast episodes to supplement this episode:

Episode 226 - Anticholinergic Burden
Podomatic Apple Podcasts Spotify


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This week we are discussing about Inclusion body myositis, it's overview, pathophysiology, clinical features, investigations and management.

Mr Giovanni Mariscalco joins us again to discuss a serious but often under-recognised emergency: aortic dissection. This condition can mimic more benign causes of chest or back pain, but when it strikes, every minute counts. A missed diagnosis can lead to a fatal outcome. In this episode, we break down the classic and subtle presentations, the key investigations (and where clinicians often go wrong), and what to do when you suspect it.

Dr Sanjida Chowdhury, Specialty Registrar in Neurology, giving us an overview of Horner's syndrome