A Journey Through Medicine

Join second year medical students from Australia as they delve into the depths of medicine, documenting their experiences and what they learn week-to-week.

2.9: Psychotic Disorders

Content covered: - Formal thought disorder - Acute psychosis, causes, differential diagnosis and treatment - Schizophrenia and related disorders - Mania - First vs second generation antipsychotics including important indications and side affects

07-11
38:21

2.8: Mood Disorders

Special guest and psychiatry wizard Abdulla joins the lads as they discuss high yeild concepts pertaining to unipolar and bipolar mood disorders. Content covered: - Key DSM5 Criteria - MDD - BPAD 1 vs BPAD 2, mania vs hypomania - Differential diagnosis of depressive and manic episodes - Key principles of management

06-28
28:24

Intro to Psychiatry

Abdulla joins the lads as they reflect on their time in psychiatry placement, giving their thoughts and suggestions for those heading into their first psych term. We are by no means experts, but thought some people might find this useful.

06-26
09:33

2.7: Parkinson's and other Neurodegenerative Disorders (ft. Ben)

Today the boys are joined by Ben to discuss the clinical features and pathology of Parkinson's disease. We discuss its course from initial autonomic dysfunction to the classical signs seen in textbooks and how it is different to the other common neurodegenerative diseases. Content covered: - Core concepts, similarities and classification of neurodegenerative diseases - Parkinson's - Dementia and its causes (Alzheimer's, Dementia with Lewy bodies, FTD, vascular dementia, etc) - Huntington's disease as an example of hyperkinetic movement disorders - Foundations of prion diseases including CJD and Kuru

04-17
29:17

2.6: Pathophysiology of Stroke (ft. Jonathan)

Todays episode is all about stroke. What actually is a stroke? How can it happen? What are some warning signs that someone may be having a stroke? The lads discuss these questions and more as they piece together what they have learnt about cerebrovascular diseases. Content covered: - Risk factors for the development of cerebrovascular disease - Pathogenesis of cerebrovascular disease - Ischaemic vs haemorragic strokes - Clinical presentation, prognosis and sequalae of stroke - Basic principles of management

03-27
38:56

2.5: Physiology of Hearing and Balance (ft. Jack)

Listen carefully... as the lads revise what structures are involved in hearing and balance as well as how they work. Jack joins us for a journey through the outer, middle and inner ear as we explore the inner workings of the membranous labyrinth. Content covered - Anatomy of the vestibulocochlear system - Functions of the cohlea, utricle, saccule and semicircular canals - Basics of the auditory and vestibular projection pathways - Conductive vs sensorineural hearing loss - Basics of vertigo

03-25
36:35

2.4. Metabolic Bone Diseases: Osteoporosis and Friends (ft. Jonathan)

Let's break it down! Pathology and biochem wizard Jonathan joins us as we do a deep dive into diseases that affect bone integrity on a cellular and metabolic level as well as their clinical presentations. Content covered: - Osteoporosis, Type 1 and Type 2 - Osteomalacia and Ricketts - Hyperparathyroidism - Paget's Disease of Bone

03-02
41:36

2.3: Pathology and Management of Rheumatoid Arthritis (ft. Claire)

Claire is back and guides the boys through the pathophysiology, clinical features and treatment of rheumatoid arthritis, one of the most common autoimmune conditions in Australia. Content covered: -Clinical presentation of RA including signs and symptoms - Pathogenesis and pathological findings of RA - EULAR 2020 RA treatment guidelines including the different classes of DMARDs (eg low-dose methotrexate, infliximab, tofacitinib, etc)

02-20
34:05

2.2: Osteoarthritis and Other Arthritides

TO CLARIFY: Arthralgia = the term for joint pain. Arthritis = a general term for diseases that have joint pain, leading to loss of function at the joint (+/- inflammation). Arthralgia = symptom, arthritis = diagnosis. The boys get their heads around what arthritis actually is and explore osteoarthritis (or degenerative joint diseases), one of the core MSK conditions! Content covered: - General arthritis findings - Pathophysiology of degenerative joint disease (osteoarthritis) and clinical presentation - Osteonecrosis and avascular necrosis. - Various other causes of arthritis

02-16
21:08

2.1: Fractures - The Bare Bones

Welcome back! The crew have returned a couple of weeks into their musculoskeletal block to chat about fractures and soft tissue injuries. Let this introduce you to orthopedic heaven. Content covered: - Different types of fractures - Fracture healing process - Complications of fractures - Sprains vs strains

02-16
16:26

1.32. Diabetes: Pathophysiology and Complications (ft. Jonathan)

Today the boys were joined by the legendary Jonathan as they discuss diabetes, a common chronic disease impacting millions worldwide. Content covered: - Diabetes insipidus - Glucose homeostasis (insulin + glucagon) including some biochemistry - Pathophysiology, diagnosis, clinical features and comparisons between Type 1 & 2 diabetes mellitus - Complications of chronic hyperglycaemia (vascular, neural and immune) - Hypoglycaemia

11-06
38:26

1.31: Managing Diabetes (ft. Claire)

Claire takes us on a tour through the drugs used to treat diabetes - a condition that affects 1 in 10 people globally!! Content covered in this episode includes: - Insulin regimens for Type 1 Diabetes - (Some) novel treatments for Type 1 Diabetes - Diagnostic criteria for T2DM - Metformin - SGLT2 inhibitors - Incretin-based therapies (inc. GLP-1 agonists and DPP-4 inhibitors) - Sulfonylureas - Thiazolidinediones - a-glucosidase inhibitors - Bariatric surgery!

10-24
33:54

1.30: Cases of Glomerulonephritis and other Renal Diseases (ft. Jack)

Welcome to our 30th episode! Celebrate this milestone with us by letting out your inner Sherlock Holmes and try crack these (expertly crafted) cases of glomerulonephritis and other renal diseases. Learn about the differential diagnosis of nephritic vs nephrotic syndromes, acute vs chronic renal failure and some other related conditions.

10-12
52:24

1.29. Renal Physiology: A Journey Through the Nephron (ft. Jack)

Today the boys are joined by Jack as they discuss renal physiology! Essentially, how your kidneys regulate blood volume, electrolytes and pH homeostasis while getting rid of toxic substances we don’t need. This knowledge is key to understanding renal pathology and pharmacology. Content covered in this episode: - The different segments of the nephron and their functions - Homeostatic control of electrolytes and blood volume - The formation of urine - Renin-angiotensin-aldosterone system - ANP and ADH - Matabolic acid - base balance

09-24
43:07

1.28: Overview of Gastrointestinal Pharmacology (ft. Claire)

Claire helps the boys out with the plethora of drugs that can be used to treat nausea, vomiting, reflux and more - and all their funky nuances. Topics covered in this episode include: - General causal pathways of nausea and vomiting - Drugs used to treat nausea and vomiting - including 5HT3 antagonists, dopamine antagonists (metoclopramide and prochlorperazine), domperidone, steroids, NK-1 antagonists (aprepipant and fosaprepipant), hyoscine and lorazepam - Prescribing nausea and vomiting drugs in special populations i.e. pregnancy and children - Drugs used to treat GORD and reflux symptoms - NOT EXAMINABLE: Drugs used to treat hepatic encephalopathy

09-13
30:14

SPECIAL: An interview with Dr. Helen Wilcox

In this special episode, Jarrod interviews our MD program coordinator - Helen, asking her about everything from her favourite experiences in medicine, to failure and about what makes good mental health!

09-07
34:11

1.27: Inflammatory Bowel Disease + Non-Neoplastic Diseases of the Small and Large Bowel (ft. Mike)

Today the legendary Mike Kendall imparts some wisdom on the boys as they revise the pathogenesis, clinical features and what differentiates the inflammatory bowel diseases and other non-neoplastic conditions of the bowel. Content covered includes: - Crohn's disease and ulcerative colitis - Ischaemic colitis - Diverticular disease - Antibiotic-associated diarrhea and pseudomembranous colitis - Microscopic Colitis - Coeliac disease and its consideration in the differential diagnosis Correction: Ipilimumab can cause an Autoimmune-like enterocolitis, not GVHD.

09-01
47:26

1.26: Pathology of the Stomach

Ben Earner accompanies the boys as their pathology journey through the GIT continues, this time diving head-first into the stomach! Content covered in this episode includes: - Gastritis and causes of gastritis - Atrophic gastritis - Peptic ulcer disease - Benign neoplastic or neoplastic-like gastric lesions including: gastric hyperplastic polyp, fundic gland polyp and adenoma - Gastric cancers including tubular/intestinal type, poorly cohesive/diffuse adenocarcinoma, MALT lymphoma and GIST

08-28
24:17

1.25: Pathology of the Oesophagus

Retrosternal chest pain only has cardiac causes... right? In this episode, the lads welcome back Ben Earner as they try to make sense of the important pathologies affecting the oesophagus and the differing signs and symptoms these could manifest as. Content covered: - Signs/symptoms of oesophageal disease such as dyspepsia, dysphagia, odynophagia, waterbrash and the dreaded retrosternal chest pains - Functional and mechanical obstructive disorders eg Achalasia and Schatzki rings - Oesophageal Varices and portal hypertension - Gastro-oesophageal reflux disease (GORD/GERD): causes and consequences - Oesophagitis - Barrett oesophagus - Oesophageal adenocarcinoma - Oesophageal squamous cell carcinoma

08-23
25:09

1.24: Pulmonary Embolism & Hypertension

In this episode, the lads revise the common pulmonary vascular diseases, and just how much can go wrong when you lose or impair that crucial part of your body's oxygen delivery mechanism. Content covered in this episode: - Embolisms and infarcts associated with the lungs - Pathogenesis of DVT and PE and associated risk factors - Pulmonary Hypertension: causes and classifications - Signs and symptoms of right-heart failure / cor pulmonale - Goodpastures syndrome and granulomatosis with pulmonary angiitis

08-18
28:04

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