Spoonful of Medicine: Recent Episodes

Nimisha Aithal

Spoonful of Medicine is a Paediatric Medical Podcast hosted by Dr Nim Aithal (Paediatric Trainee). We aim to help you improve your paediatric knowledge one spoonful at a time! With weekly episodes, and occasional mini-sodes, you'll be able to build your knowledge and feel more comfortable working with the little humans we care for. Find us on instagram @spoonful.of.medicine || Contact us at spoonfulofmedicinepodcast@gmail.com || Music from Pixaby and Sound Effects from ZapSplat || Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and reccomendations.

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Welcome to the Coarctation Station! This high-yield episode takes you through coarctation of the aorta, from anatomy and epidemiology to physiology, presentation, diagnosis and management. Learn the classic clues, understand what’s happening haemodynamically, and avoid missing this important congenital heart lesion.

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Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Holey moley! 🫀 Ventricular septal defects are common, but how well do you really know the ins and outs? In this high-yield episode, Nim covers types of VSDs, epidemiology, physiology, clinical presentation, and management. After listening you will be able to confidently recognise and understand this common congenital heart lesion.

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Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Ever wondered how a tiny hole in the heart can cause such a problem for the patient? In this episode, we are learning about Atrial Septal Defects (ASDs), tracing that left-to-right shunt, and giving you the hole picture on the clinical presentation and management. After listening to this episode, you will certainly be able to impress your consultant in clinic and on rounds!

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Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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That murmur you just heard, was it a harmless flow murmur or a sign of significant heart disease? Not sure, well you're in luck because in this episode we tackle one of the most common (and sometimes anxiety-inducing!) findings on an exam: a heart murmur.

Listen on as Nim break's down the clues that help distinguish innocent from pathological murmurs, with practical pearls you'll actually use on the wards and in clinic.

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Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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This episode untangles the wild world of congenital heart defects — from cyanotic to acyanotic and everything in between. We’ll break down how to categorise, conceptualise, and actually remember these lesions!

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Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Join us as we explore congenital heart defects, the world’s most common birth condition. In this episode, we unpack the epidemiology of CHD and then dive into how we detect CHD, from prenatal ultrasounds to newborn screening, and beyond.

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Nim chats with Dr Lloyd Snook (Paediatric Advanced Trainee passionate about adolescent and young adult medicine) about what the HEADSS screen. They cover what the HEADSS assessment involves, why it matters, and practical tips for building rapport, asking sensitive questions, and making these conversations feel natural in everyday paediatric practice.

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In episode 3 of 3 in the communication and palliative care series, Dr Daniel Dorevitch (General Paediatrician and Paediatric Palliative Care Trainee) breaks down how Advanced Care Planning differs between adult and paediatric practice, what it actually involves, and how to approach these conversations in real clinical settings.

Perfect for paediatric clinicians and students, this chat offers practical tips, real-world insights, and a clear perspective on navigating challenging discussions with families that will help you build confidence and clarity when involved in such delicate and complex cases.

Resources:

  • The Victorian Paediatric Palliative Care approach to "thinking ahead" - thinking-ahead-policy-2017-pdf.pdf
  • A Practical Guide to Palliative Care in Paediatrics (The "Green Book") - A Practical Guide to Palliative Care in Paediatrics - Paediatric Palliative Care
  • Vemuri S, Hynson J, Williams K, Gillam L. Conceptualising paediatric advance care planning: a qualitative phenomenological study of paediatricians caring for children with life-limiting conditions in Australia. BMJ Open. 2022 May 16;12(5):e060077. doi: 10.1136/bmjopen-2021-060077. PMID: 35577468; PMCID: PMC9115011.

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Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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What is paediatric palliative care? What does it involve? And how do children understand death?

In this episode, Dr Daniel Dorevitch (General Paediatrician and Paediatric Palliative Care Trainee) joins us to explore this essential, and often unfamiliar field. We cover what palliative care in paediatrics is, why it matters, and practical resources for clinicians. It is an informative must-listen for anyone caring for children and their families.

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Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Great communication in healthcare can be a true superpower. In this episode, Dr Daniel Dorevitch (General Paediatrician and Paediatric Palliative Care Trainee) joins us to unpack why communication matters. He also gives us practical tools to improve our conversations with patients and families, and guides us towards resources we can use to further our learning.

Links to Resources:

  • Vital Talk - https://vitaltalk.org/
  • Healthcare Communication Collective - https://www.healthcommcollective.com.au/
  • Pam Mclean Centre - https://pammcleancentre.org/

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Medicine is tiring and this whole doctor-ing thing can be exhausting. So why when we need to take time out is it so hard to do so? I took time off training last year, and had a lot to ponder about. So, listen as I read my article originally written and published in AusDoc about The Rest Dilemma: Why Doctors Struggle to Take a Break.

Link to the article is available below:

I needed a break from my paediatric training, but why was hitting the pause button so tough? | AusDoc

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Join as Nim dives nose-first into the sneezy, sniffly world of allergic rhinitis — that all-too-familiar combo of itchy eyes, runny nose, and a whole lot of achoo-ing!

Listen on as she unpacks what’s happening inside those inflamed nasal passages, how it presents clinically, and how to manage it. Grab your headphones because it’s time to clear the air on allergies!

ASCIA Clinical Update Allergic Rhinitis - Australasian Society of Clinical Immunology and Allergy (ASCIA)

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In this episode of A Spoonful of Medicine, we chat with fellow Paediatric AT Dr Nicola Bobeldyk about eczema in children. We cover presentation, triggers, superinfection, and both acute and everyday management, sharing practical pearls to help you support families dealing with this common paediatric condition.

Links to guidelines used:

Eczema – Emergency management in children | Children's Health Queensland

Clinical Practice Guidelines : Eczema

ASCIA Stepwise Management Plan for Eczema - Australasian Society of Clinical Immunology and Allergy (ASCIA)

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It's time to learn all about food allergies!! Nim is joined by fellow Paediatric AT (and proud EpiPen carrier) Dr Brandon Lo to unpack food allergies in children. This episode is jam-packed covering epidemiology, presentation, diagnosis, management (emergency and long term), and prevention. All the while, the duo shares practical insights for clinicians caring for kids with allergies.

The information in this episode comes from the RCH guidelines on Food Allergy, and ASCIA resources regarding Food Allergy in children.

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Australia needs more GPs, they are the true generalists, and are the cornerstone of our healthcare system. So, why aren't more people going into GP? Another Article episode, this time exploring the barriers that exist that prevent junior doctors and medical students from pursuing general practice.

Listen as Nim reads her article originally written and published in AusDoc. Link to the article is available below:

What us junior doctors really think about general practice | AusDoc

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Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Listen on to learn all about CMPI, a common condition that you will encounter no matter where you work in paediatrics. We go through what it is, how it presents, how to diagnose it and how it is managed. So what are you waiting for? Let's Mooooo-ve on to it!

Resources:

Clinical Practice Guidelines : Non-IgE mediated food allergy

Cow's milk protein (dairy) and soy - Australasian Society of Clinical Immunology and Allergy (ASCIA)

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This episode another Article Read. Many of the doctors working in the health system are what we call "Unaccredited Registrars", and the challenges they face can be tough. Listen as Nim reads her article originally written and published in AusDoc about Unaccredited Registrars and how there needs to be a better way when it comes to training.

Link to the article is available below:

Unaccredited registrars keep our public hospitals functioning — so why are they treated so badly? | AusDoc

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Listen along to learn about the updates to RSV vaccination as they pertain to pregnant people and babies. Find out who is eligible, how it works, why it is helpful and what the evidence is telling us (SPOILER: It is really beneficial!). This is a really handy episode for anyone involved in taking care of mums and bubs, or involved in counselling about the RSV vaccine.

References:

RSV: an update on prevention and management - Australian Prescriber

Respiratory syncytial virus (RSV) vaccine | Australian Government Department of Health and Aged Care

Respiratory syncytial virus (RSV): Frequently asked questions (FAQs) | NCIRS

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This episode is a little different from the others. With the recent protests by doctors in NSW, and the discussions about Medicare and the reimbursements for doctors, it seemed like an apt time to re-examine what the cost of being a doctor is. And, with workforce issues, pay, working conditions and non-doctor scope creep - is the price it takes to become a doctor indeed worth it anymore?

Listen as Nim reads her article originally written and published in AusDoc. Link to the article is available below:

Is the cost of becoming a doctor still worth it? I'm not sure | AusDoc

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This episode looks at something that’s commonly brought up in clinics and can feel deceptively simple yet confusing: short stature.

Join Nim as she discusses how to approach the assessment, when to suspect an underlying issue, and what investigations to consider.

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This episode tackles a trio of tricky but important conditions: Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH), Diabetes Insipidus (DI) and Cerebral Salt Wasting (CSW).

They can look similar on paper, but are different entities, and require completely different management —so getting the diagnosis right and knowing what to do is crucial.

In this episode, we unpack:

  • The pathophysiology of each condition
  • Their common aetiologies
  • How to differentiate them clinically and biochemically
  • The approach to management

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In this episode we focus on BETA THALESSEMIA. We break down the presentation, genetics, pathophysiology and clinical presentation. We then explore the management and prognosis.

Whether you’re a healthcare professional, student, or someone interested in medical science, this episode provides key insights to gain a deeper understanding of this important condition.

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In the following 2 episodes we are taking a look at Thalassemias.

In this episode we focus on ALPHA THALESSEMIA. We break down the presentation, genetics, pathophysiology and clinical presentation. Whether you're a healthcare professional, a patient, or simply curious, this episode provides key insights into managing and understanding alpha thalassemia.

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Listen on as Nim discusses the topic of Infantile Spasms. Learn about what they are, why we get worried about them, how to work up a patient with IS and what the treatment and prognosis for those with it.

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After seeing an interesting case, Nim shares all she learnt about Tick Paralysis. She covers presentation, investigations, pathophysiology and management, and ties them all together with a clinical scenario!

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By popular demand, in the first 3 episodes of the year we are revisiting the RACP Exam series. In Episode 3 of 3, join me and Dr Kriscara (now a Paediatric Renal Fellow) as we discuss how we approached the preparation towards the RACP Short Case Clinical examination. We chat about ways we practiced individually and as a group, how to sharpen your examination skills, and what we did to help us get across the line

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By popular demand, in the first 3 episodes of the year we are revisiting the RACP Exam series. In Episode 2, join me and Dr Kriscara (now a Paediatric Renal Fellow) as we discuss how we approached the lead up to the RACP Long Case Clinical examination. We chat about learning to do long cases, how to practice them effectively, and how to maximize your time in order to present them with finesse.

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By popular demand, in the first 3 episodes of the year we are revisiting the RACP Exam series. In Episode 1, join me and Dr Kriscara (now a Paediatric Renal Fellow) as we discuss how we approached the lead up to the RACP written examination. After listening to this episode, you will have a good idea on where to begin, how to make the most out of study group, and how to make sure your preparation is well planned.

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In this episode, we’re focusing on Sickle Cell Disease, a genetic blood disorder that affects millions of people worldwide. We discuss the science behind the condition, complications that arise, and treatment options that patients have. It is a high yield episode not to be missed!

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In this episode we are learning all about Osteogenesis Imperfecta—AKA "brittle bone disease." First, we explore its genetics and clinical features. Then, we’ll break down the management and prognosis. Tune in to get the scoop on this rare but interesting condition.

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In this episode, we break down the art of blood gas interpretation into 4 simple steps! So join in for a high yield and insightful chat into understanding the parameters on a gas and how to make sense of those tricky compensation patterns. By the end, you'll be decodin blood gases like a pro!

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In this episode, we explore neonatal scalp swellings including common causes like caput succedaneum, subgaleal haematoma, and cephalohematoma. Learn how to differentiate between these conditions, understand risk factors, and gain an understanding of their diagnosis and treatment. A high-yield episode not to be missed!

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Join Nim for Part 2 of 2 about Kawasaki Disease. In this episode, we discuss the management approach to Kawasaki Disease, what medications we use and why, the complications, and the follow-up for a child after an episode of Kawasaki's. This episode is high yield for students and clinicians alike, so be sure to check it out!

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Join Nim for Part 1 of 2 about Kawasaki Disease. In this episode, we explore what Kawasaki Disease is, its presentation and diagnosis, the differentials, and the initial investigations in its workup. Whether you’re a clinician or a student, this episode breaks down this complex condition into easily digestible chunks so you can remember them when you next see a child with KD.

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Whether you're a seasoned clinician or a healthcare student, understanding how to approach a sick child is crucial. So, join Nim as she breaks down the key steps in the initial assessment, highlights common pitfalls and shares some clinical pearls.
It's a high yield episode you wont want to miss!

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Join Nim as she explores Neonatal Hypoglycemia! Learn why low blood sugar is critical for newborns, signs to watch, how it is prevented, how it's managed, and what it means to investigate it. It is an episode full of high yield learning points as well as practical tips on keeping those babies as sweet as can be!

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This episode explores Paediatric Heart Failure. We cover what it is, what are the causes, what the underlying pathophysiology is and how it is all managed. Useful for anyone seeing kids acutely or out in the community, it's ahigh yield episode not to miss!!

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Join Nim with special guest Kriscara as we discuss the RACP Clinical Exam Long Case. We chat about what the long case is, how we felt leading into it, what we did to prepare, and what our reflections & advice is for those sitting it now.

This is part 1 of 2. In the next episode we discuss the RACP Short Case - so be sure to check that one out as well!

If you are about to start studying for the written exam, we also have you covered. Check out Season 2 Episode 2 for our tips in how to study for that.

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Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Join Nim with special guest Kriscara as we discuss the RACP Clinical Exam Short Case. We chat about what the short cases are, what we did to prepare, what our study strategies were, and our tips for those sitting the exams now.

This is part 2 of 2. So, be sure to also check out part 1 where we discuss all about the Long Case!

If you are about to start studying for the written exam, we also have you covered. Listen to Season 2 Episode 2 for our tips for studying for the RACP written examination.

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Season 3 kicks off and we are diving into the world of Acute Rheumatic Fever (ARF) and Rheumatic Heart Disease (RHD). Listen along for a high yield adventure as we uncover the ins and outs - from their pathophysiology to the diagnosis and treatment. So, grab your headphones and join me and Dr Felicity for episode 1 of the year!

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Grab your coffee cup, untangle your earphones, and recharge your speakers; Season 3 of Spoonful of Medicine starts soon!

In the meantime, checkout our Instagram Page for some fun educational content and a link to all of the past episodes!

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Contact us at spoonfulofmedicinepodcast@gmail.com

Make sure to SUBSCRIBE/FOLLOW so you don't miss out on new episodes, and RATE and leave a REVIEW to help others find us too!

Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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This is the final segment in our 6 part prematurity series! Listen on as we discuss why caffeine helps the doctors and babies alike in the NICU in this episode all about Apnoea of Prematurity (AOP)!

Why does it occur? How does a neonate with AOP present? How do we assess these babies? and, How do we manage them? All this and more is answered!

Follow us on Instagram @spoonful.of.medicine

Contact us at spoonfulofmedicinepodcast@gmail.com

Make sure to SUBSCRIBE/FOLLOW so you don't miss out on new episodes, and RATE and leave a REVIEW to help others find us too!

Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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In part 5 of the Prematurity series, we revisit one of our season 1 episodes where we discuss all things RDS (Respiratory Distress Syndrome) aka. Hyaline Membrane Disease.

What's the pathophysiology? What places a neonate at risk of RDS? How does a neonate with RDS present? How do we prevent RDS? and, How is RDS managed? All is answered!

Follow us on Instagram @spoonful.of.medicine

Contact us at spoonfulofmedicinepodcast@gmail.com

Make sure to SUBSCRIBE/FOLLOW so you don't miss out on new episodes, and RATE and leave a REVIEW to help others find us too!

Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Join in for Part 4 of the Prematurity Series! Here we delve into Retinopathy of Prematurity (ROP) - a very well established complication of prematurity and one that many babies are screen for.

Prepare to learn about what an ROP is, the pathophysiology, grading, risk factors, and management. There's more to know about ROP than meets the eye, and you're going to learn all about it! (Pun fully intended!)

Follow us on Instagram @spoonful.of.medicine

Contact us at spoonfulofmedicinepodcast@gmail.com

Make sure to SUBSCRIBE/FOLLOW so you don't miss out on new episodes, and RATE and leave a REVIEW to help others find us too!

Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Join Nim for Part 3 of the Prematurity Series! Here we delve into Intraventricular Haemorrhage (IVH) - one of the most common central nervous system complications seen in pre-term babies.

We dive into what IVH is, the pathophysiology, grading, risk factors, prevention and management. It is another is high yield episode!

Follow us on Instagram @spoonful.of.medicine

Contact us at spoonfulofmedicinepodcast@gmail.com

Make sure to SUBSCRIBE/FOLLOW so you don't miss out on new episodes, and RATE and leave a REVIEW to help others find us too!

Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Episode 2 of the Prematurity Series. Here we look at Necrotising Enterocolitis (NEC) - a feared and unfortunately not uncommon issue facing babies in the NICU.
We dive into what NEC is, the pathophysiology, risk factors, prevention and management. This episode is high yield, so grab your head phones and listen on!

Follow us on Instagram @spoonful.of.medicine

Contact us at spoonfulofmedicinepodcast@gmail.com

Make sure to SUBSCRIBE/FOLLOW so you don't miss out on new episodes, and RATE and leave a REVIEW to help others find us too!

Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Join Nim for episode 1 of our prematurity series. We look at what prematurity is, how it is defined, how common it is and what the main complications (short term and long term) that arise from it are.

Over the coming weeks we will be releasing episodes exploring key complications in more detail, including NEC, IVH, ROP and more. So, have a listen to episode 1 now aand get keen to learn all about premature babies!

Follow us on Instagram @spoonful.of.medicine

Contact us at spoonfulofmedicinepodcast@gmail.com

Make sure to SUBSCRIBE/FOLLOW so you don't miss out on new episodes, and RATE and leave a REVIEW to help others find us too!

Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Join Nim and Guest Dr Felicity for part 2 of our episodes discussing Inflammatory Bowel Disease (IBD).

Listen on and learn about Crohn's Disease, how it presents, how it differs from Ulcerative Colitis, how we diagnose it, how its treated and what the prognosis is like. All the while, there is a smattering of top tips and exam & clinical buzz words!

Follow us on Instagram @spoonful.of.medicine

Contact us at spoonfulofmedicinepodcast@gmail.com

Make sure to SUBSCRIBE/FOLLOW so you don't miss out on new episodes, and RATE and leave a REVIEW to help others find us too!

Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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Join Nim and Special Guest Dr Felicity for this first of two episodes covering Inflammatory Bowel Disease (IBD). We have a gut feeling you'll like this one!

Listen on and learn about what Ulcerative Colitis (UC) is, how it presents, how we diagnose it, how its treated and what the prognosis is like. All the while, there is a smattering of top tips and exam & clinical buzz words!

Follow us on Instagram @spoonful.of.medicine

Contact us at spoonfulofmedicinepodcast@gmail.com

Make sure to SUBSCRIBE/FOLLOW so you don't miss out on new episodes, and RATE and leave a REVIEW to help others find us too!

Note: Information is for medical education; Not clinical advice. Check your local guidelines for specific clinical advice and recommendations.

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This episode we take a look at the ins and outs of chest drains - theoretically and practically! Learn about what they are, why a child may need one, how to troubleshoot them and more. Also listen out for some high yield anatomy info when it comes to chest drains that seem to always come up in the ward round and on exams!

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Join Nim in this high-yield episode as she looks at the pathophysiology that underpins DKA, and discusses the clinical picture, assessment, and management of DKA. Once you learn the whats and whys of DKA, you'll be all set to apply them when you see a case in the clinical setting! 

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This episode we take a look at ITP (Immune Thrombocytopenia) - One of the most common causes of thrombocytopenia in children. We learn about what it is, how it presents and what the approach to management looks like!

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We are back after a bit of a break (curtesy of a few exams!). Join Nim as she chats to fellow Paediatric Trainee, Friend, and stellar baker Dr Kriscara about Study Group, studying for RACP Exams, what worked for them and what are some ways to approach the study in the lead up to the RACP written Exams. 

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Have a coffee as you learn all about Spirometry in this  Minisode.  
We take a quick look at what it is, how we do it, what it measures and how do we interpret it all! 

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Join us for the first Episode for the year! We are learning about Cystic Fibrosis.
We take a look at the mutations, pathophysiology, screening, diagnosis, clinical manifestations and management of CF. It's a jam packed episode, so grab your cup of coffee, settle in and get ready for some high yield chats! 👩🏽‍⚕️☕📚

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Grab your coffee cup, untangle your earphones, and recharge your speakers; Season 2 of Spoonful of Medicine starts this week! 

In the meantime, checkout our Instagram Page for some fun educational content and a link to all of the past episodes! Spoonful of Medicine Podcast 🥄(@spoonful.of.medicine)

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Join in this week for Part 2 of 2 looking at Cystic Kidney Disease in Kids. In this episode, we explore Autosomal Recessive Polycystic Kidney Disease (ARPKD), the genetics behind it, how it presents (prenatally, neonatally and in kids), and what the prognosis is for children with the condition. I'm not kidney-ing, this is a high yield episode you won't want to miss!

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Listen in this week for Part 1 of 2 looking at Cystic Kidney Disease. In this episode, we explore Autosomal Dominant Polycystic Kidney Disease (ADPKD), the genetics behind it, how it presents in kids and what is the prognosis for children diagnosed with the condition. So, grab your cup of coffee, settle in and get ready for a good information hit!

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Listen on this week to learn about Nephritic Syndrome in kids as we take a high yield look at Acute Post Streptococcal Glomerulonephritis (APSGN). We explore the pathophysiology, presentation, management and prognosis of the condition. You'll be sure to ace all the questions about it when you see a case of APSGN on the ward (or in the exam!)

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Join Nim as she takes a high yield look at Nephrotic Syndrome (the triad of proteinuria, hypoalbuminemia and oedema). We look at a classic case, what are the causes of nephrotic syndrome, how the clinical features relate to the pathophysiology and finally how it is managed. 

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Listen on this week as we explore VACTERL association (aka VACTRL association or VATER association). We have a case to discuss and also explain what are the differences between associations, syndromes and sequences. Check out our Instagram page for a pictorial summary along with images of what some of the associated abnormalities look like! 

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Join Nim for a high yield study session all about von Willebrand Disease, one of the most common disorders affecting platelet plug formation. Learn all about the pathophysiology, types, clinical features,  work up and management; after this one you will be able to smash those exams and wow your peers!! 

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Beckwith-Wiedemann syndrome (BWS) is a fetal overgrowth disorder involving the deregulation of a number of genes leading to a characteristic combination of clinical features and cancer predisposition. Listen on this week as Nim takes a high yield look at the presentation, genetics, diagnosis and management of BWS. Check out the Instagram page for clinical pictures referenced within the episode!

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Join in this week as we take a look at Alagille Syndrome (aka.  Hepatic Ductular Hypoplasia). We chat about the genetics, clinical presentation, diagnosis, management and prognosis of the syndrome. After listening, you will be able to impress everyone on the ward round or tutorial room!!

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It's coming into flu season soon and so what a perfect time to refresh your knowledge about the presentation, diagnosis and management of Asthma! 

The diagnosis and management paradigms in this episode are per the Australian Asthma Handbook 

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Listen on this week as Nim takes us through Gastroesophageal Reflux and GORD. We look at the pathophysiology in children, how it presents based on age, how it is managed and hoe it is diagnosed. We also cover red flags of reflux to help you better understand when to suspect reflux and when to suspect something more. 

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This episode we look at Coeliac Disease, its pathophysiology, genetic links, clinical manifestations and management. We also go through the latest NASPGHAN recommendations for the diagnosis of Coeliac Disease. 

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Listen on this week as we go through the approach to a neonate with thrombocytopenia (low platelets). We then take a more detailed look at Neonatal Alloimmune Thrombocytopenia (NAIT) where we cover its presentation, pathophysiology, management and complications. Its a jam packed + high yield episode!

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Join Nim this week to learn about Vitamin K deficiency related bleeding (VKDB) in the neonate. We cover the types of VKDB, why Vitamin K is so important, how to manage it and also how to answer FAQs that parents may have for you. 

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Come take a look at Congenital Long QT Syndrome (one of the most common channelopaties!). It is an important differential in patients presenting with unexplained collapse, seizure or cardiac arrest. Learn all about the genetics, pathophysiology, presentation, investigation and management - you will wow the boss on your next rotation!

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Take 5 and learn about Meckel’s Diverticulum, the rule of 2s, how it presents, how to find it and what to do about it!

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This minisode is a little longer than the usual ones, so we thought to release it on it's own!

Hypertrophic Pyloric Stenosis is a differential that is often talked about in the vomiting baby, and this episode will help you learn more about it! We also take a look at the characteristic blood gas pattern - do you know what it is and why it occurs? Join Nim and find out!

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Oesophageal atresia (OA) and Tracheo-oesophageal fistula (TOF) is an important condition to know about for all those learning about and working in paediatrics. So listen on to top up your understanding of OA/TOF so that when you're on the wards you know when to suspect it and how to go about managing it!

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In this high-yield episode we look at Intestinal Malrotation + Midgut Volvulus. Join us as we see how events in organogenesis lead to intestinal maltotation and why it presents the way it does. Also listen on about Midgut volvulus - a diagnosis you never want to miss!!

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Join Nim as she takes a look at Hirschsprung’s Disease. She covers it's pathophysiology, presentation, and management. After listening to this episode, you will be able to wow your peers and the consultant on your next ward round!! 

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This minisode is a little more relaxed than the rest. Join Nim and Angus as they share some funny tales of their adventures and experiences in Medicine and Beyond. 

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Learn all about Congenital Diaphragmatic Hernias, which type is more common, how a  neonate presents and what the management priorities are at birth! Perfect listening for that new paediatric surgery or neonatal rotation!

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Have a coffee with Dr Nim as she takes you on a quick summary ride around Transient Tachypnoea of the Newborn (TTN)! Covers: Pathophysiology, Risk Factors, Presentation, X-ray findings, Differentials and Management

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Join as we discuss all things RDS (Respiratory Distress Syndrome) aka. Hyaline Membrane Disease. What's the pathophysiology? What places a neonate at risk of RDS? How does a neonate with RDS present? How do we prevent RDS? and, How is RDS managed? - We answer it all! 

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We go through the basics of ventilation and oxygenation, have a look at the types of ventilators that can be used in neonatal units, and also delve into how changes in ventilation settings affect ventilation and oxygenation in the baby. Get ready for a physiology hit! 

We Discuss: 
= Oxygenation (MAP and FiO2)
= Ventilation (Minute ventilation, rate and tidal volume)
= Types of Ventilators (IPPV+ CMV, SIMV, SIPPV + PC-AC, Volume Guarantee Mode)
= Ventilation Settings (PIP, PEEP, MAP, Vt)

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We take a 10 minute look at neonatal HSV infection - how it presents, what constitutes risk for the infant, how it is managed, and what is the prognosis. After listening you'll feel a little more confident when you're called to the post-natal ward or see a ? HSV lesion on a baby in your clinic!

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Join me for a chat about the assessment, investigation and management of the febrile baby (< 3 months of age). We look at what causes fevers, why we do the investigations we do and what we do to treat baby.  

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We take a whirlwind look at the neonatal hearing screen. Dr Sree Aithal (Consultant Paediatric Audiologist) tells us all about how the test is done, what the results mean and what happens to infants that need follow up after a screen. 

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This episode we are joined by Dr Sree Aithal (Consultant Paedatric Audiologist) as we look at how hearing loss presents  in children, how it is assessed,  what causes it, and how it is managed. You'll be listening out for hearing loss in children with a whole new sound! 

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This episode we compare Infantile vs Congenital Hemangiomas. What they look like, how they present, and how they are managed. We also take a look at a clinical case - can you diagnose what lesion little Isabella has? (Check out the picture of the lesion on our Instagram Page)

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Take 5 minutes and learn about Umbilical hernias, how often they occur and how they are managed!

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This week we look at inguinal hernias and hydrocoeles; what they are, how they present and what to do when you see one in clinic or on the wards! 

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We take a look at the routine new born assessment. What do you need to know before examining the baby and why, how to examine a neonate and what to counsel new parents about. After listening, you'll feel a whole lot better about examining new babies!

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We have a quick look and summarize IV fluid choices in kids. What to use as maintenance fluid, what to use in resus situations, how much and why

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We take a look at the common presentation of the undescended Testicle. Join us as we go through the what, why, how to detect and how to manage of cryptorchidism. 

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Spoonful of Medicine is a Paediatric Medical Podcast hosted by Dr Nim Aithal (Paediatric Trainee). We aim to help you improve your paediatric knowledge one spoonful at a time! Have a listen to what to expect from the show!