GPnotebook Podcast

Intertrigo is an inflammatory condition of opposing skin surfaces, driven by friction, heat and moisture that weaken the skin barrier and invite secondary infections, especially Candida and bacteria. It affects all ages, from infants with diaper dermatitis to older adults with limited mobility. It is more common in hot climates and in patients with obesity or diabetes. Clinically, it presents with symmetrical erythema that may progress to maceration, fissures, discharge and secondary infection. The diagnosis is mainly clinical, with cultures or potassium hydroxide testing when needed. Management focuses on reducing moisture and friction, treating infections and using gentle barrier protection. In this episode, Dr Roger Henderson looks at how to identify and manage this condition, which is commonly seen in primary care.

Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/dermatology/ep-191-intertrigo.

Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.

Chondromalacia patella (CMP), sometimes called “runner’s knee”, is a degenerative condition involving softening and breakdown of the patellar articular cartilage, most often due to abnormal patellofemoral mechanics, muscular imbalance or repetitive micro-trauma. It commonly presents with anterior knee pain worsened by stair descent, squatting, running or prolonged sitting. Diagnosis relies on clinical evaluation supported by imaging (especially magnetic resonance imaging) to assess cartilage integrity and patellar alignment. Most patients improve with long-term conservative therapy focused on quadriceps strengthening, hip stabilisation and activity modification. Surgical intervention is reserved for persistent, symptomatic cases or significant maltracking. Early recognition helps prevent progression to patellofemoral osteoarthritis. In this episode, Dr Roger Henderson looks at how best to recognise the condition in our surgeries and the best plan of action for our patients.

Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/musculoskeletal-medicine/ep-190-chondromalacia-patella.

Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.

Intermittent claudication is a hallmark symptom of peripheral arterial disease and reflects widespread atherosclerosis. It presents as predictable exertional leg pain caused by inadequate blood flow during exercise. The pain location helps localise arterial stenosis and diagnosis relies on history, examination and the ankle–brachial index, with imaging reserved for intervention planning. Management focuses on cardiovascular risk reduction, smoking cessation, supervised exercise therapy, antiplatelet treatment and statins. Revascularisation is considered only when symptoms continue to limit lifestyle despite optimal therapy. Although limb loss is uncommon, cardiovascular mortality is high, making systemic risk management essential. In this episode, Dr Roger Henderson gives an overview of the condition and looks at how best to diagnose and manage it.

Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/cardiovascular-medicine/ep-189-intermittent-claudication.

Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.

Pityriasis versicolor is a fungal condition caused by overgrowth of Malassezia – a yeast that is commonly found on the skin in most people. In this episode, Dr Kate Chesterman discusses the clinical findings that become visible when there is overgrowth of this yeast and explores the treatment options available to manage initial and recurrent episodes.

Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/dermatology/ep-188-pityriasis-versicolor.

Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.

In this episode, Dr Hannah Rosa, Dr Kate Chesterman and Dr Roger Henderson invite you to join them for the annual GPnotebook quiz. The GPnotebook education team have been reflecting upon all that they have learnt over the past 12 months, in both their day-to-day clinical work and through delivering GPnotebook Study Group meetings. This quiz is based on the facts that they have found the most useful, interesting and sometimes surprising. So, have a pen and a piece of paper ready and give it a go!

Access episode show notes containing key references and take-home points at:
https://gpnotebook.com/en-GB/podcasts/general-information/ep-187-quiz-of-the-year-2025.

Did you know? With GPnotebook Pro, you can earn CPD credits by tracking the podcast episodes you listen to. Learn more.