Hi everyone! It's time to change tack and tackle the endocrine module from our curriculum. I have a feeling this will be a wild, feedback-cycle kind of ride, so let's ease ourselves into it with the anatomy and embryology of our favourite endocrine organs: the thyroid, parathyroids and adrenal glands. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any r...
Oct 18, 2021•25 min•Transcript available on Metacast This week's episode covers chronic liver failure: - the causes - pathophysiology of what actually happens when the liver fails - diagnosis of chronic liver disease and cirrhosis - portal hypertension diagnosis and management - grading classification systems (Child-Pugh-Turcott and MELD scoring) - the perioperative management of a patient with chronic liver disease Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam...
Oct 11, 2021•43 min•Transcript available on Metacast This week's episode covers liver infections, including pyogenic liver abscesses, hydatid cysts, amoebic abscesses and other rarer types of liver infections. We discuss the pathophysiology, lifecycle of the hydatid parasite, microbiology, diagnosis and treatment of these infections. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical...
Oct 04, 2021•36 min•Transcript available on Metacast This week's episode covers all surgical topics related to the spleen: - anatomy - embryology - pathophysiology and function - all the things that can go wrong with the spleen including infections, cysts, splenomegaly, neoplastic conditions (primary and secondary), haematological disorders, congestive disorders, immunological disorders and trauma. - surgery for spleens including laparoscopic and open splenectomy - OPSI (overwhelming post-splenectomy infections) - splenic artery aneurysms Dis...
Sep 28, 2021•43 min•Transcript available on Metacast This week's episode covers chronic pancreatitis - what is it - risk factors - pathophysiology of it's aetiology and complications - how it presents - diagnosis - imaging findings - complications - and management Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listen...
Sep 21, 2021•25 min•Transcript available on Metacast This episode covers acute pancreatitis. - risk factors - aetiology - pathophysiology (a beloved question in the exam) - workup - severity classification (including the apache score, modified glasgow critiera, ranson's criteria, IAP/APA guidelines, and revised Atlanta classification) - radiological classification (revised Atlanta) and radiological severity classification systems - management of pancreatitis --- including acute management which addresses fluid resuscitation, nutrition, ERCP, ...
Sep 13, 2021•51 min•Transcript available on Metacast This episode covers pancreatic cancer. Topics discussed include: - risk factors - familial pancreatic cancer syndromes - pathophysiology - presentation - workup - staging - and treatment including chemotherapy, radiotherapy, surgery and palliative approaches Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publ...
Sep 06, 2021•49 min•Transcript available on Metacast This episode delves into liver metastases and liver surgery. We discuss both colorectal and non-colorectal liver metastases For colorectal liver metastases we cover: - epidemiology - how they are diagnosed and how to work them up - medical treatment including chemotherapy both neoadjuvantly and adjuvantly - the decision making on who to operate on, and the treatment sequence when considering the colorectal primary - other liver targeted treatments We talk about liver surgery including: - preoper...
Aug 30, 2021•45 min•Transcript available on Metacast This week's operative episode covers laparoscopic cholecystectomy, and some of the intraoperative pitfalls they might throw your way in the exam. Topics covered, how to avoid them, and how to deal with them if they happen include every way your day can go from bad to worse when doing a laparoscopic cholecystectomy: - bleeding (hepatic artery, portal vein, middle hepatic vein) - anatomical variations - ureteric catheter not flushing - the 'difficult' gallbladder' - the dreaded...
Aug 23, 2021•49 min•Transcript available on Metacast We're taking a break this week from the HPB module to talk about the exam. Specifically how to manage your stress and maximise your performance in this awesome discussion with Dr Sarah Dalton. Dr Dalton is a performance coach and works with trainees on how to use the power of their mindset and thinking to overcome the issues we all face leading up to these sorts of exams. I really enjoyed our discussion and hope you get something out of this episode that helps you as well! This is the &apos...
Aug 16, 2021•38 min•Transcript available on Metacast This episode covers hepatocellular carcinoma (HCC). Topics covered include: - Epidemiology - Risk factors - Presentation - Surveillance - Histopathology including of pre-neoplastic / precursor lesions such as microscopic dysplastic foci and macroscopic dysplastic nodules - Diagnosis and imaging (including LIRADS) - Staging (TNM and Barcelona Clinic Liver Cancer Staging System) - Treatment options - Follow-up - and Prognosis Happy studying! Disclaimer The information in this podcast is intended a...
Aug 09, 2021•44 min•Transcript available on Metacast Ever wanted to know how to differentiate all the different types of non-malignant liver lesions? Us too! Don't fret - this is the episode for you! It covers: - liver cysts - focal nodular hyperplasia - hepatocellular adenomas - haemangiomas And more! Learn what they are, how to diagnose them and differentiate them on imaging, and what to do with them on this episode of First Incision. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Su...
Aug 02, 2021•36 min•Transcript available on Metacast This episode briefly covers the various causes of benign biliary strictures. This includes: Iatrogenic causes - Bile duct injuries at cholecystectomy - Trauma, post-liver transplant, and hepaticojejunostomy Gallstone related - Mirrizi syndrome Inflammatory causes - Primary Sclerosing Cholangitis - Parasitic infections including liver flukes, echinococcus and roundworm - HIV/AIDS-associated cholangiopathy - IgG4 related cholangiopathy Congenital - Biliary atresia - Choledochal cysts Disclaimer Th...
Jul 26, 2021•33 min•Transcript available on Metacast This episode covers cholangiocarcinoma: - the different types (intrahepatic, hilar and distal bile duct) - classification systems (Bismuth, TNM) - risk factors - presentation - imaging / workup - features of operability - management: including, operative, medical, interventional and palliative Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or ...
Jul 19, 2021•28 min•Transcript available on Metacast This episode covers pancreatic cystic neoplasms including: Neoplastic mucinous cystic lesions - Intraductal papillary mucinous neoplasms (IPMNs) - Mucinous cystic neoplasms (MCNs) Neoplastic non -mucinous cystic lesions - Serous cystic neoplasms / serous cystadenomas - Solid pseudopapillary neoplasms We cover their workup, radiological appearance, demographic information, FNA results, likely cytology and management of these lesions We also briefly mention non-neoplastic cystic lesions including ...
Jul 12, 2021•23 min•Transcript available on Metacast This week's episode covers three gallbladder pathologies from the hepatobiliary module of the curriculum: - gallbladder adenomyomatosis - gallbladder polyps and - gallbladder cancer This episode covers the histopathology, pathophysiology, imaging findings, and what to do when you suspect gallbladder cancer preoperatively, intraoperatively and post-operatively. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. Th...
Jul 05, 2021•33 min•Transcript available on Metacast Welcome to the first episode of our new season! Moving onto hepatobiliary and pancreatic topics. This week we talk about liver, biliary and pancreatic anatomy, embryology and clinically important variations. Enjoy! Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener shou...
Jun 28, 2021•34 min•Transcript available on Metacast This episode covers everything COLITIS! - infectious colitis - including a quick touch on common infectious causes and how to treat them - pseudomembranous colitis and clostridium difficile infection - diverticulitis in all it's glory - be prepared for some pathophysiology, classification systems (Hinchey I'm looking at you), and discussion about treatment - and to round them off we take a look at ischaemic colitis! If you want to learn more about ischaemic colitis - feel free to read ...
Jun 21, 2021•33 min•Transcript available on Metacast This week's mismatched topics (brought to you by boredom and Melbourne's 4th COVID lockdown) are: - Volvulus: including sigmoid and caecal volvulus. What are they, how do they present, and how do we treat them? AND - Pilonidal disease: what is it, pathophysiology, how it can present, how it is managed, and some operative steps for a Karydakis / Modified Bascom operation. Thanks for the suggestion of the website pilonidal.org! It's a great resource to send your patients to and has ...
Jun 14, 2021•26 min•Transcript available on Metacast Finishing off the perianal content for the colorectal module with perianal fistula and hemorrhoids. Everything you ever wanted to know about all the classification systems, treatment options, and some operative descriptions for these conditions. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any ...
Jun 07, 2021•35 min•Transcript available on Metacast This week's episode covers the topics of faecal incontinence and rectal prolapse. These conditions are commonly encountered in the general surgical clinic. We cover the pathophysiology, workup and treatments of these conditions. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person...
Jun 01, 2021•41 min•Transcript available on Metacast This episode covers anal cancer and perianal paget's disease. We cover the presentation, workup, aetiology, and treatment of these diseases. Special attention is given to the management of precursor lesions including anal intraepithelial neoplasia (now low and high grade squamous intra-epithelial lesions). Also a corrections corner about last week's episode! Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam....
May 24, 2021•29 min•Transcript available on Metacast This episode covers large bowel obstruction and pseudoobstruction. We go into the causes, presentation, workup, and management of both of these conditions, as well as some great perioperative pearls of wisdom. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should co...
May 17, 2021•41 min•Transcript available on Metacast This episode takes us away from IBD and into the realm of perianal pathology. Although not the prettiest side of general surgery, these topics are commonly encountered and definitely fair game for the exam! This episode covers: - Anal fissures - Perianal abscess, and - Pruritis ani We cover the presentation, workup, diagnosis and management of these conditions. We also cover the surgical steps of botox for fissures, lateral internal sphincterotomy, and incision and drainage of perianal abscess. ...
May 10, 2021•24 min•Transcript available on Metacast This special addition to our IBD episodes covers three bonus topics: - Perianal Crohn's Disease - IBD and Pregnancy - Indeterminate Colitis Enjoy! Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the ...
May 09, 2021•18 min•Transcript available on Metacast In this episode we cover Crohn's Disease. - presentations: both gastrointestinal and extra-intestinal - differential diagnoses - workup and diagnosis - histopathological findings - macroscopic features - management - surgical tips and pearls - malignancy risk and surveillance Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advic...
Apr 19, 2021•50 min•Transcript available on Metacast We are diving back into the colorectal module from the curriculum this week to talk about Ulcerative Colitis. This episode goes into the presentation, endoscopy findings, histopathology, medical and surgical treatment options, and more! Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other per...
Apr 12, 2021•47 min•Transcript available on Metacast This week's special guest episode is with Dr Emily Olive - a successful 2020 fellowship exam candidate. Just in time for the first sitting of the exam this year, this episode has everything! - what to expect when actually sitting the exam. - great tips for each component of the exam from someone with recent insight into how it runs. - what is different about the COVID exam format. - great tips for those just starting to think about study: including how to keep yourself sane, healthy, and ti...
Apr 05, 2021•53 min•Transcript available on Metacast This episode has everything: - Carolyn Vasey (enough said - an incredible colorectal surgeon from Ballarat in Victoria) - Discussions about colorectal cancer surgery, what to do with the splenic flexure tumour, stomas, parastomal hernias, endoscopy and tattooing for rectal cancers, total neoadjuvant treatment, and watch and wait - Chats about surgery and parenthood, and male champions of change; and - Talk about research and manky belly buttons What more could you want!? Carolyn's e-mail is...
Mar 29, 2021•1 hr•Transcript available on Metacast This episode picks up where episode 4 ((introduction to colorectal cancer) left off - delving into the treatment of rectal cancer. This is a fun topic with lots of nuances and 'it depends' management decisions. We cover: - neoadjuvant treatment - adjuvant treatment - total neoadjuvant treatment - the 'watch and wait' approach - surgery for rectal cancer - surgery for obstructing rectal cancer and more. Disclaimer The information in this podcast is intended as a revision aid f...
Mar 22, 2021•34 min•Ep 6•Transcript available on Metacast 
