In this episode of the Clinical Update podcast, consultant dermatologist Dr Claire Fuller talks to MIMS Learning deputy editor Rhiannon about the clinical signs of scabies – including how presentation can differ in children and older adults – and provides a detailed breakdown of effective treatment regimens for both permethrin and ivermectin.

Dr Fuller goes on to discuss the issues of ‘pseudo-resistance’ and contact tracing, noting that ‘people do self-stigmatise and they really are challenged in persuading their contacts to treat.’

She also highlights scabies as a neglected tropical disease and a public health priority, with a particular focus on how it affects marginalised groups and those living in overcrowded settings.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Recall the clinical features of scabies in different patient groups
• Understand the role of microscopy or dermatoscopy in diagnosis
• Describe the correct treatment protocols for permethrin and ivermectin
• Explain the importance of treating all close contacts to prevent re-infestation
• Recognise the signs of crusted scabies
• Reflect on the wider impact of scabies, including its effect on mental health

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

MIMS Learning

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Related resources

• Podcast: sexual health in women
• Case study: leptospirosis
• Mpox: clinical diagnosis and management
• MIMS: Lice and scabies treatments

MIMS: Scabies medication shortages continue

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GPs and primary care clinicians often encounter oral and dental problems, many of which are significant indicators of underlying systemic disease. In this episode of the Clinical Update podcast, medical editors Sangeeta and Dawn discuss symptoms and signs that can suggest gastrointestinal diseases such as Crohn’s, gastro-oesophageal reflux disease or eating disorders. They also examine the two-way relationship between periodontal health and diabetes, and the critical impact of oral health on pregnancy outcomes, including risks of pre-eclampsia and preterm birth.

The episode further covers autoimmune presentations like lupus and pemphigus vulgaris, medication-related hyperpigmentation, and the oral health inequalities faced by patients with severe mental illness. Finally, the team provides practical guidance on managing maxillofacial emergencies, such as tooth avulsion and dental abscesses, in the GP surgery.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Recognise oral manifestations of systemic conditions including IBD, diabetes, and autoimmune diseases
• Understand the link between periodontal disease and adverse pregnancy outcomes
• Identify dental emergencies, such as tooth avulsion, and initiate time-sensitive management
• Recall the red flags for dental abscesses and oral squamous cell carcinoma that warrant urgent referral
• Address oral health inequalities in patients with severe mental illness

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

MIMS Learning

Register for a FREE account

Related resources

• Oral signs and symptoms of systemic disease
• Urgent oral and dental problems
• Smoking cessation for people with severe mental illness

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Different pollens can trigger hayfever at different times of the year and, potentially, if they are sensitive to all these different pollens, patients could be symptomatic from early January until October. Honorary consultant physician Dr Glenis Scadding advises that patients should start taking hayfever medication before their symptoms start and only stop taking it when their symptoms are likely to go away.

In this episode of the medical update podcast, Dr Scadding speaks to MIMS Learning’s medical editor Sangeeta about hayfever management. She discusses what sets allergic rhinitis apart from viral infections, how to identify red flags, and what type of antihistamine to choose.

She also highlights the benefits of combined intranasal sprays and the potential for sublingual immunotherapy to alter the long-term ‘allergic career’ of allergic rhinitis.

Educational objectives

After listening to this podcast, healthcare professionals should be better able to:

• Recall the common red flags that necessitate urgent ENT or specialist referral
• Identify the clinical differences between viral upper respiratory infections and allergic rhinitis
• Explain the correct technique to use intranasal corticosteroid sprays for maximum efficacy
• Recognise when to consider allergen-specific immunotherapy for moderate to severe hayfever
• Review the relationship between poorly controlled allergic rhinitis and asthma exacerbations

You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.

Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.

MIMS Learning resources

Register for a FREE account

Hayfever: clinical review

Podcast: nose problems in primary care

MIMS

Hayfever treatments

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