• Remember that you can also connect with RNZCUC Registrars via our Facebook group
  • If you are interested in becoming involved with the Registrar Subcommittee please e-mail: regsc@rnzcuc.org.nz

🥳 Social Calendar (Upcoming Events)

  • Informal Winter Social Dinner
    • Date: Saturday 16th August
    • Time: 6:30-8:30 pm
    • Location: Lone Star Manukau, 792 Great South Road, Wiri, Auckland
    • Details: Come for a meal or drinks. All registrars and Fellows in the region are welcome. This follows the “SDAW nibbles and social” taking place at the same venue from 6pm. Many of the SDAW attendees, including Fellows and College staff will be there.
    • Click here to RSVP.
  • Informal Social Catch-Up for RNZCUC Registrars
    • Date: Friday 3rd October
    • Time: 7:00-9:00 pm
    • Location: The Garden Shed, 470 Mt Eden Road, Auckland
    • Details: Fellows welcome! Share some food and drink and socialise with us. This is a great opportunity to connect before exams (written and OSCE).
    • Click here to RSVP 

 📚 Informal trainee-led training

  • Recently Held Sessions:
    • 12th June – Approach to Lower Back Pain with Dr. Sanjeev
    • 24th June – Obstetrics and Gynaecology with Dr. Sarah Clifford
    • If you missed any of the Zoom sessions, all of the recordings are on the RNZCUC Registrars Facebook Group

🎧 Recent ‘Urgent Bites’ by Dr Guy Melrose

🦴 Orthopaedic Owl

  • Kienbock’s Disease is the avascular necrosis of the lunate, which can lead to progressive wrist pain and abnormal carpal motion.
  • Epidemiology: It is most common in males aged 20-40 years with a history of trauma.
  • Diagnosis: Wrist radiographs in advanced cases, but may require MRI for detection of early disease.
  • Treatment: NSAIDs and observation in minimally symptomatic patients. A variety of operative procedures are available, depending on the severity of the disease and the patient’s symptoms.
KIENBOCK’S DISEASE – Key Image
 Reference: Orthobullets

✨ Medical Marvel

For patients presenting with lymphadenopathy, is it worth considering asking about a patient’s alcohol consumption and effect ❓

  • Classical Hodgkin lymphoma (cHL); Presentation, Evaluation and Diagnosis in Adults:
    • Alcohol-associated pain
    • Although rare, patients with cHL can complain of severe pain following alcohol ingestion.
    • The pain typically begins within minutes of ingestion of even small amounts of alcohol.
    • Pain usually occurs at sites of bony involvement, but it may also occur at sites of lymphadenopathy.
    • While alcohol-associated pain is uncommon (<10 percent) and has no prognostic significance, it is highly specific for cHL.
    • The mechanism of alcohol-associated pain is unknown.
    • Reference: UpToDate