pace your MRCP-PACES

👉 *IMPORTANT 557* 👈 Please remember JVP does not reflect intravascular volume if there is right-sided heart disease/failure. paceUrMRCP.

👉 *IMPORTANT 556* 👈 *Few signs of fluid overload:* High BP, raised JVP, lung crepitations, peripheral oedema, gallop rhythm. paceUrMRCP.

👉 *IMPORTANT 555* 👈 *Few signs of Hypovolaemia:* low BP, decreased urine volume, non-visible JVP, poor tissue turgor, rapid pulse, weight loss. paceUrMRCP.

👉 *IMPORTANT 554* 👈 *Refer in AKI if* AKI not responding to treatment AKI with complications: increased K, acidosis, fluid overload stage 3 AKI AKI with difficult fluid balance (eg hypoalbuminaemia, heart failure, pregnancy) AKI due to possible intrinsic renal disease AKI with hypertension. paceUrMRCP.

👉 *IMPORTANT 553* 👈 *Scoring systems for liver cirrhosis* For many years the Child-Pugh classification was used to classify the severity of liver cirrhosis. However, in recent years the Model for End-Stage Liver Disease (MELD) has been increasingly used, particularly patient's who are on a liver transplant waiting list paceUrMRCP.

👉 *IMPORTANT 552* 👈 In WPW avoid : (ABCD) Adenosine Beta blockers Calcium channel blockers Digoxin. paceUrMRCP.

👉 *IMPORTANT 551* 👈 In any patient presenting with inferior MI please remember these 3 points: 1- Do V3R and V4R to exclude right ventricular infarction . If there RVI avoid SL or IV nitrate. 2- Do V7,V8,and V9 to exclude posterior MI 3- Take a careful history and do detailed examination to exclude any possible associated Aortic dissection ( unequal BP , AR murmer , neurological symptom or signs , back pain ) .In this case , urgent echo and No thrombolysis until situation is clarified. paceUrMRCP.

👉 *IMPORTANT 550* 👈 Avoid contact sports for 8 weeks in Infectious Mononucleosis. paceUrMRCP.

👉 *IMPORTANT 549* 👈 *Pharmacology pearls important for clinical judgement* Avoid Diclofenac in AIP (Ibuprofen is safe). paceUrMRCP.

👉 *IMPORTANT 546* 👈 *Pharmacology pearls important for clinical judgement* Avoid Amiodarone in TCA overdose. paceUrMRCP.

ANNOUNCEMENT Hello and salam everyone. We are pleased to announce admissions for our May 2024 online course ( 15 days ) for PACES MRCP (UK) and CLINICAL EXAM MRCPI . We will start from 13th of May 24 and finish on 31st of May 24. Active slots available on first come--first served basis. Listener slot available too. At least 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions. After the performance detailed feedback will be given to elaborate on the weak skills. It is equally beneficial for those who are beginners or have exams in coming diet. Interested candidates may send a personal message for details. WhatsApp No: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

👉 *IMPORTANT 545* 👈 *Pharmacology pearls important for clinical judgement* Avoid Fluoxetine in postnatal depression paceUrMRCP.

👉 *IMPORTANT 544* 👈 *Pharmacology pearls important for clinical judgement* Avoid Haloperidol in Lewy body dementia. paceUrMRCP.

👉 *IMPORTANT 543* 👈 *Pharmacology pearls important for clinical judgement* Avoid Haloperidol in Delirium Tremens paceUrMRCP.

ANNOUNCEMENT Hello and salam everyone. We are pleased to announce admissions for our May 2024 online course ( 15 days ) for PACES MRCP (UK) and CLINICAL EXAM MRCPI . We will start from 13th of May 24 and finish on 31st of May 24. Active slots available on first come--first served basis. Listener slot available too. At least 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions. After the performance detailed feedback will be given to elaborate on the weak skills. It is equally beneficial for those who are beginners or have exams in coming diet. Interested candidates may send a personal message for details. WhatsApp No: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

✌️✌️ HEARTIEST CONGRATULATIONS ✌️✌️ To Dr Samson Charan For passing PACES MRCP ( UK ) from India. We wish him the best for his future.

👉 *IMPORTANT 542* 👈 *Pharmacology pearls important for clinical judgement* Avoid Statin in patient with history of intracerebral hemorrhages. paceUrMRCP.

👉 *IMPORTANT 541* 👈 *Pharmacology pearls important for clinical judgement* Avoid Tetracycline, Nitrofurantoin, NSAIDs, Lithium and Metformin in Renal failure. paceUrMRCP.

👉 *IMPORTANT 540* 👈 *Pharmacology pearls important for clinical judgement* Avoid Alpha-blocker for at-least 4 hour after sildenafil. paceUrMRCP.

ANNOUNCEMENT Hello and salam everyone. We are pleased to announce admissions for our May 2024 online course ( 15 days ) for PACES MRCP (UK) and CLINICAL EXAM MRCPI . We will start from 13th of May 24 and finish on 31st of May 24. Active slots available on first come--first served basis. Listener slot available too. At least 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions. After the performance detailed feedback will be given to elaborate on the weak skills. It is equally beneficial for those who are beginners or have exams in coming diet. Interested candidates may send a personal message for details. WhatsApp No: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.