pace your MRCP-PACES

☝️ IMPORTANT 9☝️ Please remember ANAESTHESIA/ANAESTHETICS/LOCAL ANAESTHESIA/ LOCAL ANAESTHETICS might be considered as a Jargon by some examiners so please avoid using it. Always tell the patient that : We will give you some NUMBING AGENTS for your health condition. Good luck.

☝️ IMPORTANT 8☝️ Please remember : ANTIBIOTIC/ANTIBIOTICS might be considered as a Jargon by some examiners so please avoid using it. Always ask the patient: We will give you some BUG KILLING/KILLER MEDICINE/MEDICINES for your health condition. Good luck.

☝️ IMPORTANT 7☝️ Please remember : EASY BRUISING is considered as a Jargon by many examiners so please avoid using it. Always ask the patient: Do you notice ( or have you noticed ) any BLHISH SPOTS ON YOUR SKIN EVEN AFTER SMALL INJURY ( OR TRAUMA ) Good luck.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *August 2022 online course ( 15 days ) for PACES MRCP (UK).* We will start from *2 August and finish on 20 August.* 8 Active slots available on first come--first served basis. Listener slot available too. *60 plus Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly general sessions.* After the performance a detailed feedback will be given to elaborate the weak skills.It is equally beneficial for those who are beginners or have exam in coming diet. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

Dear all I regret to inform you that our tomorow session will not happening due to travelling. I am sorry for the inconvenience. We will restart from next Sunday if all goes well

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *August 2022 online course ( 15 days ) for PACES MRCP (UK).* We will start from *2 August and finish on 20 August.* 8 Active slots available on first come--first served basis. Listener slot available too. *60 plus Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly general sessions.* After the performance a detailed feedback will be given to elaborate the weak skills.It is equally beneficial for those who are beginners or have exam in coming diet. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

☝️ IMPORTANT 6☝️ Please remember : ANALGESICS and/or ANALGESIA are PAIN KILLERS in layman terminology, Please avoid using ANALGESICS and/or ANALGESIA in exam, as it is considered a Jargon by most of the examiners. Good luck.

☝️ IMPORTANT 5☝️ Please remember for History taking : To inquire about HESITANCY in urinary symptoms,ask the patient DO YOU HAVE ANY PROBLEMS IN STARTING YOUR WATER WORKS. As hesitancy might be considered as a Jargon by some examiners... Good luck.

☝️ IMPORTANT 4☝️ Please remember that ENDOCRINOLOGY and ENDOCRINOLOGIST are considered as Jargons by most of the examiners so always say PROBLEM IN YOUR GLAND/ GLANDS and GLAND SPECIALIST to your patient Please remember GLAND is not a Jargon and you can easily use it .. Good luck.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *August 2022 online course ( 15 days ) for PACES MRCP (UK).* We will start from *2 August and finish on 20 August.* 8 Active slots available on first come--first served basis. Listener slot available too. *60 plus Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly general sessions.* After the performance a detailed feedback will be given to elaborate the weak skills.It is equally beneficial for those who are beginners or have exam in coming diet. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

Dear coalleagues I will be travelling tomorrow so please excuse me for one day. We will start again day after tomorrow.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *August 2022 online course ( 15 days ) for PACES MRCP (UK).* We will start from *2 August and finish on 20 August.* 8 Active slots available on first come--first served basis. Listener slot available too. *60 plus Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly general sessions.* After the performance a detailed feedback will be given to elaborate the weak skills.It is equally beneficial for those who are beginners or have exam in coming diet. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*Few pearls for Vasovagal syncope explanation* Occurs when you faint because your body overreacts to certain triggers, such as the sight of blood or extreme emotional distress. It may also be called neurocardiogenic syncope. The vasovagal syncope trigger causes your heart rate and blood pressure to drop suddenly. That leads to reduced blood flow to your brain, causing you to briefly lose consciousness. Vasovagal syncope is usually harmless and requires no treatment. But it's possible that you may injure yourself during a vasovagal syncope episode Good Luck

*Few points about primary biliary cholangitis* is considered an autoimmune disease, which means your body's immune system is mistakenly attacking healthy cells.in this condition bile ducts which are slender tubes that carry the digestive fluid bile are destroyed. Bile ducts connect your liver to your gallbladder and to your small intestine. slender tubes (bile ducts) carry the digestive fluid bile. bile can back up in your liver and sometimes lead to irreversible scarring of liver tissue (cirrhosis). Good Luck

*Few golden points in Cardiology :* Never rush to lsn murmur while examination of precordium....always make your propable diagnosis by picking up peripheral signs related to that murmur and then put stethoscope on chest to confirm that murmur associated with those peripheral signs.......In practice we all go panic to lsn murmur and never correlate that murmur with peripheral signs and so loose the station easily...........................like e.g. 1. Low volume radial pulse+Loud S1+tapping Apex =Mitral stenosis. 2. Low volume radial+Soft S2+Heaving Apex= Aortic stenosis. 3. Good volume pulse+Displaced Apex+Soft S1= Mitral Regurgitation..... So while going hosp always practice to pick findings in pulse Apex and S1 S2.....it ll clear the confusion to great extent....then put stethoscope on chest to correlate murmur with findings..... In General Stenotic lesion give calm n peace look to precordium and whereas Regurgitation lesions give hyperdynamic look to precordium on inspection.... In pure Stenotic lesions Apex is nondisplaced.......in pure Regurgitation lesions Apex will be usually displaced with hyperdynamic look to precordium.. In mixed lesions position of the Apex or Peripheral pulsations will decide predominant lesion clinically........... Murmur of one valve may radiate to other areas aswell...like e.g AS murmur may radiate all over precordium so insuch situations see where murmur has maximal intensity n see character of murmur is same over precordium or not..... In young age Bicuspid is cause and in old age Calcification is the cause Whenever there is Regurgitation of valve then alwaz divide the causes into Acute Vs Chronic......acute AR Vs Chronic AR......acute MR Vs Chronic MR .Whenever there is Mitral stenosis the cause is Rheumatic Rheumatic and Rheumatic......dats it....90% MS is Rheumatic Causes of acute AR? 1. Aortic dissection. 2. Aortic root dilatation. 3. Acute I.E Causes of acute MR? 1. Ruptured cordae tendanea 2. Post myocardial infarction 3. Acute I.E Put Rheumatic in any chronic lesion of valve... Although acute Rheumatic fever may cause valve regurgitation Good Luck

Photo from Dr Tanzeel Bukhari

Photo from Dr Tanzeel Bukhari

☝️ IMPORTANT 3☝️ Please remember that all infective agents ( bacteria viruses, parasites and Fungus) are BUGS . The word INFECTION is tolerable ( not considered as a Jargon by most of the examiners) so u will say to your patient that you have bug infection ( in your lungs, tummy whatever etc) Good luck.

☝️ IMPORTANT 2☝️ FATIGUE is considered as a Jargon by some examiners , so avoid it and say do you feel TIRED or TIREDNESS Good luck.