pace your MRCP-PACES

👉 *IMPORTANT 505* 👈 *Few pearls about urine microscopy* *Cells:* *Red blood cells:* >2 red cells/mm³ is abnormal. Can come from anywhere in the urinary tract. Isomorphic red cells are similar to circulating red cells and may suggest bleeding from a genitourinary or external source. Dysmorphic red cells are abnormal in size/shape. Although they may in dicate bleeding from the glomerulus (especially in exam questions!), assessment is subjective and dysmorphism also occurs due to changes in pH, osmolality, protein, and due to tubular passage. Good Luck

👉 *IMPORTANT 503* 👈 *Few General Symptoms Symptoms for history taking* Rise in body temperature Tiredness Lumps or Bumps Weight loss/Gain Pallor Hair Loss, Excessive Hair GrowthRash Sleep Sweating Mood Appetite Good Luck

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *March 2023 online course ( 15 days ) for PACES MRCP (UK).* We will start from *15 March and finish on 31 March.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday 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.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Farehah* For passing *Clinical examination of MRCP Ireland from Malaysia* She was with us in our batch for online prepration in Sep 22 & Dec 22. We wish her the best for her future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Sankar Nath Jha* For passing *Clinical examination of MRCP ireland* He was with us in our batch for online prepration in Jan 22, August 22 and Nov 23. We wish him the best for his future.

👉 *IMPORTANT 502* 👈 *Few Genito-Urinary Symptoms for history taking* Hesitancy, straining, poor flow, dribbling and sense of incomplete evacuation (Males) Passing less/more urine than usual (Polyuria/Oliguria) Burning pains with your water works (Dysuria) Change in color or smell of your water works Abnormal discharge from private areas What about your periods? Regular? Any problems? Problems with amounts or timings? When did you first start to have periods? Using any methods of contraception? Are you using the pill? (Females) Good Luck

👉 *IMPORTANT 501* 👈 *Few Rheumatological Symptoms for history taking* Joint pains; Analyze Joint Pains Number: No. Of Joint affected Deformity: present or absent Stiffness: Present or absent, if present for how long & when Swelling Symmetry Skin rash, Bruising, Acne Oral sores Morning stiffness of joints Skin tightness Muscle pains Muscle weakness Good Luck

👉 *IMPORTANT 500* 👈 *Few Endocrinology Symptoms for history taking* Intolerance to hot or cold weather Shoes size does it still fit, ring size does it still fit Weight gain/loss Bowel motions Abnormal pigmentations on your skin Any problems with sexual drive/intercourse Drinking more water than usual/passing more urine (water works) than usual Eating more than usual Good Luck

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *March 2023 online course ( 15 days ) for PACES MRCP (UK).* We will start from *15 March and finish on 31 March.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday 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 499* 👈 *Few Neurological Symptoms for history taking* Headaches, neck stiffness Dizziness Weakness of arms or legs Abnormal sensation in hands or feet like pins & needles. Handshakes Abnormal movements of arms or legs Gait disturbances/unsteadiness on your feet Fits, seizures Speech Visual disturbance Double vision Hearing problems Memory problems Confusion Autonomic Dysfuntion o Urinary Retention / Incontinence Constipation Impotence Good Luck

👉 *IMPORTANT 498* 👈 *Few respiratory symptoms for history taking* Chest pain Shortness of breath Coughing Phlegm production (Sputum production) What Color is it? How frequent? Amount? Coughing blood Noisy chest (wheezing) Sore throat (URTI) Runny nose Snoring (Upper airway obstruction/OSA) Good Luck

👉 *IMPORTANT 497* 👈 *Few cardiology symptoms for history taking* Chest pain Racing heart Shortness of breath Left side heart failure symptoms (Shortness of breath on lying flat (orthopnea), waking up from sleep short of breath needing to sit up (paroxysmal nocturnal dyspnea)) Low Cardiac output symptoms (dizziness, headaches, leg cramps Black outs or funny turns) Right side heart failure symptoms (pain in tummy (right hypochondrium), swollen legs) Good Luck

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *March 2023 online course ( 15 days ) for PACES MRCP (UK).* We will start from *15 March and finish on 31 March.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday 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 496* 👈 *Few causes Of Masses In Rt. Illiac Fossa* Illeocecal T.B Carcinoma caecum Lymphoma Appendicular abscess Neoplasia of ovary Ileal carcinoid Pelvic kidney Transplanted kidney Crohns disease Good Luck

👉 *IMPORTANT 495* 👈 *Few causes Of Epigastric Mass* Carcoma of Stomach (Virchow's) Carcinoma of Pancreas (Courvoisier sign; enlarged gall bladder) Lymphoma Left Lobe Of The Liver Abdominal Aortic Aneurysm Good Luck

👉 *IMPORTANT 494* 👈 *Few pearls about Diarrhea* Bleeding per rectum+ skull or bone osteoma + skin fibroma + family history +ve = Gardner syndrome Good Luck

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *March 2023 online course ( 15 days ) for PACES MRCP (UK).* We will start from *15 March and finish on 31 March.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday 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 492* 👈 *Few pearls about Diarrhea* Bleeding per rectum + loss of weight + history of acromegaly = cancer colon . Good Luck

👉 *IMPORTANT 491* 👈 *Few pearls about Diarrhea* Bleeding per rectum + AF + metabolic acidosis = Ischemic colitis . Good Luck

👉 *IMPORTANT 493* 👈 *Few pearls about Diarrhea* Bleeding per rectum + perioral pigmentation = peutz Jepgh syndrome Good Luck