pace your MRCP-PACES

*👉 IMPORTANT 471👈* *Few Complications Of Peg Tube Insertion* Hemorrhage Perforation Peritonitis Pneumonia Occlusion Displacement Good Luck

*👉 IMPORTANT 470👈* *Few Indications for Surgery of crohn,s disease* Persistent Symptoms Despite High Dose Steroids Toxic Megacolon Strictures Intractable Fistula Perforation Or Cancer Good Luck

*👉 IMPORTANT 469👈* *Common causes of Inherited Chronic Haemolytic Anemia* Spherocytosis (Autosomal dominant ) Thalassemia (Autosomal recessive ) Sickle cell Anemia ( Autosomal Recessive ) Good Luck

ANNOUNCEMENT Hello n salam everyone Regarding our *June-July 2022 online course for PACES MRCP (UK) ( duration 15 days ).* starting from *21 June* till *7 July* Only *3 Active slots available* are available ( time 7 pm KSA time ) Listener slot available too. Interested candidates may send a personal message for details. WhatsApp No: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*👉 IMPORTANT 469👈* *Common causes of Inherited Chronic Haemolytic Anemia* Spherocytosis (Autosomal dominant ) Thalassemia (Autosomal recessive ) Sickle cell Anemia (X Linked Recessive ) Good Luck

*👉 IMPORTANT 468👈* *Complications Of Thalassemia* Complications Of the treatment ( chelating agents ) Corneal deposits,sensory-neural hearing loss, Renal failure, arthropathy, agranulocytodsis Good Luck

*👉 IMPORTANT 467👈* *Complications Of Thalassemia* Complications Of the blood transfusion Infections (HBV, HCV, HIV) Secondary hemochromatosis Cardiomyopathy Diabetes mellitus (pancreas) Diabetes insipidus (pituitary)=Polyuria Liver cirrhosis Good Luck

*👉 IMPORTANT 466👈* *Complications Of Thalassemia* Complications Of The Disease Skeletal deformities Severe Anemia Heart failure Gall stones Good Luck

*👉 IMPORTANT 465👈* *Causes of Tender Hepatomegaly* Acute Viral hepatitis Budd-Chiari syndrome Congestive cardiac failure Malignancy Tricuspid regurgitation (pulsatile) Good Luck

*👉 IMPORTANT 464👈* *Tip for station 2 ( History taking )* When the scenario involves a patient with a known disease that presents with uncontrolled symptoms, noncompliance with currently prescribed medications can be a common differential that you have to explore in detail during the consultation. Good Luck

*👉 IMPORTANT 463👈* Always mention to avoid contact supports in a case of APKD. Good Luck

*👉 IMPORTANT 462👈* *Ultrasound diagnostic criteria in people with positive family history of ADPKD* • < 30 years old: at least two unilateral or bilateral cysts (consider rescanning after 30 years old if criteria not met) • 30–60 years old: two cysts in each kidney • > 60 years old: more than four cysts in each kidney. Good Luck

*👉 IMPORTANT 461👈* *possible differentials for bilateral palpable kidneys* Bilateral hydronephrosis Amyloidosis Renal cell carcinoma Bilateral kidney cysts Tuberous sclerosis Von Hippel Lindau. Good Luck

*👉 IMPORTANT 460👈* *Few complications of APKD* Cysts in other organs (liver) Anaemia Abdominal pain (if a cyst bleeds or gets infected) Aneurysms in brain Mitral valve prolapse Polycythaemia Good Luck

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *June-July 2022 online course ( 15 days ) for PACES MRCP (UK).* We will start from *21 June and finish on 7 July.* Active slots available on first come first served basis. Listener slot available too. *60 Important/Recent exam cases will be practiced and discussed as we do in our weekly general sessions.* After the performance 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 459👈* *Few complications of renal transplant* 1. Infection: • More prone to usual bacterial infections. • Cytomegalovirus, Pneumocystis pneumonia. 2. Malignancies: • Post-transplant lympho-proliferative disease. • Skin-cancer-like squamous cell carcinoma. Good Luck.

*👉 IMPORTANT 458👈* *Tip for a case of renal transplant* For the complications of the end-stage renal failure look for • Signs of anaemia • Signs of hyperparathyroidism • Scars from parathyroidectomy. Good Luck.

*👉 IMPORTANT 457👈* *Tip for a case of renal transplant* For signs of immunosuppression look for • Gum hypertrophy • Cushingoid signs • Skin warts (papillomas) • Hand tremors. Good Luck.

*👉 IMPORTANT 456👈* *Tip for a case of renal transplant* For the previous RRT modes look for • Scars on the chest from previous sites of vascular access • Unused or nonfunctioning fistulas on the arms • Abdominal scars from previous peritoneal dialysis Good Luck.

*👉 IMPORTANT 455👈* *Tip for a case of renal transplant* To comment that the graft is (or is not) working Comment on signs of uraemia the patient is euvolaemic or oedematous, and If there are other current alternative methods of RRT Good Luck.