pace your MRCP-PACES

👉 *IMPORTANT 131* 👈 *Heart and Down’s syndrome* You may find in Down’s syndrome: ASD VSD Mitral regurgitation Good luck.

👉 *IMPORTANT 130* 👈 *Heart and Cushing’s syndrome* You may find in Cushing’s syndrome: Hypertension. Good luck.

👉 *IMPORTANT 129* 👈 *Heart and Carcinoid syndrome* You may find in Carcinoid syndrome: Tricuspid regurgitation Pulmonary stenosis Good luck.

👉 *IMPORTANT 128* 👈 *Heart and Behçet’s disease* You may find in Behçet’s disease : Aortic regurgitation Arterial and/or venous thrombi. Good luck.

👉 *IMPORTANT 127* 👈 *Heart and Ankylosing Spondylitis* You may find in Ankylosing Spondylitis. Conduction defects AV block Aortic regurgitation. Good luck.

👉 *IMPORTANT 126* 👈 *Heart and Acromegaly* You may find in Acromegaly High BP LVH Hypertrophic cardiomyopathy High-output cardiac failure Coronary artery disease. Good luck.

👉 *IMPORTANT 125* 👈 *Some signs of Aortic Regurgitation* Collapsing (water-hammer) pulse Wide pulse pressure Displaced, hyperdynamic apex beat High-pitched early diastolic murmur (heard best in expiration, with patient sat forward) Good luck.

👉 *IMPORTANT 124* 👈 *Aortic stenosis and sclerosis* Aortic sclerosis is a senile degeneration of the valve. There is an ejection systolic murmur, but no carotid radiation, and normal pulse (character and volume) and S2. Good luck.

👉 *IMPORTANT 123* 👈 *Some signs of Aortic Stenosis:* Slow rising pulse with narrow pulse pressure Heaving, non-displaced apex beat LV heave Aortic thrill Ejection systolic murmur (radiates to the carotids) S1 is usually normal. As stenosis worsens, A2 is increasingly delayed, giving first a single S2 and then reversed splitting. But this sign is rare More common is a quiet A2. In severe AS, A2 may be inaudible (calcified valve). There may be an ejection click or an S4. Good luck.

👉 *IMPORTANT 122* 👈 *Some signs of Mitral Stenosis* Malar flush on cheeks low-volume pulse AF is common Tapping, non-displaced, apex beat palpable S1 RV heave loud S1 Opening snap Rumbling mid-diastolic murmur (heard best in expiration, with patient on left side) Good luck.

Here is the recording of today's session. Please try to listen the recording in 1 day as Zoom provides limited space and it automatically deletes the old recordings to keep space for new ones ..so the recording will not be available after 1 day☝️☝️☝️

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*Announcement for Online Session No 73* *13 Nov 2022* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Today we will have an online session on Zoom discussing 1 station 4 ( Communication Skills )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 4 pm Pakistan : 6 pm Bangladesh : 7 pm India : 6 30 pm Singapore : 9 pm Hong Kong : 9 pm Malaysia : 9 pm Egypt : 3 pm Libya : 3 pm Bahrain : 4 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 pm UAE : 5 pm UK : 1 00 pm Ireland ( Dublin ) : 1 00 pm Afghanistan : 5 30 pm Kenya : 4 00 pm Germany ( Berlin ) : 3 00 pm Nigeria : 2 00 pm Japan ( Tokyo ) : 10 00 pm Denmark : 3 00 pm Qatar : 4 00 pm Oman : 5 00 pm Italy : 3 00 pm Indonesia : 8 00 pm Mauritius : 5 00 pm Iraq : 4 00 pm Texas Usa : 8 00 am ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. The Candidate for this session has been selected. GOOD LUCK.

*Announcement for Online Session No 73* *13 Nov 2022* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Tomorrow we will have an online session on Zoom discussing 1 station 4 ( Communication Skills )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 4 pm Pakistan : 6 pm Bangladesh : 7 pm India : 6 30 pm Singapore : 9 pm Hong Kong : 9 pm Malaysia : 9 pm Egypt : 3 pm Libya : 3 pm Bahrain : 4 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 pm UAE : 5 pm UK : 1 00 pm Ireland ( Dublin ) : 1 00 pm Afghanistan : 5 30 pm Kenya : 4 00 pm Germany ( Berlin ) : 3 00 pm Nigeria : 2 00 pm Japan ( Tokyo ) : 10 00 pm Denmark : 3 00 pm Qatar : 4 00 pm Oman : 5 00 pm Italy : 3 00 pm Indonesia : 8 00 pm Mauritius : 5 00 pm Iraq : 4 00 pm Texas Usa : 8 00 am ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. Interested candidate may send a personal message to take the slot GOOD LUCK.

👉 *IMPORTANT 121* 👈 *Some signs of Mitral Regurgitation:* AF displaced, hyperdynamic apex pansystolic murmur at apex radiating to axilla soft S1 split S2, loud P2 (pulmonary hypertension). Good luck.

👉 *IMPORTANT 120* 👈 *Grading of hypertensive retinopathy* 1.Tortuous arteries with thick shiny walls (silver or copper wiring ) 2.AV nipping (narrowing where arteries cross veins ). 3.Flame haemorrhages and cotton-wool spots. 4. Papilloedema, Good luck.