pace your MRCP-PACES

*👉 IMPORTANT 722 👈* *HYPERCALCAEMIA 4* *Investigations:* S.calcium S.albumin to calculate total corrected calcium level PTH level Plain Xray abdomen USG of abdomen Investigations of underlying cause, malignancy *paceUrMRCP.*

this is the recording of our todays session, please try to listen it within 24 hours, as zoom allows limited space and after 24 hours it will auto delete this one to free space for others The Zoom is still processing the recording, it may take an hour to be ready. I am sorry for any inconvenience

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*Announcement for Online Session No 92* *25 June 2023* *Last session for current pattern* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Today we will have an online session on Zoom discussing 2 station 5( BCC )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 4 00 pm Pakistan : 6 00 pm Bangladesh : 7 00 pm India : 6 30 pm Singapore : 9 00 pm Hong Kong : 9 00 pm Malaysia : 9 00 pm Egypt : 4 00 pm Libya : 3 00 pm Bahrain : 4 00 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 00 pm UAE : 5 00 pm UK : 2 00 pm Ireland ( Dublin ) : 2 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 Kuwait : 4 00 pm ( 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 case. GOOD LUCK.

*Announcement for Online Session No 92* *25 June 2023* *Last session for current pattern* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Tomorrow we will have an online session on Zoom discussing 2 station 5( BCC )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 4 00 pm Pakistan : 6 00 pm Bangladesh : 7 00 pm India : 6 30 pm Singapore : 9 00 pm Hong Kong : 9 00 pm Malaysia : 9 00 pm Egypt : 4 00 pm Libya : 3 00 pm Bahrain : 4 00 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 00 pm UAE : 5 00 pm UK : 2 00 pm Ireland ( Dublin ) : 2 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 Kuwait : 4 00 pm ( 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 case. GOOD LUCK.

*👉 IMPORTANT 721 👈* *HYPERCALCAEMIA 3* *Important points in history* Past medical history-malignancy Drug history-thiazides, tamoxifen Family history of hypercalcaemia raises the possibility of FHH or MEN. *paceUrMRCP.*

*👉 IMPORTANT 720 👈* *HYPERCALCAEMIA 2* *Clinical feature:* •Nausea, vomiting, constipation Polyuria, polydipsia, nocturia Alteration of mental status, confusion, coma Headache Depression Abdominal pain Renal colic *paceUrMRCP.*

*👉 IMPORTANT 719 👈* *HYPERCALCAEMIA 1* *Cause:* *With normal or elevated parathyroid hormone (PTH) levels-* • Primary or tertiary hyperparathyroidism • Lithium-induced hyperparathyroidism • Familial hypocalciuric hypercalcaemia *With low PTH levels-* • Malignancy (lung, breast, myeloma, renal, lymphoma, thyroid) • Elevated 1,25-dihydroxyvitamin D (vitamin D intoxication, sarcoidosis, human immunodeficiency virus, other granulomatous disease) • Thyrotoxicosis • Paget's disease with immobilisation • Milk-alkali syndrome • Thiazide diuretics *paceUrMRCP.*

Greetings dear Drs I hope this group is helpful to you regarding your academics. This group is meant for MRCP PACES specially however we do have separate groups for MRCP Part 1 and MRCP part 2 so if any colleague is doing MRCP Part 1 or MRCP Part 2 please let me know by a personal message we can add them in respective groups Thanks for joining Good luck

*👉 IMPORTANT 718 👈* *LOWER LIMBS EXAMINATION PUZZLE 11* Extensor plantar response + Absent ankle jerks = Cervical mylopathy, multiple sclerosis, fredrich,s a taxia, subacute combined degeneration of spinal cord , tabes dorsalis. *paceUrMRCP.*

*👉 IMPORTANT 717 👈* *LOWER LIMBS EXAMINATION PUZZLE 10* LMNL+ Intact Sensory modalties = Pure motor neuropathy-- *POLIO*, Diphtheria, AIDP *paceUrMRCP.*

*👉 IMPORTANT 716 👈* *LOWER LIMBS EXAMINATION PUZZLE 9* LMNL + Prox.muscle wasting + Intact distal muscle Power= Muscular dystrophy *paceUrMRCP.*

*👉 IMPORTANT 715 👈* *LOWER LIMBS EXAMINATION PUZZLE 8* LMNL + Severe muscle wasting = Myotonic Dystrophica *paceUrMRCP.*

*👉 IMPORTANT 714 👈* *LOWER LIMBS EXAMINATION PUZZLE 7* LMNL + D.column involvement + Peripheral Neuropathy = Sensorimotor Neuropathy *paceUrMRCP.*

*👉 IMPORTANT 713 👈* *LOWER LIMBS EXAMINATION PUZZLE 6* LMNL + Cerebellar manifestations= Cerebellar Syndrome *paceUrMRCP.*

*👉 IMPORTANT 712 👈* *LOWER LIMBS EXAMINATION PUZZLE 5* UMNL in L.limbs + LMNL in upper limbs=MND ;Syringomyelia:Cervical Myelopathy *paceUrMRCP.*