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✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr.Meena* For passing *MRCP UK PART 1* Dr Meena has been a keen member of our part 1 group. Best wishes for your future.

I am sorry,, my telegram sometimes stops working so all messages are delayed

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr.Ahmad* For passing *MRCP UK PART 1* He has been a keen member of our part 1 group. We wish his the best for his future.

*Announcement for Online Session No 68* *24 Sep 2022* 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 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 : 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 ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. The candidates for today,s session have been selected GOOD LUCK.

👉 *IMPORTANT 557* 👈 Please remember JVP does not reflect intravascular volume if there is right-sided heart disease/failure. Good Luck

👉 *IMPORTANT 556* 👈 *Few signs of fluid overload:* High BP, raised JVP, lung crepitations, peripheral oedema, gallop rhythm. Good Luck

👉 *IMPORTANT 555* 👈 *Few signs of Hypovolaemia:* low BP, decreased urine volume, non-visible JVP, poor tissue turgor, rapid pulse, weight loss. Good Luck

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr.Bushra Hossain* For passing *MRCP UK PART 1* She has been a keen member of our part 1 group. We wish her the best for her future.

*Announcement for Online Session No 68* *24 Sep 2022* 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 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 : 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 ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. The candidates for tomorrow,s session have been selected GOOD LUCK.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr.Mahwish Mustafa* *Dr.Mehak Lakhani* *Dr Nabil* *Dr Zakia Zulfiqar* For passing *MRCP UK PART 1* They have been keen members of our part 1 group. We wish them the best for their future.

👉 *IMPORTANT 554* 👈 *Refer in AKI if* AKI not responding to treatment AKI with complications: increased K, acidosis, fluid overload stage 3 AKI AKI with difficult fluid balance (eg hypoalbuminaemia, heart failure, pregnancy) AKI due to possible intrinsic renal disease AKI with hypertension. Good Luck

👉 *IMPORTANT 553* 👈 *Scoring systems for liver cirrhosis* For many years the Child-Pugh classification was used to classify the severity of liver cirrhosis. However, in recent years the Model for End-Stage Liver Disease (MELD) has been increasingly used, particularly patient's who are on a liver transplant waiting list Good Luck

👉 *IMPORTANT 552* 👈 In WPW avoid : (ABCD) Adenosine Beta blockers Calcium channel blockers Digoxin. Good Luck

👉 *IMPORTANT 550* 👈 Avoid contact sports for 8 weeks in Infectious Mononucleosis. Good Luck

👉 *IMPORTANT 550* 👈 Avoid contact sports for 8 weeks in Infectious Mononucleosis. Good Luck

👉 *IMPORTANT 549* 👈 *Pharmacology pearls important for clinical judgement* Avoid Diclofenac in AIP (Ibuprofen is safe). Good Luck

👉 *IMPORTANT 548* 👈 *Pharmacology pearls important for clinical judgement* Avoid smoking and radio-iodine treatment in Thyroid Eye Disease Good Luck

👉 *IMPORTANT 547* 👈 *Pharmacology pearls important for clinical judgement* Avoid antioxidant supplements in smokers Good Luck

👉 *IMPORTANT 546* 👈 *Pharmacology pearls important for clinical judgement* Avoid Amiodarone in TCA overdose. Good Luck