pace your MRCP-PACES

IMPORTANT 183 Autoimmune polyendocrine syndrome 1 Autosomal recessive Features: Addison's disease. Chronic mucocutaneous candidiasis. Hypoparathyroidism. Also associated with hypogonadism, pernicious anaemia, autoimmune primary hypothyroidism, chronic active hepatitis, vitiligo, alopecia. paceUrMRCP.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI . We will start from 09th of Oct and finish on 27/28th Oct 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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI . We will start from 09th of Oct and finish on 27/28th Oct 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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

Dear coalleagues I regret to inform you that our session for tomorrow will not be possible due to some other commitments. Our next session will be on 14th Oct. I am sorry for any inconvenience.

👉 IMPORTANT 182 👈 MEN-2b: Has similar features to MEN-2a plus mucosal neuromas and Marfanoid appearance, but no hyperparathyroidism. Mucosal neuromas consist of 'bumps' on: lips, cheeks, tongue, glottis, eyelids. paceUrMRCP.

IMPORTANT 181 MEN-2a: • Thyroid: medullary thyroid carcinoma (seen in ~100%). Adrenal: phaeochromocytoma ( usually benign and bilateral). Parathyroid hyperplasia. paceUrMRCP.

IMPORTANT 180 MEN-1: • Parathyroid hyperplasia/adenoma • Pancreas endocrine tumours—gastrinoma or insulinoma, or, rarely, somatostatinoma (DM + steatorrhoea + gallstones/cholangitis), VIPoma or glucagonomas ( migrating rash; glossitis; cheilitis, anaemia; reduced weight; increased plasma glucagon; increased glucose). • Pituitary prolactinoma or GH secreting tumour (acromegaly ); also, adrenal and carcinoid tumours may be associated. paceUrMRCP.

*ANNOUNCEMENT* Hello n salam everyone We are pleased to announce admissions for our *Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI .* We will start from *09th of Oct and finish on 27/28th Oct* *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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

Thanks for your message. I am sending you the details. It contains all the info, please read it carefully, it contains most of the queries , confirm your routine and timings and let me know me about your suitable batch if you are interested. We will start on 09 th of Oct 2023 and end on 27/28 th of Oct 2023.There will be 5 to 7 sessions per week. If a session is missed due to any reason then that will be covered on any weekend. Each session will last for 2 30 to 3 00 hours There will be 12 candidates ( active participants ) divided I'm 2 batches of 6 candidates each. The course will cover long clinical consultations and communication stations of the PACES ( UK ) new pattern PACES23. Its equally helpful for Irish PACES too. Every candidate will perform one case daily. So a total of 6 cases will be discussed daily. We will make a schedule for equal distribution of case among the candidates. Atleast 90 recent or/and important exam cases will be discussed, there will be 45 long clinical consultations and 45 communication stations practiced and discussed exactly as we do in our weekly session Listener slots also available. Total sessions 15 through online Zoom meeting. Batch A Time : 3 00 pm KSA time ( Kingdom of Saudi Arabia ) Daily sessions but Saturday Sundays will be off. Batch B Time : 7 00 pm KSA time ( Kingdom of Saudi Arabia ) Our batch B will start from 14 Oct and finish on 28 Oct. Daily consective 15 sessions ( No Off ). Please Google your time zone to avoid any inconveneince The candidates may exchange or replace their slots with each other according to their duty schedules. If some one is busy he/she can send a message in the group and ask any one else to take his/her slot in advance in replacement.However while finalising the schedule we will also consider busy days of the candidates. A detailed review of performance with mistakes pointed out in the end. After every scenario a comprehensive discussion about examiners expectations in the scenario and important points not to be missed in the scenario, followed by a detailed review of the topic as we do in our weekly sessions. Fee for active participant : 200 USD or equivalent local currency which ever easier to send, sent through bank transfer or Western Union, money gram or online transfer through credit card or visa debit card ( it will require a valid email Id) Fee for listeners : 100 USD or equivalent currency, whichever easier to send, sent through bank transfer or Western Union,money gram or online transfer through credit card or visa debit card.( it will require a valid email Id) Please confirm your slot as soon as possible. Limited slots. First come first get. Recording of every session will be available for 1 day as zoom offers limited space and it auto deletes old recordings for new ones Good luck..

IMPORTANT 179 Hypothyroidism and pregnancy Pregnancy problems in hypothyroidism may include Eclampsia, anaemia, prematurity, birthweight, stillbirth, PPH. paceUrMRCP.

IMPORTANT 178 Some associations of Hypothyroidism Type 1 DM Addison's, disease Pernicious Anemia Turner's and Down's syndromes Cystic fibrosis Primary biliary cholangitis paceUrMRCP.

IMPORTANT 177 *Some drugs causing hypothyroidism Antithyroid drugs Amiodarone Lithium Iodine. paceUrMRCP.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI . We will start from 09th of Oct and finish on 27/28th Oct 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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

IMPORTANT 176 Some causes of diffuse goitre • Physiological • Graves’ disease • Hashimoto’s thyroiditis • Subacute (de Quervain’s) thyroiditis (painful). paceUrMRCP.

IMPORTANT 175 Signs of Graves’ disease: 1 Eye disease: exophthalmos, ophthalmoplegia. 2 Pretibial myxoedema: oedematous swellings above lateral malleoli. 3 Thyroid acropachy: extreme manifestation, with clubbing, painful finger and toe swelling, and periosteal reaction in limb bones. paceUrMRCP.

IMPORTANT 174 Please never miss to screen for thyroid abnormality in the following : Patients with atrial fibrillation. Patients with hyperlipidaemia (4–14% have hypothyroidism). Diabetes mellitus—on annual review. Women with type 1 DM during 1st trimester and post delivery (3-fold rise in icidence of postpartum thyroid dysfunction) Patients on amiodarone or lithium (6 monthly). Patients with Down’s or Turner’s syndrome, or Addison’s disease (yearly) Pt with worsening of heart failure [hyper/hypothyroidism] Pt with CNS symptoms like chorea / dementia / CTS Pt with chronic fatigue Pt with chronic diarrhea [routine work up for IBS] Pt with Osteoporosis [esp if early] paceUrMRCP.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our Oct 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI . We will start from 09th of Oct and finish on 27/28th Oct 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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*IMPORTANT 173* 3 important causes of Hypoglycaemia with Hyperinsulinaemia : insulinoma Sulfonylureas Insulin injection paceUrMRCP.

*IMPORTANT 172* *Whipple’s triad of hypoglycemia Symptoms or signs of hypoglycemia + decreased plasma glucose + resolution of symptoms or signs post glucose rise. paceUrMRCP.

*IMPORTANT 171* Please remember *Ataxia* is considered as a jargon by most of the examiner so don,t use it, always ask your patient that do you have any *unsteadiness of your gait.* paceUrMRCP.