pace your MRCP-PACES

*👉 IMPORTANT 399👈* *Few surgical measures in COPD mangement* Bullectomy & Lung resection to increase compliance Good Luck.

*👉 IMPORTANT 398👈* *Few pharmacological measures in COPD mangement* Antibiotics to treat infections. Controlled O2 therapy. Bronchodilators. Steroids & Nebs in exacerbations BIPAP if in acute Type II RF not responding to medical therapy. LTOT if PO2 < 7.3 KPa or between 7.3-8 Kpa with Pulmonary HTN,Polycythemia, Nocturnal hypoxia. Good Luck.

*👉 IMPORTANT 397👈* *Ideal Pulmonary Function tests in obstructive lung diseases :* FEV1 < 80%, FEV1/FVC < 70% Good Luck.

*👉 IMPORTANT 396👈* *Few CXR findings in COPD :* Hyperlucency, Horizontal ribs, depressed Copulae of diaphragm, Ribbon shaped heart Good Luck.

*👉 IMPORTANT 395👈* *Few signs of CO2 retention* Collapsing pulse Warm peripheries Flapping tremors Palmar erythema Good Luck.

*👉 IMPORTANT 394👈* Please remember that most of the chest signs will be more evident on the back. Good Luck.

*👉 IMPORTANT 393👈* A lot of candidates forget to count the respiratory rate which is very important in a chest case examination Good Luck.

*👉 IMPORTANT 392👈* *On Inspection of the front of chest look for:* Symmetry. Limited expansion. Shape. Scars. Apex of the Heart. Intercostal in drawing. Dilated veins Good Luck.

*👉 IMPORTANT 391👈* *Few causes of decresed Vocal Resonance* Pleural effusion Pneumothorax Lung fibrosis Lobectomy Pneumonectomy Good Luck.

*👉 IMPORTANT 390👈* *Few causes of Increased Vocal Resonance* Consolidation Bronchiectasis Cavitation Mass Lung collapse with mediastinal shift to the side of the lesion. Dense Lung fibrosis Good Luck.

*👉 IMPORTANT 389 👈* *Commom causes to suspect in case you hear Vesicular breathing with prolonged expiration* COPD Asthma Obstructive lung disease Good Luck.

*👉 IMPORTANT 388 👈* *Commom causes to suspect in case you hear bronchial breathing* Consolidation Mass Cavitation Good Luck.

*👉 IMPORTANT 387 👈* *Tip for chest station* Cricoid Sternal distance (Normal >3 fingers breadths) if < 3 =COPD Good Luck.

*👉 IMPORTANT 386 👈* If you find yellow nails in chest station you are probably dealing with Yellow Nail Syndrome so try to find pleural effusion and/or Bronchiectasis Good Luck.

*👉 IMPORTANT 385 👈* If you find sclerodactyly in chest station (thin stretched shiny skin, Curling of Fingers) please try to find lung fibrosis and/or Pulmonary HTN Good Luck.

*👉 IMPORTANT 384 👈* If you see Rheumatoid hands (Z deformity, ulnar deviation, buttoniere, swan neck) in chest station please remember you have to find Basal Lung Fibrosis, Effusion, Bronchiolitis Obliterans. Good Luck.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *June 22 online course ( 15 days ) for PACES MRCP (UK).* We will start from 2 June and finish on 18 June. Active slots available on first come first served basis. Listener slot available too. *60 Important 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.

Due to some unkown reasons my telegram is not working so the messages are posted late, please excuse me for it

*👉 IMPORTANT 383 👈* *Chest inspection in PACES* Intercostals indrawing = Hoover sign COPD Good Luck.

*👉 IMPORTANT 382 👈* *Chest inspection in PACES* Retraction may be due to Fibrosis, Collapse ,Lobectomy and Pneumonectomy Good Luck.