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*Announcement for Online Session No 81* *12 Feb 2023* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Tomorrow we will have an online session on Zoom discussing 1 station 2 ( History taking )* 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 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 433👈* *Face and Neck in Abdominal station* Tattoes = CLD Good Luck.

*👉 IMPORTANT 432👈* *Face and Neck in Abdominal station* Spider Nevi = CLD Good Luck.

*👉 IMPORTANT 431👈* *Face and Neck in Abdominal station* Jaundice = CLD , Chronic Hemolytic Anemia Good Luck.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *Feb-March 2023 online course ( 15 days ) for PACES MRCP (UK).* We will start from *20 Feb and finish on 8 March.* *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: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*👉 IMPORTANT 430👈* *Face and Neck in Abdominal station* SLE Rash = Autoimmune hepatitis, Renal Failure Good Luck.

*👉 IMPORTANT 429👈* *Face and Neck in Abdominal station* Cushingoid Face = Steroids Use = Auto-Immune Hepatitis , Sarcoidosis , Renal Transplant Cushing`s Syndrome Good Luck.

*👉 IMPORTANT 428👈* *Face and Neck in Abdominal station* Temporalis Wasting = CLD Good Luck.

*👉 IMPORTANT 427👈* *Face and Neck in Abdominal station* Parotid Enlargement = CLD, Sarcoidosis Good Luck.

*👉 IMPORTANT 426👈* *Obese patient in PACES* Cushing Syndrome/disease Acromegaly Hypothyroidism PCO Down syndrome Laurance moon Biedl Good Luck.

*👉 IMPORTANT 425👈* Please remember Dextrocardia +Bronchiectasis = Kartagner,s syndrome Good Luck.

*👉 IMPORTANT 424👈* *Please remember about cystic fibrosis* Autosomal recessive Chloride channel abnormality CFTR gene on chromosome 7 Sweat test = Chlorine > 60 mmol Good Luck.

*👉 IMPORTANT 423👈* If you find Short Stature + Bronchiectasis + signs of chronic pancreatitis+ infertility + Signs of diabetes then suspect Cystic Fibrosis. Good Luck.

*👉 IMPORTANT 422👈* *Few Causes Of Lung Collapse* Post-surgical Pneumothorax Pleural effusion Enlarged L.Ns (Lymphoma) Bronchial Carcinoma Mucous Plug Good Luck.

*👉 IMPORTANT 421👈* *Causes of Lobectomy/Pneumonectomy* Lung cancer (NSLC) Solitary pulmonary nodule of unknown cause Pulmonary adenoma causing hemoptysis Emphysema Bronchiectasis resistant to treatment Or localized T.B in old times Abscess ABPA Pulmonary infarcts Good Luck.

*👉 IMPORTANT 420👈* *Rheumatoid Arthritis and Lungs* Pulmonary nodules Obliterative bronchiolitis Lung fibrosis (basal fine end inspiratory crackles) Pleurisy Pleural effusion Good Luck.

*👉 IMPORTANT 419👈* *Differential diagnosis of dullness at Lung bases on percussion* Pleural Effusion (Vocal Resonance Is Decreased) Pleural Thickening (Vocal Resonance Is Normal ) Raised Copula Of Diaphragm (Abdominal Distension) Fibrosis Bronchiectasis Collapse Consolidation Good Luck.

*👉 IMPORTANT 418👈* *Few Causes of Pleural effusion ( Transudate )* Hypoalbuminemia Renal Failure Nephrotic Syndrome Heart Failure Meigs Syndrome (Ovarian Fibroma) Mal-Absorption Syndrome Hypothyroidism Good Luck.

*👉 IMPORTANT 417👈* *Few Causes of Pleural effusion ( Exudate )* Parapneumonic Effusion T.B. Empyema Malignancy RA SLE Acute Pancereatitis Yellow Nail Syndrome Good Luck.

*👉 IMPORTANT 416👈* Please remember Stony dullness percussion note on chest percussion = pleural effusion ( most likely in exam ) Good Luck.