pace your MRCP-PACES

Announcement for Online Session No 107 17 Dec 2023 WE WILL NOT RECORD THIS SESSION DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : Tomorrow we will have an online session on Zoom discussing 1 Communication Station regarding our preparation for MRCP PACES ( UK ) and MRCPI ( Ireland ) 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 : 3 00 pm Libya : 3 00 pm Bahrain : 4 00 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 00 pm UAE : 5 00 pm UK : 1 00 pm Ireland ( Dublin ) : 1 00 pm Afghanistan : 5 30 pm Kenya : 4 00 pm Germany ( Berlin ) : 2 00 pm Nigeria : 2 00 pm Japan ( Tokyo ) : 10 00 pm Denmark : 2 00 pm Qatar : 4 00 pm Oman : 5 00 pm Italy : 2 00 pm Indonesia : 8 00 pm Mauritius : 5 00 pm Iraq : 4 00 pm Texas Usa : 8 00 am Kuwait : 4 00 pm Sri Lanka : 6 30 pm Somalia : 4 00 pm Zimbabwe : 3 00 pm China ( Beijing ) : 9 00 pm Australia ( Sydney) : 12 00 am ( 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 263 * Some *intra-hepatic causes of portal hypertension Cirrhosis (80% in UK) Schistosomiasis (commonest worldwide) Sarcoid Myeloproliferative diseases paceUrMRCP.

* IMPORTANT 262 * Please remember : The commonest pre-hepatic cause of portal hypertension is Thrombosis (portal or splenic vein). paceUrMRCP.

* IMPORTANT 261 * *Few common causes of Upper GIT bleeding* in exam • Peptic ulcers • Mallory–Weiss tear • Oesophageal varices • Gastritis/gastric erosions • Drugs (NSAIDS, aspirin, steroids,thrombolytics, anticoagulants) • Oesophagitis • Duodenitis • Malignancy paceUrMRCP.

* IMPORTANT 260 * *Few lifestyle measures in GERD* : Weight loss Smoking cessation Small, regular meals Reduce hot drinks, alcohol, citrus fruits, tomatoes, onions, fizzy drinks, spicy foods, caffeine, chocolate Avoid eating <3h before bed Raise the bed head paceUrMRCP.

* IMPORTANT 259 * *Alarm s* ymptoms in Dyspepsia: *A* naemia (iron deficiency) *L* oss of weight *A* norexia *R* ecent onset/progressive symptoms *M* elaena/haematemesis *S* wallowing difficulty. paceUrMRCP.

* IMPORTANT 258 * *Some info about vomiting* Please remember that : Vomiting preceded by loud gurgling = GI obstruction paceUrMRCP.

✌️✌️ HEARTIEST CONGRATULATIONS ✌️✌️ To Dr Shaima Bashir For passing PACES MRCP ( UK ) from UK. We wish her the best for her future.

* IMPORTANT 258 * *Some info about vomiting* Please remember that : Vomiting preceded by loud gurgling = GI obstruction paceUrMRCP.

* IMPORTANT 257 * *Some info about vomiting* Please remember that : Vomiting that relieves pain = Peptic Ulcer paceUrMRCP.

* IMPORTANT 256 * *Timing and vomiting* Please remember that : Vomiting 1 hour post food = Gastric stasis/ gastroparesis ( DM can be a cause ) paceUrMRCP.

* IMPORTANT 255 * *Timing and vomiting* Please remember that : Early morning vomiting = Increased intracranial pressure ( it may be due pregnancy in females ) paceUrMRCP.

* IMPORTANT 254 * *Some info about vomiting* Please remember that : Coffee grounds like vomitus may indicate Upper GIT bkeeding. paceUrMRCP.

* IMPORTANT 253 * *Some info about dysphagia* Please remember that the intermittent dysphagia can be due to oesophageal spasm. paceUrMRCP.

* IMPORTANT 252 * *Some info about dysphagia* Please remember painful swallowing (odynophagia) can be due to ulceration (malignancy, oesophagitis, viral infection or Candidasis in immunocompromised, or poor steroid inhaler technique) or spasm. paceUrMRCP.

* IMPORTANT 251 * *Some info about dysphagia* Always ask about difficulty to initiate a swallowing movement, if yes suspect bulbar palsy. Patient may give history of coughs on swallowing. paceUrMRCP.

* IMPORTANT 250 * *Some info about dysphagia* If dysphagia is more for Solids then liquids please suspect a stricture (benign or malignant) as a cause. paceUrMRCP.

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