pace your MRCP-PACES

ANNOUNCEMENT Hello and salam everyone. We are pleased to announce admissions for our May 2024 online course ( 15 days ) for PACES MRCP (UK) and CLINICAL EXAM MRCPI . We will start from 13th of May 24 and finish on 31st of May 24. Active slots available on first come--first served basis. Listener slot available too. At least 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions. After the performance detailed feedback will be given to elaborate on the weak skills. It is equally beneficial for those who are beginners or have exams in coming diet. Interested candidates may send a personal message for details. WhatsApp No: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

👉 *IMPORTANT 539* 👈 *Pharmacology pearls important for clinical judgement* Avoid Colchicine in gout if Crcl <10 ml/min. paceUrMRCP.

👉 *IMPORTANT 538* 👈 *Pharmacology pearls important for clinical judgement* Avoid Statins in rhabdomyolysis paceUrMRCP.

👉 *IMPORTANT 537* 👈 *Pharmacology pearls important for clinical judgement* Avoid Intraarticular steroids in patients with Sickle cell anemia. paceUrMRCP.

👉 *IMPORTANT 536* 👈 *Pharmacology pearls important for clinical judgement* Avoid Lactulose to treat constipation in IBS. paceUrMRCP.

👉 *IMPORTANT 535* 👈 *Pharmacology pearls important for clinical judgement* Avoid Vitamin C supplementation in hemochromatosis paceUrMRCP.

👉 *IMPORTANT 534* 👈 *Pharmacology pearls important for clinical judgement* Avoid Verapamil in SVT with RBBB paceUrMRCP.

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ANNOUNCEMENT Hello and salam everyone. We are pleased to announce admissions for our May 2024 online course ( 15 days ) for PACES MRCP (UK) and CLINICAL EXAM MRCPI . We will start from 13th of May 24 and finish on 31st of May 24. Active slots available on first come--first served basis. Listener slot available too. At least 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions. After the performance detailed feedback will be given to elaborate on the weak skills. It is equally beneficial for those who are beginners or have exams in coming diet. Interested candidates may send a personal message for details. WhatsApp No: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

Announcement for Online Session No 117 5 May 2024 DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE: Today we will have an online session on Zoom discussing 1 Communication Station regarding our preparation for MRCP PACES ( UK ) and MRCPI ( Ireland ) WE WILL NOT RECORD THIS SESSION The Candidate for today’s session has been selected. 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 : 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 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) : 11 00 pm Burundi : 3 00 pm Rwanda : 3 00 pm Morocco : 1 00 pm French Guiana : 10 00 am ( Please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. GOOD LUCK.

Announcement for Online Session No 117 5 May 2024 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 ) WE WILL NOT RECORD THIS SESSION The Candidate for tomorrow’s session has been selected. 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 : 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 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) : 11 00 pm Burundi : 3 00 pm Rwanda : 3 00 pm Morocco : 1 00 pm French Guiana : 10 00 am ( Please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. GOOD LUCK.

ANNOUNCEMENT Hello and salam everyone. We are pleased to announce admissions for our May 2024 online course ( 15 days ) for PACES MRCP (UK) and CLINICAL EXAM MRCPI . We will start from 13th of May 24 and finish on 31st of May 24. Active slots available on first come--first served basis. Listener slot available too. At least 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions. After the performance detailed feedback will be given to elaborate on the weak skills. It is equally beneficial for those who are beginners or have exams in coming diet. Interested candidates may send a personal message for details. WhatsApp No: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

ANNOUNCEMENT Hello and salam everyone. We are pleased to announce admissions for our May 2024 online course ( 15 days ) for PACES MRCP (UK) and CLINICAL EXAM MRCPI . We will start from 13th of May 24 and finish on 31st of May 24. Active slots available on first come--first served basis. Listener slot available too. At least 90 Important exam cases ( including recent diets cases ) will be practiced and discussed as we do in our weekly Sunday sessions. After the performance detailed feedback will be given to elaborate on the weak skills. It is equally beneficial for those who are beginners or have exams in coming diet. Interested candidates may send a personal message for details. WhatsApp No: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

👉 *IMPORTANT 533* 👈 *Pharmacology pearls important for clinical judgement* Avoid Beta blockers in treating Cocaïne induced chest pain or Acute MI paceUrMRCP.

👉 *IMPORTANT 531* 👈 *Pharmacology pearls* Avoid Nitrates, ACE inhibitors and Inotropes in HOCM paceUrMRCP.

👉 *IMPORTANT 530* 👈 *Important steps in management of AKI* Treat sepsis Stop nephrotoxic medication—NSAIDS, ACE-i, ARB, aminoglycosides Stop drugs that may increase complications: diuretics (especially K+-sparing), metformin, antihypertensives Check all drug dosages are appropriate for renal impairment Consider gastroprotection (H2 antagonist, PPI) and nutritional support Avoid radiological contrast paceUrMRCP.

👉 *IMPORTANT 529* 👈 *Important investigations in AKI* Urine dipstick (pre-catheter) and quantification of any proteinuria. Haematuria/proteinuria may suggest intrinsic renal disease USS within 24 hours (unless cause obvious or AKI improving). Small kidneys (<9cm) suggest CKD. Asymmetry may suggest renal vascular disease Check liver function (hepatorenal) Check platelets—if low need blood fi lm to check for haemolysis (HUS/TTP) Investigate for intrinsic renal disease if indicated: immunoglobulins, paraprotein, complement, autoantibodies (ANA, ANCA, anti-GBM) paceUrMRCP.

👉 *IMPORTANT 528* 👈 Please monitor in AKI • Fluid balance—consider urinary catheter and hourly urine output • K+ —check response to treatment and at least daily until creatinine falls • Observations—minimum every 4 hours • Lactate if signs of sepsis • Daily creatinine until starts decreasing (the levels lag ~24 hours behind clinical response) paceUrMRCP.