pace your MRCP-PACES

Announcement for Online Session No 108 31 Dec 2023 WE WILL NOT RECORD THIS SESSION DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : Todahy we will have an online session on Zoom discussing 1 Clinical Consultation 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. The Candidate for today’s session has been selected. GOOD LUCK.

Heartiest congratulations To Dr Dr Farhan Mustafa. For passing MRCP 2 WRITTEN. He has been a keen member of our WhatsApp group for MRCP 2 Preparation. We wish him the best for his future.

Announcement for Online Session No 108 31 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 Clinical Consultation 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 candidates may send a personal message to take the case. GOOD LUCK.

*IMPORTANT 294* *Few Hs for Pheochromocytomas:* HTN Hyperglycemia Hypermetabolism Hyperhidrosis Headache paceUrMRCP.

* IMPORTANT 293 * *The nephrotic syndrome is a triad of:* • proteinuria >3g/24h • hypoalbuminaemia • oedema. paceUrMRCP.

* IMPORTANT 292 * *Following the renal biopsy Bed rest for a minimum of 4h Monitor pulse, BP, symptoms, and urine colour. Do not discharge home until macroscopic haematuria settled. Aspirin or warfarin can be restarted the next day if procedure uncomplicated. paceUrMRCP.

* IMPORTANT 291 * *Few complications after renal transplan Surgical: Bleed, thrombosis, infection, urinary leaks, hernia. Graft rejection : Acute or chronic. Infection: Increased risk of all infections. Malignancy: Increased risk of cancer with immunosuppression, particularly skin, post-transplant lymphoproliferative disorder (PTLD), and gynaecological. CVD. paceUrMRCP.

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

* IMPORTANT 290 * *Few contraindications for renal transplant • Absolute: cancer with metastases. • Temporary: active infection, HIV with viral replication • Relative: congestive heart failure, cardiovascular disease. paceUrMRCP.

* IMPORTANT 289 * *CAGE questions for Alcholism* Ever felt you ought to *cut down* on your drinking? Have people *annoyed* you by criticizing your drinking? Ever felt *guilty* about your drinking? Ever had an *eye-opener* in the morning? Those answering ‘yes’ to ≥2 may be exhibiting dependency paceUrMRCP.

* IMPORTANT 288 * *Few manifestations of Alcholism in Reproduction Testicular atrophy Decreased testosterone/progesterone Increased oestrogen Fetal acohol syndrome. paceUrMRCP.

* IMPORTANT 287 * *Few manifestations of Alcholism in Heart Arrhythmias Increased BP Cardiomyopathy Sudden death in binge drinkers paceUrMRCP.

* IMPORTANT 286 * *Few manifestations of Alcholism in blood Increased MCV Anaemia from: marrow depression, GI bleeding, alcoholism-associated folate deficiency, haemolysis; sideroblastic anaemia paceUrMRCP.

* IMPORTANT 285 * *Few GIT manifestations of Alcholism Obesity Gastric erosions Peptic ulcers Varices Pancreatitis (acute or chronic) 0esophageal rupture paceUrMRCP.

* IMPORTANT 284 * *Few CNS manifestations of Alcholism Self neglect Impaired memory/cognition Cortical atrophy Retrobulbar neuropathy Fits Falls Wide-based gait Neuropathy Confabulation/Korsakoff ’s ± Wernicke’s encephalopathy paceUrMRCP.

* IMPORTANT 283 * *While remember while prescribing in Liver failure* Avoid drugs that constipate (increased risk of encephalopathy),oral hypoglycaemics, and saline-containing IVIs. Warfarin effects are enhanced. paceUrMRCP.

* IMPORTANT 282 * *Few medicines causing jaundice* Antimalarials Paracetamol overdose Isoniazid Rifampicin Pyrazinamide Monoamine oxidase inhibitors Sodium valproate Halothane Statins Flucloxacillin Fusidic acid Co-amoxiclav Nitrofurantoin Steroids Sulfonylureas Prochlorperazine Chlorpromazine paceUrMRCP.

* IMPORTANT 281 * In any case of Jaundice for history never forget to ask: About blood transfusions IV drug use Body piercing Tattoos Sexual activity Travel abroad Jaundiced contacts Family history Alcohol use ( abuse ) and all medications paceUrMRCP.

* IMPORTANT 280 * *Carcinoid syndrome* *Few Symptoms and signs:* Bronchoconstriction Paroxysmal flushing especially in upper body Diarrhoea CCF (tricuspid incompetence and pulmonary stenosis) paceUrMRCP.

* IMPORTANT 279 * *Few causes of chronic pancreatitis* Alcohol Smoking Autoimmune Cystic fibrosis Haemochromatosis Pancreatic duct obstruction (stones/tumour) paceUrMRCP