pace your MRCP-PACES

*Announcement for Online Session No 105* *3 Dec 2023* *WE WILL NOT RECORD THIS SESSION* 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 ) 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 ( 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.

*Announcement for Online Session No 105* *3 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 ( 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 234 * Please remember ICD might be considered as a Jargon by some examiners so please avoid using it. Always tell the patient DEVICE MAINTAINING HEART RHYTHM paceUrMRCP.

* IMPORTANT 233 * Please remember GLUCOMETER might be considered as a Jargon by some examiners so please avoid using it. Always tell the patient DEVICE MEASURING SUGAR paceUrMRCP.

* IMPORTANT 232 * Please remember ESOPHAGUS might be considered as a Jargon by some examiners so please avoid using it. Always tell the patient: Problem in your FOOD PIPE paceUrMRCP.

* IMPORTANT 231 * Please remember : *ARTERY/ARTERIES/VEIN/VEINS/BLOOD VESSELS* might be considered as a Jargon by some examiners so please avoid using it. Always tell the patient: Problem in your *BLOOD CONDUITS/BLOOD CHANNELS* paceUrMRCP.

* IMPORTANT 230 * Please remember : *TRANSIENT ISCHEMIC ATTACK ( TIA )* might be considered as a Jargon by some examiners so please avoid using it. Always tell the patient: You had a *MINI STROKE* paceUrMRCP.

* IMPORTANT 229 * Please remember : *BRONCHUS/BRONCHI* might be considered as a Jargon by some examiners so please avoid using it. Always tell the patient: Problem in your *AIRWAY/AIRWAYS* . paceUrMRCP.

* IMPORTANT 228 * Please remember : TRACHEA might be considered as a Jargon by some examiners so please avoid using it. Always tell the patient: Problem in your WINDPIPE . paceUrMRCP.

IMPORTANT 227 Result of water deprivation test in nephrogenic DI No increase in urine osmolality after desmopressin paceUrMRCP.

IMPORTANT 226 Result of water deprivation test in cranial DI Urine osmolality increases to >600mOsmol/kg after desmopressin paceUrMRCP.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our Dec 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI . We will start from 29th of Nov and finish on 19th of Dec 2023. 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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*IMPORTANT 225* *Common causes of Nephrogenic Diabetes Inspidus* •Inherited. •Metabolic: low potassium, high calcium •Drugs: lithium, demeclocycline •Chronic renal disease. •Post-obstructive uropathy paceUrMRCP.

*IMPORTANT 224* *Common causes of cranial Diabetes Inspidus* •Idiopathic •Congenital: defects in ADH gene, DIDMOAD. •Tumour (may present with DI + hypopituitarism): craniopharyngioma, metastases, pituitary tumour. •Trauma: DI is usually temporary after trauma •Hypophysectomy. •Autoimmune hypophysitis •Infiltration: histiocytosis, sarcoidosis •Vascular: haemorrhage. •Infection: meningoencephalitis paceUrMRCP.

*IMPORTANT 223* *Extraintestinal manifestation of Hepatitis C* Essential mixed cryoglobulinemia Peripheral neuropathy Porphyria cutanea tarda Lymphoma Autoimmune phenomenon Peripheral nephropathy Diabetes mellitus paceUrMRCP.

*IMPORTANT 222* *Extraintestinal manifestation of Hepatitis B* Polyarteritis nodosa Glomerulonephritis Nephrotic syndrome Arthritis dermatitis syndrome Palpable purpura paceUrMRCP.

*IMPORTANT 221* Some signs of Acromegaly Increased growth of hands ( may be spade-like), jaw and feet (sole may encroach on the dorsum). Coarsening face; wide nose. Big supraorbital ridges. Macroglossia (big tongue). Widely spaced teeth. Puffy lips, eyelids, and skin (oily and large-pored); also skin tags. Scalp folds (cutis verticis gyrata; due to expanding but tethered skin). Skin darkening. Acanthosis nigricans. Laryngeal dyspnoea (fixed cords). Obstructive sleep apnoea. Goitre ( increased thyroid vascularity). Proximal weakness + arthropathy. Carpal tunnel signs in 50%. Signs from any pituitary mass: hypopituitarism ± local mass effect ( reduced vision; hemianopia); fits. paceUrMRCP.

*IMPORTANT 220* Always try to rule out MEN 1 in a case of Acromegaly. paceUrMRCP.

Lets start again

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our Dec 2023 online course ( 15 days ) for PACES MRCP (UK) new pattern PACES23 and CLINICAL EXAM MRCPI . We will start from 29th of Nov and finish on 19th of Dec 2023. 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: +923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.