pace your MRCP-PACES

*Good news* From today onwards our Zoom meetings will allow unlimited members in every session So there will be no inconvenience in joining. Previously the limit was 100 members in each meeting so in every meeting some coalleagues were unable to join , so now this issue is solved and all of you can join. Good luck

DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Today we will have an online session on Zoom discussing 2 station 5 ( BCC 1 n 2 )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 3 pm Pakistan : 5 pm Bangladesh : 6 pm India : 5 30 pm Singapore : 8 pm Hong Kong : 8 pm Malaysia : 8 pm Egypt : 2 pm Libya : 2 pm Bahrain : 3 pm Burma ( Myanmar ) : 6 30 pm Sudan : 2 pm UAE : 4 pm UK : 12 00 pm Ireland ( Dublin ) : 12 00 pm Afghanistan : 4 30 pm Kenya : 3 00 pm Germany ( Berlin ) : 1 00 pm Nigeria : 1 00 pm ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. Candidates for this session have been selected GOOD LUCK.

*Examination scheme for CTS in a glance by courtesy of Dr Urvashi.. Thanks a lot Dr*

*Good news for Sunday 15 May Session* From today onwards our Zoom meetings will allow upto 500 members in every session So there will be no inconvenience in joining. Previously the limit was 100 members in each meeting so in every meeting some coalleagues were unable to join , so now this issue is solved and all of you can join. Good luck

*Nerves distribution in arm by courtesy of Dr Urvashi.. Thanks a lot Dr*

paceUrMRCP-PACES A platform for learning https://t.me/paceUrMRCP_PACES

DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Tomorrow we will have an online session on Zoom discussing 2 station 5 ( BCC 1 n 2 )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 3 pm Pakistan : 5 pm Bangladesh : 6 pm India : 5 30 pm Singapore : 8 pm Hong Kong : 8 pm Malaysia : 8 pm Egypt : 2 pm Libya : 2 pm Bahrain : 3 pm Burma ( Myanmar ) : 6 30 pm Sudan : 2 pm UAE : 4 pm UK : 12 00 pm Ireland ( Dublin ) : 12 00 pm Afghanistan : 4 30 pm Kenya : 3 00 pm Germany ( Berlin ) : 1 00 pm Nigeria : 1 00 pm ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. Candidates for this session have been selected GOOD LUCK.

*Nerves distribution in hand by courtesy of Dr Urvashi.. Thanks a lot Dr*

*A brief approach to Hypercalcemia by courtesy of Dr Urvashi. Thanks a lot Dr*

*A summary of Hypercalcemia management by courtesy of Dr Urvashi. Thanks a lot Dr*

*A summary of Hypercalcemia by courtesy of Dr Urvashi. Thanks a lot Dr*

*Info by courtesy of Dr Urvashi. Thanks alot Dr* The most common cause of acanthosis nigricans is being very overweight. Other causes include: type 2 diabetes conditions that affect hormone levels – such as Cushing's syndrome, polycystic ovary syndrome or an underactive thyroid taking certain medicines – including steroids or hormone treatments like the contraceptive pill rarely, cancer – usually stomach cancer rarely, a faulty gene inherited from your parents Sometimes healthy people with no other conditions get acanthosis nigricans. This is more common in people with black or brown skin. The patches should fade over time once the cause is treated. Try to maintain stable weight Depending on the cause,we may give medicine to balance your hormones medicine to balance your insulin levels changing your medicine to one that does not cause the patches There's no specific treatment for the patch.

*👉 IMPORTANT 321 👈* *LFTs in Ischaemic Hepatitis though rare in PACES* ALT extremely raised with raised LDH Good luck.

*👉 IMPORTANT 320 👈* *LFTs in cholestasis predominant liver injury* ALP and GGT are markedly raised While AST and ALT are mildly raised Good luck.

*👉 IMPORTANT 319 👈* *LFTS in Alcoholic liver disease:* AST/ALT ratio is typically 2:1 or more. When the history is not reliable, normal ALP, raised GGT, and macrocytosis suggest this condition. Good luck.

*👉 IMPORTANT 318 👈* *Tests of hepatic function* Serum albumin Serum bilirubin PT (INR). Good luck.

*👉 IMPORTANT 317 👈* *Tests of hepatocellular injury or cholestasis* *Aminotransferases:* (AST, ALT) Released in the bloodstream after hepatocellular injury. ALT is more specific for hepatocellular injury (but also expressed in kidney and muscle). AST is also expressed in the heart, skeletal muscle, and RBCS. *Alkaline phosphatase:* May originate from liver, bone (so raised in growing children) or placenta. *Gamma-glutamyltransferase* (GGT): Present in liver, pancreas, renal tubules, and intestine—but not bone, so it helps tell if a raised ALP is from bone (GGT = normal) or liver (GGT = increased). It is not specific to alcohol damage to the liver. Good luck.

*👉 IMPORTANT 316 👈* Combined symptoms from Respiratory system and Liver in a young adult should prompt your brain towards alpha 1 antitrypsin defeciency which has appeared in PACES Good luck.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Amitava Chatterjee* For passing *PACES MRCP ( UK )* from India ( Kolkata) . Dr Amitava has been a keen member of our PACES group. We wish him the best for his future.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Amitava Chatterjee* For passing *PACES MRCP ( UK )* from India ( Kolkata) . Dr Amitava has been a keen member of our PACES group. We wish her the best for her future.