pace your MRCP-PACES

✌️✌️ HEARTIEST CONGRATULATIONS ✌️✌️ To 1.Dr Chia 2 Dr Ghulam For passing PACES MRCP ( UK ). We wish them the best for their future.

👉 *IMPORTANT 487* 👈 *Few pearls about Diarrhea* Diarrhoea+ perianal fistula or skip lesions+ more constitutional symptoms as compared to diarrhea = Crohn's disease . paceUrMRCP.

👉 *IMPORTANT 486* 👈 *Few pearls about Diarrhea* Bloody diarrhea + positive P ANCA = Ulcerative Colitis paceUrMRCP.

👉 *IMPORTANT 485* 👈 *Some GIT symptoms important for history taking* Tummy pain (Abdominal pain) Feeling sick (nausea) Heart burn (Reflux) Difficulty swallowing (Dysphagia) Painful swallowing (Odynophagia) Vomiting (Throwing up) How frequent do you open your bowels Lose motions (Diarrhea) Is it easy to flush it down (Steatorrhea) Vomiting of blood (Hematemesis) Bleeding with back passage (Hematochezia) Pain with the back passage Passing black Tarry Offensive motions (Melena) Swollen tummy (Distended abdomen) Yellowish discoloration of the eye white (Jaundice) Change in color of motions; Paller Or Darker. paceUrMRCP.

👉 *IMPORTANT 484* 👈 *Some Chest symptoms important for history taking* Chest pain Shortness of breath Coughing Phlegm production (Sputum production) What Color is it? How frequent? Amount? Coughing up blood (Hemoptysis) Noisy chest (wheezing) Sore throat (URTI) Runny nose Snoring (Upper airway obstruction/OSA) paceUrMRCP.

👉 *IMPORTANT 483* 👈 *Some Cardiology symptoms important for history taking* Chest pain (Cardiac or non-cardiac) Racing heart (Palpitations) Shortness of breath (Dyspnea) Left side heart failure symptoms (Shortness of breath on lying flat (orthopnea), waking up from sleep short of breath needing to sit up (paroxysmal nocturnal dyspnea) Low Cardiac output symptoms (dizziness , headaches , leg cramps ,black outs or funny turns) Right side heart failure symptoms (pain in tummy (right hypochondrium), swollen legs) paceUrMRCP.

👉 *IMPORTANT 482* 👈 Please remember that the main cause of mortality in ESRD is Cardio-vascular diseases paceUrMRCP.

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

✌️✌️ HEARTIEST CONGRATULATIONS ✌️✌️ To Dr Lau Wen Jie For passing PACES MRCP ( UK ) from Malaysia. We wish him the best for his future.

✌️✌️ HEARTIEST CONGRATULATIONS ✌️✌️ To Dr H.Kumara For passing PACES MRCP ( UK ). We wish him the best for his future.

✌️✌️ HEARTIEST CONGRATULATIONS ✌️✌️ To 1.Dr Akheri Parvin 2 Dr Seema 3.Dr Geetha 4.Dr Darshini For passing PACES MRCP ( UK ). We wish them the best for their future.

✌️✌️ HEARTIEST CONGRATULATIONS ✌️✌️ To Dr Syed Najam Al Hassan Shah For passing PACES MRCP ( UK ) from Pakistan. We wish him the best for his future.

✌️✌️ HEARTIEST CONGRATULATIONS ✌️✌️ To Dr Umair For passing PACES MRCP ( UK ) from Pakistan. We wish him the best for his future.

✌️✌️ HEARTIEST CONGRATULATIONS ✌️✌️ To 1.Dr Rakhwin Sandhu 2. Dr Raymond Madzivanyika 3.Dr Nabeel 4.Dr Sidra Aslam 5.Dr Narendra 6.Dr Rashmy Arun 7.Dr Sandhya 8.Dr Narayanee Rajasekaran 9.Dr Ismail Fawaz For passing PACES MRCP ( UK ). We wish them the best for their future.

👉 *IMPORTANT 481* 👈 *Few causes of masses in Rt. Illiac Fossa* Illeocecal T.B Carcinoma caecum Lymphoma Appendicular abscess Neoplasia of ovary Ileal carcinoid Pelvic kidney Transplanted kidney Crohns disease paceUrMRCP.

👉 *IMPORTANT 480* 👈 *Few causes of epigastric mass* Carcinoma of Stomach (Virchow`s) Carcinoma of Pancreas (Courvoisier sign; enlarged gall bladder) Lymphoma Left Lobe Of The Liver Abdominal Aortic Aneurysm paceUrMRCP.

👉 *IMPORTANT 479* 👈 *Few causes of mass in lt. Iliac fossa* Transplanted kidney Carcinoma of colon Neoplasia Lt. Ovary Fecal Mass paceUrMRCP.

👉 *IMPORTANT 478* 👈 *The Complications of Renal Replacement Therapy* *Complications Of Renal Transplantation* Cardiovascular Complications Graft Rejection Immuno-Suppressants Complications Recurrent Infections Malignancy Specific Complications for Cytotoxic medications Steroids : D.M, Osteoprosis CNIs: Hyperkalaemia, Hypertrichiosis, Post Transplant D.M., Graft Fibrosis mTORs: Delayed wound healing, Hypercholesterolaemia Antiprolefratives: Anaemia, Bone Marrow depression paceUrMRCP.

👉 *IMPORTANT 477* 👈 *The Complications of Renal Replacement Therapy* *Complications Of Peritoneal Dialysis* Peritonitis Tube Related Problems Peritoneal Membrane Dysfunction EPS (Encapsulating Peritoneal Sclerosis) paceUrMRCP.

👉 *IMPORTANT 476* 👈 *The Complications of Renal Replacement Therapy* *Complications Of Hemodialysis* Cardiovascular complications e.g. Ischaemic heart disease, Heart failure, Arrhythmias Vascular access Problems/Failure Hypotension Life Style Intolerance paceUrMRCP.