pace your MRCP-PACES

*IMPORTANT 148* *Some drugs causing acute pericarditis* procainamide hydralazine penicillin isoniazid paceUrMRCP.

*IMPORTANT 147* *Certain drugs causing myocarditis* Cyclophosphamide trastuzumab penicillin chloramphenicol sulfonamides methyldopa spironolactone phenytoin carbamazepine paceUrMRCP.

greetings dear coalleagues I hope you find this group helpful to you regarding your academics. This group is meant for MRCP Part 2 specially however we do have separate groups for MRCP Part 1 and MRCP PACES so if any colleague is doing MRCP Part 1 or MRCP PACES please let me know by a personal message we can add them in respective groups Thanks for joining Good luck

*IMPORTANT 146* *Modified Duke criteria for infective endocarditis* *Major criteria* : Positive blood culture: • Typical organism in 2 separate cultures or • Persistently +ve blood cultures, eg 3 >12h apart (or majority if >3) or • Single positive blood culture for Coxiella burnetii. • Endocardium involved: . Positive echocardiogram (vegetation, abscess, pseudoaneurysm, dehiscence of prosthetic valve) or • Abnormal activity around prosthetic valve on PET/CT or SPECT/CT or • Paravalvular lesions on cardiac CT. *Minor criteria* : • Predisposition (cardiac lesion; IV drug abuse). • Fever >38°C • Vascular phenomena (emboli, Janeway's lesions, etc.). • Immunological phenomena (glomerulonephritis, Osler's nodes, etc.). • Positive blood culture that does not meet major criteria. *How to diagnose* : Definite infective endocarditis: 2 major or 1 major and 3 minor or all 5 minor criteria. paceUrMRCP.

*IMPORTANT 145* Please remember Fever + new murmur = endocarditis until proven otherwise paceUrMRCP.

*IMPORTANT 144* *Heart and Thyrotoxicosis* You may find in Thyrotoxicosis: Tachycadia AF ± emboli Wide pulse pressure Hyperdynamic apex Loud heart sounds Ejection systolic murmur Pleuro pericardial rub Angina high-output cardiac failure paceUrMRCP.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Javeria* For passing PACES MRCP UK from Pakistan We wish her the best for her future.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Adan* For passing PACES MRCP UK from Pakistan We wish her the best for her future.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Aisha* For passing PACES MRCP UK from Pakistan We wish her the best for her future.

*✌✌ HEARTIEST CONGRATULATIONS ✌✌* To *Dr Mehwish Touseef* For passing PACES MRCP UK from Pakistan We wish her the best for her future.

*IMPORTANT 143* *Heart and Systemic Sclerosis* You may find in Systemic Sclerosis: Pericarditis Pericardial effusion Myocardial fibrosis Myocardial ischaemia Conduction defects Ccardiomyopathy paceUrMRCP.

*IMPORTANT 142* *Heart and Systemic Lupus Erythematosus* You may find in Systemic Lupus Erythematosus: Pericarditis/effusion Myocarditis Libman–Sacks endocarditis Mitral valve prolapse Coronary arteritis paceUrMRCP.

*IMPORTANT 141* *Heart and Sarcoidosis* You may find in Sarcoidosis: Complete AV due Infiltrating granulomas Ventricular or supraventricular tachycardia Myocarditis CCF restrictive cardiomyopathy. ECG may show Q waves paceUrMRCP.

*IMPORTANT 140* *Heart and Rheumatoid Arthritis* You may find in Rheumatoid Arthritis: Conduction defects Pericarditis LV dysfunction Aortic regurgitation paceUrMRCP.

*IMPORTANT 139* *Heart and Polyarteritis nodosa* You may find in Polyarteritis nodosa : Small and medium vessel vasculitis Angina Myocardial Infarction Arrhythmias Congestive cardiac Failure Pericarditis Conduction defects. paceUrMRCP.

*IMPORTANT 138* *Heart and Noonan syndrome ( common in some centers )* You may find in Noonan syndrome: Atrial Septal Defect Pulmonary stenosis paceUrMRCP.

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*Announcement for Online Session No 100* *17 Sep 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 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 : 4 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 ( 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 this session has been selected. GOOD LUCK.