pace your MRCP-PACES

☝️ *IMPORTANT 34* ☝️ Please remember For station 2 n 5 In a case of *antiphospholipid antibody syndrome conventional anticoagulants ( heparin and warfarin ) are still preferred for anticoagulation* otherwise now a days NOACS are preferred for anticoagulation whenever required. Good luck.

☝️ *IMPORTANT 33* ☝️ Please remember *CONTRACEPTIVE PILLS* ( ANY TYPE ) might be considered as a Jargon by some of the examiners so be careful while using it in exam and always say *BIRTH CONTROL PILLS* to your patient  Good luck.

☝️ *IMPORTANT 32* ☝️ Please remember For station 2 n 5 *Medicine history* is very important in all cases but it becomes more important when you have *calcium disorders* So always keep in mind that *THIAZIDE DIURETICS* can cause *HYPERCALCEMIA* If you find your patient is having high calcium levels and he is taking thiazide diuretics then you have to adress it, otherwise you loose marks in clinical judgement. Good luck.

☝️ *IMPORTANT 31* ☝️ Please remember For station 2 n 5 *Medicine history* is very important in all cases but it becomes more important when you have *calcium disorders* So always keep in mind that *LOOP DIURETICS* can cause *HYPOCALCEMIA* Good luck.

☝️ *IMPORTANT 30* ☝️ Please remember *DIURETICS* ( ANY CLASS ) might be considered as a Jargon by some of the examiners so be careful while using it in exam and always say *WE WILL GIVE YOU WATER PILLS OR ARE YOU USING ANY WATER PILLS* to your patient  Good luck.

*☝️ IMPORTANT 29 ☝️* *For clinical stations :* Please remember : *Duration of treatment for pulmonary embolism* may vary according to clinical presentation of the patient and consultant opinion but the general rules are as follows *For Provoked PE* : 3 months and then reassess risk to benefit profile (depends on whether risk factor persists) *For Unprovoked PE* : treatment is usually continued for > 3 months (people with no identifiable risk factor) *For PE in Malignancy* : continue anticoagulation for 6 months or until cure of cancer *For PE in Pregnancy* : anticoagulation is continued until delivery/end of pregnancy Good luck.

*☝️ IMPORTANT 28 ☝️* *For clinical stations :* Please remember : *Modified two level PE Wells score* *Feature* Clinical signs and symptoms of DVT (leg pain and pain on deep palpation of veins) 3 Heart rate > 100 beats per minute 1.5 Recently bed-ridden (> 3 days) or major surgery (< 4 weeks ) 1.5 Previous DVT or PE 1.5 Haemoptysis 1 Cancer receiving active treatment, treated in last 6/12 , palliative 1 An alternative diagnosis is less likely than PE 3 *Score more than 4 PE likely, score less than 4 PE unlikely* Good luck.

*☝️ IMPORTANT 27 ☝️* *For clinical stations :* Please remember : *Modified two level PE Wells score is not used for suspicion of Pulmonary embolism in pregnant women* . *Women presenting with symptoms and signs suggestive of an acute PE* should have an electrocardiogram ( *ECG* ) and a chest X-ray ( *CXR* ) performed. In women with suspected PE who also have *symptoms and signs of DVT, lower limb duplex ultrasound and Doppler ultrasound of illiac veins* should be performed. If this confirms the presence of DVT, no further investigation is necessary and treatment for VTE should continue. In women with suspected PE and/or abnormal chest X ray ( even without symptoms and signs of DVT ) either *CTPA* or *a V/Q Scan* should be performed. However when the chest X-ray is abnormal CTPA is preferred over V/Q scan. There is risk of radiation exposure with both of them but the risk associated with missing the diagnosis of PE are far more than it. Ideally, informed consent should be obtained before these tests are undertaken. Decision to start *prophylactic anticoagulants* in pregnancy depends upon the clinical presentation and should be discussed with senior consultants, *D-dimer testing is not usually suggested in the investigations of acute VTE/PE  in pregnancy as they are often raised.*  Good luck.

👉 *IMPORTANT 498* 👈 *Few chest symptoms for history taking* Chest pain Shortness of breath Coughing Phlegm production (Sputum production) What Color is it? How frequent? Amount? Coughing blood Noisy chest (wheezing) Sore throat (URTI) Runny nose Snoring (Upper airway obstruction/OSA) Good Luck

👉 *IMPORTANT 497* 👈 *Few cardiology symptoms for history taking* Chest pain Racing heart Shortness of breath 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) Good Luck

👉 *IMPORTANT 496* 👈 *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 Good Luck

Here is the recording of today's session. Please try to listen the recording in 1 day as Zoom provides limited space and it automatically deletes the old recordings to keep space for new ones ..so the recording will not be available after 1 day☝️☝️☝️

yxpc7Uf+

Plz join

566894

*Announcement for Online Session No 65* *28 August 2022* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Today we will have an online session on Zoom discussing 2 station 5 ( BCC )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 4 pm Pakistan : 6 pm Bangladesh : 7 pm India : 6 30 pm Singapore : 9 pm Hong Kong : 9 pm Malaysia : 9 pm Egypt : 3 pm Libya : 3 pm Bahrain : 4 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 pm UAE : 5 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 ( please Google for your local time zones to avoid any inconvenience ) Zoom meeting link will be shared 5 minutes before start time. The candidated for this session have been selected. GOOD LUCK.

*Announcement for Online Session No 65* *28 August 2022* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Tomorrow we will have an online session on Zoom discussing 2 station 5 ( BCC )* regarding our preparation for MRCP PACES ( UK ) TIMINGS : Saudia Arabia: 4 pm Pakistan : 6 pm Bangladesh : 7 pm India : 6 30 pm Singapore : 9 pm Hong Kong : 9 pm Malaysia : 9 pm Egypt : 3 pm Libya : 3 pm Bahrain : 4 pm Burma ( Myanmar ) :7 30 pm Sudan : 3 pm UAE : 5 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 ( 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 message to take the case. GOOD LUCK.

👉 *IMPORTANT 495* 👈 *Few causes Of Epigastric Mass* Carcoma of Stomach (Virchow's) Carcinoma of Pancreas (Courvoisier sign; enlarged gall bladder) Lymphoma Left Lobe Of The Liver Abdominal Aortic Aneurysm Good Luck