pace your MRCP-PACES

*👉 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* . Good luck.

👉 *IMPORTANT 227* 👈 *Result of water deprivation test in nephrogenic DI* No increase in urine osmolality after desmopressin Good luck.

👉 *IMPORTANT 226* 👈 *Result of water deprivation test in cranial DI* Urine osmolality increases to >600mOsmol/kg after desmopressin 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 Good luck.

👉 *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 Good luck.

ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *Jan 2023 online course ( 15 days ) for PACES MRCP (UK).* We will start from *2 Jan and finish on 18 Jan.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 100 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: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

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

👉 *IMPORTANT 222* 👈 *Extraintestinal manifestation of Hepatitis B* Polyarteritis nodosa Glomerulonephritis Nephrotic syndrome Arthritis dermatitis syndrome Palpable purpura Good luck.

👉 *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. Good luck.

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ANNOUNCEMENT Hello n salam everyone We are pleased to announce admissions for our *Jan 2023 online course ( 15 days ) for PACES MRCP (UK).* We will start from *2 Jan and finish on 18 Jan.* *Active slots available on first come--first served basis.* Listener slot available too. *Atleast 100 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: 00923346036496. Email: drtanzeelbukhari@gmail.com GOOD LUCK.

*Announcement for Online Session No 76* *26 Dec 2022* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Today we will have an online session on Zoom discussing 1 station 4 ( Communication Skills )* regarding our preparation for MRCP PACES ( UK ) ( We will not be able to record the session so please make sure that you attend it ) 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 : 1 00 pm Ireland ( Dublin ) : 1 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 ( 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.

The candidate for tomorrow's session has been selected. Good luck every one

*Announcement for Online Session No 76* *26 Dec 2022* DEAR DOCTORS : MAY I HAVE YOUR ATTENTION PLEASE : *Tomorrow we will have an online session on Zoom discussing 1 station 4 ( Communication Skills )* regarding our preparation for MRCP PACES ( UK ) ( We will not be able to record the session so please make sure that you attend it ) 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 : 1 00 pm Ireland ( Dublin ) : 1 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 ( 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 slot GOOD LUCK.

👉 *IMPORTANT 220* 👈 Always try to rule out MEN 1 in a case of Acromegaly. Good luck.

👉 *IMPORTANT 219* 👈 *Some info about Irritable Bowel Syndrome ( IBS ) :* Please remember that the following must be frequently excluded in diagnosing IBS: Obstruction IBD Lactose or sorbitol intolerance Malignancy (in older patients or those with family history) Good luck.

👉 *IMPORTANT 218* 👈 *Some info about Irritable Bowel Syndrome ( IBS ) :* *Treatment options* Diet and lifestyle changes (e.g., avoiding dairy products,excess caffeine). For diarrhea try diphenoxylate,loperamide. For constipation try colace, psyllium, cisapride. For abdominal pain try antispasmodics (e.g., pinaverium, trimebutine, peppermint oil, cimetropium/dicyclomine), , rifaximin. antidepressants may help. Good luck.

✌️✌️ *HEARTIEST CONGRATULATIONS* ✌️✌️ To *Dr Yew* For passing *PACES MRCP UK* from Malaysia. He was with us in our batch for online prepration for PACES in Nov 21. We wish him the best for his future.