Pre PACES Podcast

Dr Alex Thompson, honorary consultant neurologist at Oxford University Hospitals NHS Trust, joins Sam for today's episode looking at motor neurone disease in PACES. We talk through the history, examination signs, differential diagnoses, investigations and management of this condition and Alex gives us an insight into his current research looking at treating this condition.

04:00 Basics of MND:

13:00 Presenting symptoms

21:30 Examination

27:15 DDx

36:35 Investigations

40:50 - Management

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Sam goes solo this week to perform a full review of the recent RCP Webinar with an update on the PACES 2023 format with some more information and Sam's opinion on some of this new information.

Link found here:

https://www.mrcpuk.org/PACES23Webinar

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Dr Sajini Wijetilleka, acute medical consultant with dual accreditation in endocrine and diabetes, joins Sam this episode to discuss Cushing's syndrome in a PACES setting. As always, we discuss the important symptoms, signs, investigations, management and common examiner questions.

See Sajini's fantastic Sri Lankan food Instagram page here!

Music:

Chase & Superepic by Alexander Nakarada | https://www.serpentsoundstudios.com Music promoted by https://www.free-stock-music.com Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

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This week Sam is joined by consultant neurologist at Southmead Hospital in Bristol, Dr Beth Mallam, who has a sub-specialist interest in functional neurology.

Sam & Beth talk through the difficulties in positively diagnosing this cohort of patients and importantly, some signs which will help you determine whether a seizure is a tonic-clonic seizure or a non-epileptic attack. The website Beth talks about is : https://neurosymptoms.org/en/

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We complete our discussion with Dr Arrianne Laws, looking at the investigations, management and common examiner questions of rheumatoid arthritis.

Listen to more of Arrianne on the Medical Take Podcast!

Music:

Chase & Superepic by Alexander Nakarada | https://www.serpentsoundstudios.com Music promoted by https://www.free-stock-music.com Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

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Consultant Rheumatologist and co-host of the Medical Take podcast, Dr Arrianne Laws, joins Sam on the podcast this week to discuss another PACES classic of rheumatoid arthritis.

Listen to more of Arrianne on the Medical Take Podcast! Click here!

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Dr Time Nye joins Sam on the show this week to discuss a PACES success story with a twist....how does an ACCS anaesthetics trainee, working in a small hospital, as the only person sitting PACES manage to achieve success in the exam? Find out by listening in to Tim's best advice in how he overcame multiple obstacles and achieved success in the MRCP PACES.

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Consultant in Intensive Care and Anaesthetics, Dr Andy Foo joins Sam on the podcast to discuss an essential topic for any budding Medical SpR on-call and that is escalating the sickest patients in the hospital to the highest levels of care. Andy gives a brilliant insight into his thought process as an ICU consultant and also his best advice to take on board when we escalate referrals as the Medical SpR on-call.

Music:

Chase & Superepic by Alexander Nakarada | https://www.serpentsoundstudios.com Music promoted by https://www.free-stock-music.com Attribution 4.0 International (CC BY 4.0) https://creativecommons.org/licenses/by/4.0/

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BEWARE OF THE BIG DOG. Sam was delighted to be joined this week by BIG DOG in the Royal College of Physicians and the first MBE to feature on the show: Dr Aranthakrishnan Raghuram, known affectionately as Raghu, Respiratory medicine consultant at Gloucester & Cheltenham hospitals. This is an absolutely critical station to get right and one of the most common to come up in PACES.

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In our second episode covering hemiparesis, Sam & Dr Paul Sellors, Consultant in Stroke Medicine at Southmead Hospital in Bristol, finish off the discussion on examining our patient as well as covering the pertinent investigations, management steps, presenting your patients and the all important examiner questions.

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