Dr Phil Berry, consultant hepatologist at Guy's & St Thomas's is Sam's next expert guest on the podcast to discuss another HUGE PACES station that comes up time and time again - chronic liver disease. This is absolutely essential for your PACES preparation. In this episode, Sam and Phil cover the examination of your patient, the presentation to the examiner and the differential diagnosis!

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The second part of Sam's chat with Dr Paul Sellors covers thrombectomy, hyperacute stroke theory and then ANOTHER up to date chat on the updated National Clinical Guideline for Stroke. We cover the important updates in the guidelines published in 2023 on thrombectomy, posterior strokes and wake-up strokes. Essential listening for anyone expected to cover the thrombolysis calls whether in-hours or out-of-hours!

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We welcome another fantastic returning guest in the form of Dr Paul Sellors, consultant in stroke medicine at North Bristol Hospital NHS Trust. Sam and Paul discuss tricky cases in Stroke medicine including stroke mimics, the modified Rankin score, the NIHSS, thrombolysis and thrombectomy! Plenty to unpack in this episode so sit back and enjoy!

03:00 Basic stroke nomenclature and physiology

11:00 Thrombolysis and stroke assessment

22:20 Seizure activity and stroke

28:00 Contraindications to thrombolysis

38:00 Calling the Stroke Consultant

42:00 Digression: BP control in stroke

47:30 Digression: Glucose control in stroke

50:00 Wake-up strokes

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Dr Tom Minton, neurology registrar in the Severn deanery joins Sam again in this episode of the podcast to discuss Bell's palsy including the important differentials and the critical management steps to take.

09:00 Presentation

14:30 Examination

19:20 Differential diagnosis

27:45 Management

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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!

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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!

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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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