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Pre PACES Podcast @prepacespodcast

Equal doses education & entertaining. @Dr_SamWilliams helps ease the pain of the MRCP PACES medical exam with expert speakers, key knowledge & bad jokes.

Joined September 2020
  • Tweets 1,149
  • Following 46
  • Followers 1,666
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Pre PACES Podcast@prepacespodcast
10 Feb 2022
👋🏻Hey listeners!👋🏻 ♥️Do you love the pod? 🎉Maybe you've become another PACES success story? 🧠Or you've learned something that helped in your own practice? ⬇️Consider an optional, pay-what-you-can donation over at buymeacoffee.com/prepacespod… 🙏🏻As ever, thanks for listening!

Sam from the Pre PACES Podcast is creating podcasts to help you succeed in the MRCP PACES exam!

Welcome to the home of the Pre PACES Podcast. Equal doses educational and entertaining, we ease the pain of the MRCP PACES exam with expert speakers, key knowledge and bad jokes!If you're visiting thi

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Pre PACES Podcast retweeted
DrAshNisbet@drashnisbet
1 Apr 2025
Returning home after another excellent #EHRA2025 congress. As always, an opportunity to catch up with colleagues, collaborators and friends in a beautiful city! The highlights included the Faculty Dinner and the wonderful choir and our registrar Sam Williams winning the runner up prize in the Clinical Cases Awards for his presentation! Already excited for Paris next year! @EHRAPresident @BHIBristol @uhbwNHS @Dr_SamWilliams
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🌟NEW EPISODE KLAXON!🌟 🎊For episode 99 we have welcomed a BIG DOG 🐶 in the world of clinical reasoning and Med Ed: Professor Nicola Cooper! 👨‍⚕️@Dr_SamWilliams & @Cooper00Nicola talk through the pearls & pitfalls of clinical reasoning! ⬇️Listen now! open.spotify.com/show/5i7o1E…

Pre PACES Podcast

Podcast · Sam Williams · The Pre PACES Podcast aims to help you pass the devilishly difficult MRCP PACEs exam. We’ll provide the best expertise from both seasoned consultants who have examined on...

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‼️Happy Sunday listeners! 🎧A brilliant episode coming later today on something hugely applicable to both PACES and critical in our day to day clinical practice! 👨‍⚕️A real boon of a guest too! 👀 Keep your eyes on your podcast feeds!
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🌟NEW EPISODE KLAXON 🌟 @Dr_SamWilliams welcomes along Dr Yezen Samaraiee, neurology SpR to discuss.... 🧠CEREBELLAR SYNDROME 🎧A brilliant episode with tons of learning points for your PACES! ⬇️Listen now! open.spotify.com/episode/5JH…

#98 Cerebellar syndrome

Pre PACES Podcast · Episode

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Pre PACES Podcast retweeted
Luke Austen@lukeausten
30 Sep 2024
Thanks Sam @prepacespodcast for having Josh and I back to chat about Decision Fatigue, surviving the night shift and medical rules for life! shows.acast.com/the-pre-pace…

#97 BAMR: Decision fatigue | Pre PACES Podcast

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‼️Happy Monday listeners! 🎉An exciting milestone to announce!! 🎧300,000 total downloads! Thank you all for listening!
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‼️Another splendid episode coming to your podcast feeds tomorrow listeners! Here's your clue: 🟡 Yep that's all you're getting!
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🎂It's a very special day listeners! 🥳 ☕If you didn't know the best day to buy @Dr_SamWilliams a coffee...today is the day!⬇️ buymeacoffee.com/prepacespod… 🎈🎉Happy birthday Sam!🎂🥳
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🗣️Dysphagia🗣️ Management of suspected oesophageal malignancy: - Refer to upper GI MDT - Staging CT - Confirm histological diagnosis - Ensure nutrition is addressed - dietetics opinion
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🗣️Dysphagia🗣️ Achalasia...gold star stuff here for your examiners 🌟Gold standard diagnostic test is oesophageal manometry
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🗣️Dysphagia🗣️ Alternative investigations...for example the patient won't tolerate or are not suitable for an upper GI endoscopy 🌟 Barium / oral contrast swallow offers live action of the oesophageal motion which can be especially helpful for neuromuscular or anatomical causes
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🗣️Dysphagia🗣️ ☢️Investigations 📷With a history of progressive dysphagia, an upper GI endoscopy should really be your most important diagnostic test 📷 🩸Bloods obviously important: - Microcytic anaemia (or anaemia of chronic disease) - Liver function - Clotting
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🗣️Dysphagia🗣️ 🩺Examination - Consider neck examination or palpation of a neck lump - If suggestion of a neuromuscular causes then may want to focus your examination for a specific diagnosis, e.g. checking for fatiguability in the case of myaesthenia gravis
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🗣️Dysphagia🗣️ ✋Hands, 😀 Face, 💪 Arms - Is there clubbing? - Any conjunctival pallor? - Palpate for lymph nodes - especially Virchow's node!
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🗣️Dysphagia🗣️ 🩺Examination 🛏️End of the bed - Are they cachectic or pale? - Any obvious lymphadenopathy? - Is there obvious abdominal distension? - Is there an obvious neck lump?
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🎉Happy weekend listeners!🎉 😌Take some time to rest and relax, we hope at this point you've settled nicely into your IMT rotations & learning plenty!
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🗣️Dysphagia🗣️ 🏠Social history Predominantly comprises 🚬Smoking 🍺Alcohol consumpton
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🗣️Dysphagia🗣️ ⬇️Drugs associated oesophagitis that may contribute to reflux-related strictures: 💊Bisphosphonates (alendronic acid) 💊Nicorandil (an anti-anginal) 💊Systemic steroid treatment (prednisolone) 💊NSAIDs (though more often gastritis) ❓Can you name any others?
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🗣️Dysphagia 🗣️ 🧠Neuromuscular causes of dysphagia: Motor neurone disease Myaesthenia Gravis Multiple sclerosis Parkinsonism Bulbar palsies Stroke
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🗣️Dysphagia 🗣️ 🍔Ask about what food they are able to tolerate 🚧Typically, mechanical or obstructive causes of dysphagia tend to cause problems with solid food first, before affecting liquids. ⚡️Neuromuscular causes would tend to causes problems with both from the outset
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