The Pre PACES Podcast

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 physiology11:00 Thrombolysis and stroke assessment22:20 Seizure activity and stroke28:00 Contraindications to thrombolysis38:00 Calling the Stroke Consultant42:00 Digression: BP control in stroke47:30 Digression: Glucose control in stroke50:00 Wake-up strokes^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

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 Presentation14:30 Examination19:20 Differential diagnosis27:45 Management^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

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 symptoms21:30 Examination27:15 DDx36:35 Investigations40:50 - Management^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

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^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

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! ^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead 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/ Hosted on Acast. See acast.com/privacy for more information.

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/^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

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! ^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead 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/ Hosted on Acast. See acast.com/privacy for more information.

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!^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

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.^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead HERE! * * * Hosted on Acast. See acast.com/privacy for more information.

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.^_^ SUPPORT THE SHOW ^_^> > Access Quesmed HERE! 15% off with discount code: PREPACES15 < <* * *Sign up for PACES Ahead 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/ Hosted on Acast. See acast.com/privacy for more information.