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Join Dr Latif Rahman and myself today as we discuss an examiners perspective on the PACES clinical examinations stations and preparation tipsThis episode will cover;🩺 Exam format and linked marking📚 Preparing through everyday clinical work🤝 Making the most of practice partners💡 Improving your examination techniqueWhat’s your biggest PACES preparation challenge right now? Tell us below 👇#PACES #MRCPPACES #ClinicalExamination #MedicalEducation #Memcast

In this episode we discuss the key distinguishing features of eczema from other scaly rashes and work through a case of eczema herpeticum.

In this episode of MEMcast, we delve further into intrinsic renal disease, exploring the role of urine dipstick testing in differentiating intrinsic renal pathology from other causes of acute kidney injury. We take a practical approach to interpreting urinary findings, identifying when further immunological investigations are indicated, and understanding when a kidney biopsy should be considered to establish a diagnosis and guide management. We hope this episode will improve your understanding of intrinsic renal disease, strengthen your clinical reasoning and make your approach to investigating AKI more confident and systematic.

This is episode 313 of MEMCast. In this week's episode we speak to Dr Meshva Amin an ST4 Geriatrics trainee on her experiences stepping up the role of medical registrar and how to navigate leading the acute medical take as a new med reg.

In this episode of Memcast, we are joined by Dr Ambrose, Consultant Neurologist at Queen’s Medical Centre, Nottingham, to work through a practical approach to peripheral neuropathy. We discuss how to phenotype neuropathy before investigating it, using the clinical history and examination to distinguish patterns such as length-dependent polyneuropathy, demyelinating and axonal neuropathies, mononeuritis multiplex, GBS, CIDP and inherited neuropathies such as Charcot–Marie–Tooth disease.

In this episode, we discuss key skin findings that can be clues to potential connective tissue disease. Conditions discussed include sarcoidosis, dermatomyositis and systemic lupus erythematosus.

In this episode of MEMcast, we explore intrinsic kidney disease, both as a distinct disorder and as part of the continuum. We discuss how to differentiate pre-renal, intrinsic and post-renal causes of AKI, the clinical features that should raise suspicion of intrinsic renal disease, and important clues.

In this episode of MEMcast, we delve deeper into secondary hyperparathyroidism in chronic kidney disease, taking a practical approach to its investigation and management, including phosphate control, vitamin D therapy, calcimimetics and parathyroidectomy. We also explore the key differences between primary, secondary and tertiary hyperparathyroidism, and the biochemical and clinical features that help distinguish between them.

In this episode of MEMcast, we explore secondary hyperparathyroidism in chronic kidney disease, a common but sometimes challenging complication of CKD. We break down why PTH rises as kidney function declines, explore the relationship between calcium, phosphate, vitamin D and PTH, and discuss how to recognise, investigate and manage these abnormalities in clinical practice.

Dr Sanjida Chowdhury, a neurology registrar is walking us through an approach to papilloedema

During this weeks episode of pleural infection, Dr Thomas Bond is joined by Dr Mayurun Selvan, a Respiratory Consultant in lister hospital. The pair take a deep dive into diagnosis and management, discussing prognostic scoring and how to treat refractory patients! Don't forget to tune in! 🎧

In this episode, we take a practical approach to the management of anaemia in chronic kidney disease. We discuss the principles of treatment, and key considerations in patient care. We also explore erythropoiesis-stimulating agents (ESAs) and hypoxia-inducible factor prolyl hydroxylase inhibitors (HIF-PHIs), including their mechanisms of action, indications, contraindications, and how to apply current guidance in everyday clinical practice.

Dr Sanjida Chowdhury, Neurology Registrar takes us through the approach to a patient with first fit

Join us as we explore anaemia of chronic kidney disease. We explore what it means and the varied pathophysiological mechanisms that drives this disorder. We also talk about practical ways of approaching diagnosis.

Dr Shahar Khan joins us to simplify the understanding of cardiorenal syndrome. We’ll discuss its management in both acute and chronic phases, including effective diuresis and medications that offer significant survival benefits for these patients.