Pre PACES Podcast

👋🏻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/prepacespodcast 🙏🏻As ever, thanks for listening!

@DrBenLovell @RCPEdin Congratulations to you both! This is such a valuable educational resource!

Very happy to announce the Home of Medicine has a new home, as an @RCPEdin podcast! As usual, each episode is an interesting case from the medical take, where we work through to get the diagnosis (or not!), focusing on clinical reasoning New episode ⤵️ open.spotify.com/episode/4oIBi4…

@timricketts_ @Dr_SamWilliams Thanks Tim, you're too kind! So glad you found the podcast helpful & huge congratulations on your pass!

Also, huge shoutout to @Dr_SamWilliams and his @prepacespodcast The soundtrack to my commute, my cooking, running and everything in between. An amazing resource that I really relied on A coffee is coming your way

For the past 3 months, my girlfriend has said that there have been three people in our relationship. Not any more Dr Tim Ricketts MBChB MSc…. MRCP PACES ✅

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

🌟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/5i7o1ENPU…

‼️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!

@JoshGahir Best of luck Josh! You got this! 🤝

It’s PACES eve and I’ve had about 74 wees already. God help my nervous bladder tomorrow 🥲

🌟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/5JHdSx…

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-paces-…

@AmieBurbridge @DrBenLovell We discussed how to look after yourself, as well as your team recently! ⬇️ - Take breaks as a team if possible (especially on night shifts) - Be approachable & enable your team to work at their peak capability - Find small pockets of teaching open.spotify.com/episode/2bA0cU…

Looking for some advice 😊😄 I’m running a session on how to be a med reg and was hoping the med regs on X could help 🩺 What top tip would you give to new medical registrars? 🩻 What are the key do’s and don’ts of being a med reg on call? 🩺 @DrBenLovell #MedEd #MedTwitter

‼️Happy Monday listeners! 🎉An exciting milestone to announce!! 🎧300,000 total downloads! Thank you all for listening!

‼️Another splendid episode coming to your podcast feeds tomorrow listeners! Here's your clue: 🟡 Yep that's all you're getting!

🎂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/prepacespodcast 🎈🎉Happy birthday Sam!🎂🥳

@NJL_Blancq @mrseleanorohara 🙋‍♂️Guest has been sourced and confirmed willingness! 📌Just need to pin down a record date and it will be out!

@mrseleanorohara @prepacespodcast Gonna second this request pls 🤞

Multitasking mat leave style, thanks @prepacespodcast 😂

🗣️Dysphagia🗣️ Management of suspected oesophageal malignancy: - Refer to upper GI MDT - Staging CT - Confirm histological diagnosis - Ensure nutrition is addressed - dietetics opinion

🗣️Dysphagia🗣️ Achalasia...gold star stuff here for your examiners 🌟Gold standard diagnostic test is oesophageal manometry

🗣️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

🗣️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

🗣️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

🗣️Dysphagia🗣️ ✋Hands, 😀 Face, 💪 Arms - Is there clubbing? - Any conjunctival pallor? - Palpate for lymph nodes - especially Virchow's node!