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Cryoglobulinemia, Cryoglobulinemia Causes, Symptoms & Treatment

Cryoglobulinemia causes  Hep C Myeloma,  Waldenstrom’s macroglobulinemia,  SLE,  Rheumatoid arthritis,  Sjogren’s syndrome,  Symptoms,  Immunoglobulins precipitate when cooled under skin, ulcers, rashes, gangrene, Raynaud’s phenomenon.  Treatment. Plasma exchange,  Chemotherapy,  Treat the cause.
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MTI program Royal College of Physicians UK for International Doctors

  MTI (Mutual Training Initiative) is a program which is sponsored by the Royal College of Physicians UK (all three colleges), you can work in the UK for a period of up to two years.  It has the following requirements; 1. You should have MRCP part 1 passed (minimum requirement) 2. You must have got the required score in the IELTS or OET           a. For IELTS the required score is minimum 7.0 in all subcategories (reading, listening, writing and speaking) and an overall score of 7.5.           b. For OET the required score is grade B in all subcategories.  3. You must appear in an interview conducted by the Royal College of Physicians in your country and selected for the post OR you find a Job in the UK directly and inform Royal College of Physicians (London) that you have got the job by yourself and now you need RCP sponsorship for GMC registration.  You do not need to pass PLAB or MRCP (all parts) to get t...

IELTS or OET - Reviews - Personal Experience - Which to Choose - IETLS vs OET

OET and IELTS both are used to assess the knowledge of English Language. The basic difference between the above two is this, IETLS is a more generalized English language assessment test, on the other hand, OET is profession specific. For example, if you are a doctor, the content of the test will be related to your occupation. Because of this, the OET is being chosen by many healthcare professional instead of IELTS. Both tests have the same sub-categories, that is listening, speaking, writing and reading. Lets us discuss the differences one by one. TEST OET IELTS OET Compared to IELTS is ………. (Author’s opinion) Speaking You will need to do two role plays. You will be given a situation and asked to counsel the patient about a disease and treatment or break the bad news. It has 3 parts, first is an introduction and general question, In the second part you will be provided with a topic to speak for 2 minutes. In the 3rd part, you will b...

RCP-UK-MTI Program for Pakistani Doctors - How to approach

This article is under review: Author's MTI application is under process via RCPE and RCPL, and this article will be updated in future for further guidance.  29-April-2019: Royal College of Physicians and Surgeons started Mutual Training Initiative. In this program, post-graduate medical residents are asked to apply and shortlisted candidates are interviewed. Among those interviewed, almost all are selected if they have passed the IELTS. MTI program - Who is eligible.  Every post-graduate medical trainee who has completed two years of residency training in a subject (department) is eligible to apply.  Many say MRCP 1 or IMM is a mandatory requirement and these requirements are mentioned on their official website as well. But in reality, this is not strictly followed. If your CV and academic background are good, you can be selected.  Furthermore, Many say IELTS is a mandatory requirement, but again this is not strictly followed. I know a few students w...

Cardiac Axis in Right and Left Bundle Branch Block

Reading ECG (electrocardiogram) can be a tricky thing. It needs a clear understanding of the underlying physiology. ECG is a graphical representation of the heart's electrical activity. With the help of the ECG, we can determine the heart rate, rhythm, axis or any other abnormality of the electrical conduction system. When ECG is not normal it means there is some problem in the conduction system. The cause of this problem is usually damage to the myocardium. The damaged myocardium or an abnormal myocardium can't conduct the electrical charges in a normal way and these abnormal conductions are reflected on an electrocardiogram (ECG). Axis can also be determined with the help of an ECG. Cardiac axis can deviate to right or left. But please keep in mind in pure right bundle branch block or in pure left bundle branch block cardiac axis remains normal. Thus, if you find a right axis deviation or a left axis deviation think of a pathology. Please note that the right axis devia...

Non-Pharmacological or Home treatment of Yeast Infection

How do you treat yeast infection in men? Yeast infection can be eradicated. There are two aims of yeast therapy. 1.       Inhibition of growth of already present yeasts by limiting the available space and nutrients for their growth. 2.       Killing them by using fungicidal substances. Non-Pharmacological or Home treatment of Yeast Infection: i) Reduce the intake of sugar: Sugar (carbohydrates) is a favourite food of yeast and it accelerates its growth. Sugar based foods for example; Gluten-based foods, yeast foods, milk products, soy-foods, swordfish, tuna fish, shark, etc must be avoided. ii) Unsweetened Yogurt: Unsweetened Yogurt increases the number of good bacteria called lactobacillus. These bacteria inhibit the growth of yeast infection by occupying space and consuming the nutrients. Yeast is left with little space and nutrients and can’t be able to grow. iii) Drink plenty of water. Yeast makes the intestinal environment acidic w...

Child Abuse,Types of Child Abuse,High Risk Child,Management of Abused Child and Hospital Care

What is Child Abuse: Any action of commission or omission by individuals, institutions or society as a whole and any condition resulting from such actions or inactions, which deprive children of their equal rights and liberties and/or interfere with their optimal development, constitute by definition abusive or neglectful acts or conditions. Child Abuse Prevention and Treatment Act (public law 93 – 247): Defines it (Child abuse) as the physical or mental injury, sexual abuse, negligent treatment or maltreatment of a child under the age of 18 by a person who is responsible for the child’s welfare under circumstances which indicate that child’s health and welfare is harmed or threatened thereby. Child abuse is not a disease but a family dysfunction most of the times due to disturbed relationships, failure on the part of parents, family or society. TYPES OF CHILD ABUSE: Physical abuse Sexual abuse Psychological emotional and verbal abuse Munchausen syndrome by proxy Neglect Ep...