Pass The Paces

🌟 **MONTHLY SPECIAL by PASS THE PACES Team** 🌟

🎯 **Struggling with Communication Stations in PACES?**

Join our beginner-friendly session and learn the

**"Encounter Five Approach"** to confidently tackle PACES communication stations.

📚 **FREE Zoom Session**
✅ Open to All

📅 **Date:** TUESDAY 30th June 2026
🕢 **Time:** 8.30 PM (Bangladesh Time)

👩‍⚕️ **Mentor**
**Dr. Tazleena Shathy**
**MRCP (UK)**

💡 Whether you're just starting your PACES journey or looking to strengthen your communication skills, this session will provide practical insights and a structured approach to help you perform with confidence.

📲 **Interested in joining?**
Feel free to contact:
**01745-845038**

🔗 Don't miss this opportunity to learn from an experienced mentor and enhance your PACES preparation!

🚨 FREE Monthly Special Class – June

Master the Five-Approach Strategy for Communication Stations in PACES and build the confidence you need to excel.

✅ Structured framework
✅ Improved communication skills
✅ Practical examiner-focused tips
✅ Confidence-building techniques

📅 Date: 30th June 2026
⏰ Time: 8:30 PM (BD Time)
💻 Free Zoom Session | Open for All

Whether you're just starting your PACES journey or looking to strengthen your communication stations, this session is designed especially for you.

📌 Don't miss out—tag your study partner and join us!

For MRCP PACES DIET 3/2026 Candidate - if you are interested feel free to comment

DON’T MISS TOMORROW’S COMMUNICATION MASTERCLASS (through zoom online)

Time - 7.30 PM (BD TIME)

***Those who are interested feel free to comment

🌟 **FRIDAY SPECIAL by PASS THE PACES Team** 🌟

🎯 **Struggling with Communication Stations in PACES?**

Join our beginner-friendly session and learn the

**"Encounter Five Approach"** to confidently tackle PACES communication stations.

📚 **FREE Zoom Session**
✅ Open to All

📅 **Date:** Friday, 12 June 2026
🕢 **Time:** 7:30 PM (Bangladesh Time)

👩‍⚕️ **Mentor**
**Dr. Tazleena Shathy**
**MRCP (UK)**

💡 Whether you're just starting your PACES journey or looking to strengthen your communication skills, this session will provide practical insights and a structured approach to help you perform with confidence.

📲 **Interested in joining?**
Feel free to contact:
**01745-845038**

🔗 Don't miss this opportunity to learn from an experienced mentor and enhance your PACES preparation!

MASTER COMMUNICATION & LCC WITH CONFIDENCE!

Weekly Online Practice Sessions | Expert Mentorship | Recorded Classes Included

Worried about Communication & LCC?

Pass The Paces (PACES) is bringing you a dedicated Communication & LCC Batch designed to help you strengthen your communication skills, improve your LCC approach, and perform with confidence.

📅 Class Days

🔹 Batch 1 – Monday
🔹 Batch 2 – Wednesday

🕣 Class Time
📍 Online via Zoom
⏰ 8:30 PM

✨ Features

✅ Weekly Communication Practice
✅ LCC Approach & Application
✅ Interactive Learning Sessions
✅ Guidance from Expert Communication Mentors
✅ Individual Feedback & Skill Development
✅ Class Recordings Will Be Provided

👩‍🏫 Mentors

• Dr. Sadaf Anika Khan
• Dr. Nazia Zareen
• Dr. Mehjabeen Jahangir
• Dr. Tazleena Shathy

💰 Monthly Fee: BDT 4,000

🚀 Transform your Communication & LCC skills through structured practice, expert mentorship, and continuous improvement.

📩 Inbox us today to secure your seat!

🚀 Yasir Alam's PACES HACKS #7

Decoding Diarrhoea: Let the Stool Tell the Story

When assessing a patient with diarrhoea, the pattern of stool often points directly toward the diagnosis.

1. Large-Volume Watery Diarrhoea → Secretory

Clue: Continues despite fasting.
Think: The gut is actively secreting fluid.

Causes:

Cholera
Enterotoxigenic E. coli
VIPoma
Carcinoid syndrome

Memory Tip: "Still flowing even when not feeding."

2. Moderate-Volume Loose Stool → Osmotic

Clue: Improves or stops with fasting.
Think: Something in the bowel is drawing water in.

Causes :

Lactose intolerance
Magnesium-containing laxatives
Sorbitol ingestion

Memory Tip: "No food = no osmotic load = no diarrhoea."

3. Bloody Diarrhoea + Abdominal Pain → Inflammatory

Clue: Blood, mucus, pain, and urgency.
Think: Inflammation or ulceration of the bowel.

Causes:

Inflammatory bowel disease (IBD)
Infective colitis
Ischaemic colitis

Red Flag: Blood in stool is never normal.

4. Pale, Bulky, Greasy Stool → Steatorrhoea

Clue: Difficult to flush, foul-smelling, oily appearance.
Think: Fat malabsorption.

Causes:

Coeliac disease
Chronic pancreatitis
Pancreatic insufficiency

Memory Tip: "Fat in the stool = failure to absorb fat."

5. Urgency → Think Proctitis

Clue: Sudden, compelling need to open bowels.
Think: Re**al inflammation.

Causes:

Ulcerative colitis
Infectious proctitis
Radiation proctitis

Exam Pearl: Urgency often localizes pathology to the re**um.

6. Nocturnal Diarrhoea → Organic Disease

Clue: Wakes the patient from sleep.
Think: Genuine pathology rather than a functional disorder.

Causes:

Inflammatory bowel disease (IBD)
Diabetic autonomic neuropathy
Microscopic colitis

Exam Pearl: IBS rarely causes nocturnal symptoms.