Equal doses education & entertaining. @Dr_SamWilliams helps ease the pain of the MRCP PACES medical exam with expert speakers, key knowledge & bad jokes.
The Mess
Joined September 2020
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Thanks Tim, you're too kind! So glad you found the podcast helpful & huge congratulations on your pass!
Pre PACES Podcast retweeted
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/5i7o1E…
‼️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!
🌟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/5JH…
Pre PACES Podcast retweeted
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-pace…
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/2bA…
‼️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/prepacespod…
🎈🎉Happy birthday Sam!🎂🥳
🙋♂️Guest has been sourced and confirmed willingness!
📌Just need to pin down a record date and it will be out!
❤️LOVE THIS❤️
This is exactly how I hoped the podcast would help when I started thinking back in 2018!
Making your PACES preparation flexible, able to listen wherever you are, whatever you're doing!
Thank you for sharing! ❤️
🗣️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