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⚖️ MEDICOPLASTY – Community Rules, Terms, Refund Policy & Disclaimer (PLEASE READ BEFORE JOINING)
⚖️ MEDICOPLASTY – Community Rules, Terms, Refund Policy & Disclaimer (PLEASE READ BEFORE JOINING) By joining this community, accessing any course content, or making any payment to MEDICOPLASTY, you automatically agree to the following terms and conditions. --- ## 📚 1. Nature of the Service MEDICOPLASTY is an independent educational platform providing preparation support for professional medical examinations such as MRCS OSCE. MEDICOPLASTY is NOT affiliated with, endorsed by, or connected to any Royal College, examination board, or regulatory authority. Participation in any course does NOT guarantee exam success. --- ## 👤 2. Eligibility & Responsibility Participants are responsible for: • Ensuring their own eligibility for professional exams • Managing their own exam applications and career decisions • Using course content for educational purposes only MEDICOPLASTY is not responsible for exam outcomes or professional progression. --- ## 🔒 3. Intellectual Property & Content Protection All materials including: • Notes • Mock stations • Videos • Slides • Teaching resources are the intellectual property of MEDICOPLASTY. STRICTLY PROHIBITED: • Recording sessions • Sharing materials outside the community • Reselling content • Distributing login access Violation may result in immediate removal without refund. --- ## 🤝 4. Professional Conduct All members must maintain respectful behaviour. MEDICOPLASTY reserves the right to remove any participant for: • Harassment • Disruptive behaviour • Misuse of the community without refund. --- ## 💰 5. Refund Policy ### General Rule All course fees are non-refundable once access to digital content has been granted. ### Exceptions (within 7 days only) Refunds may be considered for: • Duplicate payments • Technical access failure caused by the platform ### Live Course Bookings • Cancellation > 7 days before course → 50% refund • Cancellation ≤ 7 days → No refund Failure to attend scheduled sessions does not qualify for a refund.
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New Concepts
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New station - Cholangiocarcinoma
🩺 Clinical Scenario A 68-year-old man presents with progressive painless jaundice, dark urine, pale stools, pruritus and weight loss. He is febrile and hypotensive. You are the surgical SHO asked to assess and outline investigations + definitive management, including endoscopic vs surgical bypass, and supportive management of complications (e.g., encephalopathy). 🔍 Understanding the Condition ❓ What is cholangiocarcinoma? A malignant tumour of the biliary epithelium (intrahepatic, perihilar/Klatskin, or distal extrahepatic). 🚨 Immediate Concern ❓ In this unwell jaundiced patient with fever and hypotension, what are you worried about? Ascending cholangitis leading to septic shock (needs urgent antibiotics + source control via biliary drainage). 🧪 Investigations ✅ You said FBC and LFTs are already mentioned — keep them, but add the full investigation set: ❓ What blood tests will you do (in addition to FBC + LFTs)? - U&E / creatinine (AKI, baseline for contrast) - CRP - Clotting profile (PT/INR) (cholestasis → vitamin K deficiency; pre-procedure safety) - Blood cultures (before antibiotics if possible) - VBG/ABG + lactate (sepsis severity, perfusion) - Group & save / crossmatch (if unstable/procedures expected) - Tumour marker: CA 19-9 (supportive, not diagnostic) ❓ What imaging will you do for suspected cholangiocarcinoma / obstructive jaundice? Answer (core MRCS pathway): - Ultrasound abdomen (first-line to confirm duct dilatation + exclude gallstones) - CT scan (contrast, staging) – assess mass, vascular invasion, metastases, resectability - MRCP – best non-invasive delineation of level and extent of biliary obstruction/strictures - ERCP – diagnostic and therapeutic (brushings/biopsy + stenting) - PTC – if ERCP not possible/failed, especially for hilar obstruction ✅ If the exam asks “what are the key investigations?” your headline answer can be:CT + MRCP + ERCP (plus USS as initial) ⚕️ Treatment Plan ❓ What is your treatment ?
QUIZZ QUESTION?
❓ What stain is used in IHC?
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