PACES MRCP UK - Where MRCPians Meet Since 2006

MRCP is well establised as an entry exam for advanced specialist training in many countries including Malaysia. It consists of 3 paper i.e. Part1, Part2(written tests) and PACES. PACES in full means Practical Assessment of Clinical Examination Skills. It is the third part and the candidate is assessed by fellows of RCP. I passed my PACES in 2005. I am glad that many seniors had guided me throughout my preparation for PACES and I wish to share my experiences with PACES candidates via this blog.

Tuesday, January 17, 2006


Nobody should miss this sign - Clubbing
Clubbing is a common sign in clinical practice. It gives clue to the underlying disease.When clubbing is present, please demontrate nail bed fluctuation, palpate wrist for tenderness seen in HPOA, look for nicotine staining of nail and central cyanosis.

I am sure everyone could give a good differential for clubbing.
CVS: cyanotic heart disease, IE
Lung: bronchiectasis, fibrosing alveolitis, lung cancer
Abdomen: chronic liver disease, IBD

But, anyone aware of what is pachydermoperiostitis that I got in my skin station?

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At 4/15/2008 07:04:00 PM, Anonymous Anonymous said...

I think we're meant to say "tar" staining and not "nicotine" staining.

At 1/29/2010 06:10:00 PM, Anonymous Anonymous said...

yes, i think so, too
Because nicotine is colourless. It is 'tar' that 'stain' the finger.
Source: Talley O


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