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.


Sunday, January 15, 2006

"A scar is a gift"


Sometimes, we panic when we see scars and start thinking of a list of diffenrential diagnoses especially the rare one! But, one of my physican used to calm me down by saying "David, a scar is a gift!"
As in this case with a big thoracotomy scar, one could localize the lesion side by the presence of the scar. Then, you should pay attention to the air entry during auscultation.
a. If air entry is reduced, then think of lobectomy and pneumonectomy.
b. If air entry is equal, then think of decortication and bullectomy.

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2 Comments:

At 11/09/2007 05:40:00 PM, Anonymous Anonymous said...

wat is the difference between
decortication and bullectomy
when does one do pneumonectomy and
lobectomy

thanks

 
At 1/18/2008 05:26:00 PM, Anonymous surrayya said...

decortication is removal of parietal pleura in case for eg.calcification or repeated pleural effussion.
bullectomy is just taking of part of lung tissue which is involved in forming bullae as in emphysema

 

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