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

"Sternotomy scar"

When one see this midline sternotomy scar, it carries 2 possibilities i.e. CABG with underlying IHD or prosthetic valve replacement.
For CABG, look for presence of functional MR and presence of pacemaker for underlying arrhythmias.
Please bring your ear near to the chest to listen for prosthetic click with an unaided ear then ascertain which valve is replaced.
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2 Comments:

At 3/10/2006 07:56:00 AM, Blogger Winnie said...

I have prepared the exam for my colleagues for 8-9 years.
We have talked about this topic from time to time and I have made a presentation "murmur with a scar" accessible in the following link:
http://hk.geocities.com/cuhk_med1994/getting_started.htm
Hope this will be useful to you.

 
At 4/08/2006 08:54:00 AM, Blogger eMRCPian said...

Thx winnie, it is a great effort

 

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