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, March 05, 2006

"Pachydermoperiostosis Acquisita"

Today, I spent my afternoon listening to an online CME about cutaneous manifestation of malignancy. I came across this slide! This is the exact case that I got for my skin station in UMMC.
Scenario: This patient has a new onset cough with 10kg weight loss.He has clubbing of nails and painful knees which seem to be getting more bony. He also has thickening elephant-like skin. What do you think this person has?
Answer:It's a type of HPOA that is most commonly associated with lung CA. It also happens in benign pulmonary and cardiac disease.

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