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.


Monday, June 05, 2006

Basic Dermatology (2)

1. Vesicles and Bullae
** These terms describe different sizes of blister i.e. circumscribed elevation containing fluid.
** Vesicles(<5mm),>5mm)
** Examples: herpes simplex, pemphigus, pemphigoid.

Pemphigoid

2. Pustules
** A visible accumulation of free pus.
** Examples: pustular psoriasis, acne

Acne vulgaris

3. Crust
** An accumulation of dried exudate, serum, blood. It is commonly known as scab.
** Examples: impetigo, ecthyma.

Impetigo

4. Scale
** Flaking of the skin surface due to increased loss from the stratum corneum(SC).
** It implies an abnormality in SC formation or damage to the epidermis.
** Examples: psoriasis, ichthyosis, tinea infections

Ichthyosis vulgaris

5. Lichenification
** Areas of increased epidermal thickness secondary to chronic rubbing.
** Examples: eczema, lichen simplex chronicus


6. Atrophy
** Diminution of some or all layers of skin.
** In epidermal atrophy, the epidermis is thin, transparent and the vessels are prominent.
** Examples: Steroids induced atrophy


7. Excoriations
** A shallow abrasion due to scratching
** It is seen in itchy skin conditions like eczema, scabies, urticaria.



Able to give an accurate description of the skin lesions now?

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