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.


Thursday, November 23, 2006

Paget's Disease




My diagnosis is that this elderly lady has Paget’s disease as evidence by enlargement of the skull, bowing of the Right tibia which is warmer than the left one. She also has a hearing aid which suggests her condition is complicated by deafness. She is kyphotic.

I would like to look at the fundus for optic atrophy and angioid streaks, examining the CVS for heart failure. I would also do a urinalysis for evidence of hematuria (urolithiasis).

Investigations include ALP, urinary hydroxyproline which are elevated and a normal Ca and PO4.

**When is biphosphonates indicated for Paget's ds?

posted by Wuchereria

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1 Comments:

At 2/13/2010 07:42:00 PM, Blogger mohammed said...

indications for treating pageet's disease are
1- pain
2-neurological complications as deafness or spinal cord compression
3- disease in wt bearing bones
4-prevention oflong term complications
5-young patients
6-in preparation of surgery
7-hypercalcemia
8-following fracture

 

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