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, August 28, 2007

Quiz Fundus

What is the diagnosis ?
What are the causes ?
How to treat ?



At 8/28/2007 10:32:00 PM, Blogger sadik108 said...

Acute retinal arterial ischaemia
due to thrombembolic disease
first to start ,we have to detect primary source of embolus by echocardiogram ,internal carotid doppler ultrasound....
then investigate for throbophilia.

At 8/29/2007 09:58:00 PM, Blogger Wuchereria said...

Yes, the fundus is pale with cherry red spot at the macula, the arterioles are thin and scanty. Diagnosis of CRAO.
Clinically look for carotid bruit, AF, heart murmurs.
What is the diagnosis if this patient complaints of headache ? What are the
2 investigations you would offer ?

At 8/30/2007 09:24:00 PM, Blogger medtoddler said...

The patient must be having Giant Cell Arteritis, so I will proceed to check ESR and temporal artery biopsy. At the same time I would start high dose steroids to prevent visual loss in the other eye.

At 8/31/2007 04:32:00 PM, Blogger sadik108 said...

well headach can be caused by
*CTD like SLE,RA
*vasculitis like WG,CSS,PAN..TA
*TIA with amourosis fugax
so we need to look for relevant clinical features,then send for the following investigations:

At 9/01/2007 07:40:00 PM, Blogger Wuchereria said...

Well done medtoddler. straight to the point !


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