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.


Wednesday, August 29, 2007

Quiz Station 5 Locomotor

What is the diagnosis ?
How would you proceed to examine this patient ?
What is the cause ?

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posted by Wuchereria @ 8/29/2007 10:04:00 PM

8 Comments:

At 8/30/2007 03:02:00 AM, Blogger Unknown said...

Charcot foot caused by diabetes (the filename of the image confirmed my suspicion ;-)

 
At 8/30/2007 05:36:00 AM, Anonymous Anonymous said...

? Charcots Joint
Urine for sugar ?Diabetes
? Tabes ?lancinating pains, post column signs,argyll robertson pupils
Dissociated sensory loss ? syringomyelia

 
At 8/31/2007 04:14:00 PM, Blogger sadik108 said...

Pes planus with long standing complication hammar toes

 
At 8/31/2007 04:16:00 PM, Blogger sadik108 said...

Pes planus with long standing complication hammar toes

 
At 9/01/2007 11:24:00 PM, Anonymous Anonymous said...

probably neuropathic foot secondary to long standing diabetes

 
At 9/03/2007 07:38:00 PM, Anonymous Anonymous said...

cute doctor: this is pes cavus
Causes:
1-fredreich's ataxia
2-charcot marie tooth synd
3-poliomyelitis
4-muscular dystrphy

 
At 9/10/2007 02:46:00 AM, Anonymous Anonymous said...

what is the right answer, by the way? Look like pes planus rather than cavus.

 
At 9/10/2007 10:21:00 AM, Blogger Wuchereria said...

The answer is that this patient has Charcot joint. Need to think of DM as this involves the ankle. If it involves the knee, think of Tabes Dorsalis !

 

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