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, September 26, 2007

Station 3 Cardio

What is the sign shown ?
What is the diagnosis ?
What is the possible underlying valve lesion ?

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At 9/26/2007 10:29:00 PM, Blogger azizul said...

osler node.
infective endocarditis.

At 9/27/2007 04:51:00 AM, Blogger sadik108 said...

Janway macules & Osler`s nodules.Vasculitic rash associated with subacute endocarditis.The diagnosis will be confirmed by detecting significant cardiac murmur,echocardiography & blood culutres.The most likly cardiac valve is mitral valve.

At 9/27/2007 04:13:00 PM, Blogger Wuchereria said...

He has Janeway lesion, although you do see it at the pulp, however it is non-tender and non-palpable.
Congrats !

He happens to be an IVDU and therefore has a TR murmur. Also has MR and thromboembolic phenomenon of stroke.


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