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, September 25, 2007

Station 5


What is the diagnosis ?
Any comments on this case ?

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9 Comments:

At 9/26/2007 03:27:00 AM, Anonymous Anonymous said...

cute doctor: trigger finger

 
At 9/26/2007 06:17:00 AM, Blogger kkambhampati said...

scleroderma

 
At 9/26/2007 06:18:00 AM, Anonymous kishore said...

scleroderma

 
At 9/26/2007 01:56:00 PM, Anonymous Anonymous said...

Raynaud's Phenomenon

Cyanosis at distal part of finger
Nail pulp atrophy
Vasculitic lesion
Areas of small focal necrosis and ulceration

Proceed

Hands - for arthropathy, function, CREST

Upper limbs - extend of skin involvement in Scleroderma, Proximal Myopathy.

Face - feature of scleroderma, SLE, Sjogren syndrome

Chest - Pulm Fibrosis

Heart - Loud P2, cardiomyopathy in scleroderma.

Abdomen - Hepatomegaly, suggestive of Hyperviscosity ?myeloproliferative, PRV etc

End - Drug Hx, Occupation Hx, Joint Pain, Dry eyes, Dry mouth
-look for features of collagen vasc disease

Secondary Raynauds -
Arterial Disease, Thoracic Oulet
Blood Disorder, Connective Tissue Disease, Drugs, Cold Exposure


MSC

 
At 9/26/2007 08:13:00 PM, Blogger Wuchereria said...

Nope.

 
At 9/27/2007 12:13:00 AM, Anonymous Anonymous said...

picture a bit blurred
Janeway lesion
infective endocarditis

 
At 9/27/2007 05:03:00 AM, Blogger sadik108 said...

Telangictasia rash,subcutaneous calcinosis,flexure contracture of fingers.If the scleroderma is limited to distal to elbow & the face then it is Limited systemic sclerosis

 
At 9/27/2007 06:23:00 AM, Anonymous Anonymous said...

dupuytren's contracture in patient with liver disease

 
At 9/27/2007 04:10:00 PM, Blogger Wuchereria said...

Yes the answer is scleroderma - systemic sclerosis.

 

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