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 5

What is the diagnosis ?



At 9/26/2007 10:22:00 PM, Anonymous Anonymous said...

This patient has tough skin with pallor of the left index and finger tip infarct.I think he has scleroderma

At 9/26/2007 10:25:00 PM, Anonymous Anonymous said...

this patient has scleroderma as there is toough skin and finger tip infarct

At 9/27/2007 04:42:00 AM, Blogger sadik108 said...

palmar erythema,dupytrun contracture associated with alcoholic liver cirrhosis.The scar may signify portocaval shunt operation

At 9/27/2007 04:15:00 PM, Blogger Wuchereria said...

Hmm.... don't jump to conclusion so fast.
Nope, that's not the answer.

At 9/27/2007 09:03:00 PM, Blogger Giant Eagle said...

Let me give it a try.

"This patient has cyanosed fingers with also evidence of ischemia (patches of white). There is also atrophy finger pulps.

This could be Raynaud's Phenomenom or Raynaud's Disease.

Raynaund's Phenomenom has varioud causes
(1) Autoimmune disease such as scleroderma, RA,

(2) Occupational-vibrating tools or exposure to cold

(3) Arterial disease such as thoraci outlet syndrome

(4) Drugs beta-blockers, ergot alaloid, vincristine

(5) others-cyroglobulins"

At 9/27/2007 11:34:00 PM, Anonymous Anonymous said...

i agree with giant eagle.

At 9/28/2007 10:22:00 PM, Blogger Wuchereria said...

Yes, it is Raynaud's phenomenom.
Primary cause.

At 11/13/2007 02:10:00 AM, Anonymous drshukla14 said...

In view of wasting of small muscles of the hand, I would suspect thoracic outlet syndrome / cervical rib as the probable cause.

At 5/23/2010 11:12:00 PM, Anonymous Anonymous said...

Typical ischeamic finger tips of a Raynaud syndrome.She also with palmer erythema in a lady arround 50 I guess. CREST syndrome associated with primar biliary cirrhosis?
C-Calcinosis Cutis
R-Raynaud Phenomenan
E-Oesophagal dysmotility


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