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.

Thursday, September 27, 2007

Station 5

What is the diagnosis ?

This patient has epistaxis. What is it due to ?



At 9/27/2007 09:22:00 PM, Blogger Giant Eagle said...

Here's my answer and try

"This male patient (obviously from the watch) has rashes over the knuckles and interphalangeal joints. There is also vesicle formation and vasculitic lesion. The periungal areas are erymathous. This is dermatomyositis.

In view of the opening statement that the patient has epistaxis, I would like to investigate for an underlying Nasopharyngeal carcinoma."

At 9/28/2007 05:29:00 PM, Anonymous Anonymous said...

difficult to see but with the history of epistaxis one should think that the erythematous area must be telangiectasia
the diagnosis would then be hereditary haemorrhagic telangiectasia or Oler-Rendu -Weber syndrome

At 9/28/2007 10:20:00 PM, Blogger Wuchereria said...

Yes, giant eagle, it is Dermatomyositis presenting with Gottron's papule.
He also has NPC.

At 10/29/2010 09:46:00 PM, Anonymous Anonymous said...

is NPC very common in Dermatomyositis? i heard GI malig is common.


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