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 27, 2008

Frank's sign

Spotted this recent post by Wuchereria in his new blog. I learnt a new sign - Frank's sign. He highlighted that this is a great sign to impress the examiner!

"I just got back from Hong Kong recently for a holiday.During a morning of breakfast, while I looked around I noticed this man who was sitting eating 'Tim Sum' and I am sure he has coronary artery disease.
There was obvious Frank's sign.

Frank's sign is a diagonal crease in the lobule of the auricle :
Grade 3 - a deep cleft across the whole earlobe
Grade 2a - crease more than halfway across the lobe
Grade 2b - crease across the lobe, but superficial
Grade 1 - lesser degree of wrinkling

Ear lobe creases are associated statistically with coronary artery disease in most of the population groups."



At 11/21/2008 10:35:00 AM, Anonymous Anonymous said...

Ear creases are associated with increased risk of Cardiovascular disease in people selected by attending a cardiologists clinic. It does not hold true for an unselected population.

The observation is now used mainly when teaching the pitfalls of reading a medical paper.

At 3/31/2009 05:58:00 PM, Blogger pilocarpine said...

what's the pathophysiology association between ear creases with cardiovascular ds?

At 11/29/2010 09:50:00 PM, Anonymous Anonymous said...

Dr David, please continue to upload your clinical experiences on this blog! It is a real gem. Thank you very much!


Post a Comment

<< Home