Some Drills On Station 5 (Part 5)

Station stem:
This patient presents with intensely itchy skin lesions on both lower limbs for a short duration. Please examine and lay down your differential diagnoses. What are the questions would you like to ask?



Above picture on the shin, and the following picture is on the anteromedial aspect of another leg:


And a close-up:

Quiz: Skin station

This gentleman has multiple similar lesions distributed over face, limbs as well as trunk. Please describe the lesions.

What is the significance of these lesions?
Hint: related to any syndrome?

Quiz time again!

You see this patient in Station 5: skin.

Describe the skin finding. Then, outline the other system involvements that are relevant to this condition.

Quiz: Skin Station

Examine this 80 year old lady's hands and comment

(Hint, she should have died long ago, and yet's she's fit as a fiddle. Her mother had the same condition and died her 80s)

Cases and photos contributed by Giant Eagles

Station 5: Fundus

What is the diagnosis?

What else to look for?

Course/ Mock Exam Cases Drill

Here are some of the cases for the preparatory course/ mock exam.

Case 1: Please examine this lady's hand and tell me your findings.


Case 2: This patient has difficulty in holding objects in her hands. Please examine her.

Quiz: Station 5

Please look at this mentally challenged young man's hand and feet and proceed.

Case and pictures contributed by Giant Eagle

Station 5

What is the diagnosis ?

This patient has epistaxis. What is it due to ?

Station 5

What is the diagnosis ?

Station 5

What is the diagnosis ?
Any comments on this case ?

What'd Be Your Unifying Diagnosis?

It's been a while since our last 'casual' life blogs.

I saw this lady during my combined antenatal and medical follow-up.

She had a congenital cardiac lesion which is corrected. Clinically she is pink on air and there is no finger clubbing.

What would you expect the lesion to be and what would be your diagnosis?

Quiz Station 5 Locomotor

What is the diagnosis ?
How would you proceed to examine this patient ?
What is the cause ?

Quiz Fundus

What is the diagnosis ?
What are the causes ?
How to treat ?

Station 5 Quiz

What is the diagnosis ?

Some Drills On Station 5 (Part 5)

Common and readily available case for PACES. Look at this patient's extremities and proceed.

What are your findings? What are the possible differential diagnoses?

Quiz For Skin Station

Observe and comment the skin findings.

What are your differentials?

Fundoscopy Quiz

Wuchereria got this for his PACES Singapore exam last year.

What is your diagnosis?

Some Drills On Station 5 (Part 4)

Station stem: Please examine this lady's hands and proceed accordingly.

1) What is your diagnosis?
2) What other systems would you like to examine?
3) How would you treat this lady?

Some Drills On Station 5 (Part 3)

This series of photos belongs to a lady who presents with a rash.

The registrar in-charge in the PACES centre would be too happy to include cases like this in station 5, if they happen to land up in the ward at the right timing :)

State your diagnosis and the differential causes.

How would you manage this lady?

Fundoscopy Quiz

Yesterday, a consultant neurologist came to my hospital and took one of the PACES candidates for a mock.

This was what the patient had(picture above). It was Station 5 Fundoscopy.

Quiz :

1) What is your diagnosis ?

2) What else would you look for ?

3) What are the common causes ?

4) What would you look for in the other eye ?

The patient was a young lady.

What is your complete diagnosis ?