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 29, 2007
Quiz Station 5 Locomotor
What is the diagnosis ? How would you proceed to examine this patient ? What is the cause ?
What is the diagnosis ?
Charcot foot caused by diabetes (the filename of the image confirmed my suspicion ;-)
ReplyDelete? Charcots Joint
ReplyDeleteUrine for sugar ?Diabetes
? Tabes ?lancinating pains, post column signs,argyll robertson pupils
Dissociated sensory loss ? syringomyelia
Pes planus with long standing complication hammar toes
ReplyDeletePes planus with long standing complication hammar toes
ReplyDeleteprobably neuropathic foot secondary to long standing diabetes
ReplyDeletecute doctor: this is pes cavus
ReplyDeleteCauses:
1-fredreich's ataxia
2-charcot marie tooth synd
3-poliomyelitis
4-muscular dystrphy
what is the right answer, by the way? Look like pes planus rather than cavus.
ReplyDeleteThe answer is that this patient has Charcot joint. Need to think of DM as this involves the ankle. If it involves the knee, think of Tabes Dorsalis !
ReplyDelete