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.
Tuesday, September 25, 2007
Station 5
What is the diagnosis ? Any comments on this case ?
Telangictasia rash,subcutaneous calcinosis,flexure contracture of fingers.If the scleroderma is limited to distal to elbow & the face then it is Limited systemic sclerosis
cute doctor: trigger finger
ReplyDeletescleroderma
ReplyDeletescleroderma
ReplyDeleteRaynaud's Phenomenon
ReplyDeleteCyanosis at distal part of finger
Nail pulp atrophy
Vasculitic lesion
Areas of small focal necrosis and ulceration
Proceed
Hands - for arthropathy, function, CREST
Upper limbs - extend of skin involvement in Scleroderma, Proximal Myopathy.
Face - feature of scleroderma, SLE, Sjogren syndrome
Chest - Pulm Fibrosis
Heart - Loud P2, cardiomyopathy in scleroderma.
Abdomen - Hepatomegaly, suggestive of Hyperviscosity ?myeloproliferative, PRV etc
End - Drug Hx, Occupation Hx, Joint Pain, Dry eyes, Dry mouth
-look for features of collagen vasc disease
Secondary Raynauds -
Arterial Disease, Thoracic Oulet
Blood Disorder, Connective Tissue Disease, Drugs, Cold Exposure
MSC
Nope.
ReplyDeletepicture a bit blurred
ReplyDeleteJaneway lesion
infective endocarditis
Telangictasia rash,subcutaneous calcinosis,flexure contracture of fingers.If the scleroderma is limited to distal to elbow & the face then it is Limited systemic sclerosis
ReplyDeletedupuytren's contracture in patient with liver disease
ReplyDeleteYes the answer is scleroderma - systemic sclerosis.
ReplyDelete