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.
Typical ischeamic finger tips of a Raynaud syndrome.She also with palmer erythema in a lady arround 50 I guess. CREST syndrome associated with primar biliary cirrhosis? C-Calcinosis Cutis R-Raynaud Phenomenan E-Oesophagal dysmotility S-Sclerodactyle T-Telengectasia
This patient has tough skin with pallor of the left index and finger tip infarct.I think he has scleroderma
ReplyDeletethis patient has scleroderma as there is toough skin and finger tip infarct
ReplyDeletepalmar erythema,dupytrun contracture associated with alcoholic liver cirrhosis.The scar may signify portocaval shunt operation
ReplyDeleteHmm.... don't jump to conclusion so fast.
ReplyDeleteNope, that's not the answer.
Let me give it a try.
ReplyDelete"This patient has cyanosed fingers with also evidence of ischemia (patches of white). There is also atrophy finger pulps.
This could be Raynaud's Phenomenom or Raynaud's Disease.
Raynaund's Phenomenom has varioud causes
(1) Autoimmune disease such as scleroderma, RA,
(2) Occupational-vibrating tools or exposure to cold
(3) Arterial disease such as thoraci outlet syndrome
(4) Drugs beta-blockers, ergot alaloid, vincristine
(5) others-cyroglobulins"
i agree with giant eagle.
ReplyDeleteYes, it is Raynaud's phenomenom.
ReplyDeletePrimary cause.
In view of wasting of small muscles of the hand, I would suspect thoracic outlet syndrome / cervical rib as the probable cause.
ReplyDeleteTypical ischeamic finger tips of a Raynaud syndrome.She also with palmer erythema in a lady arround 50 I guess. CREST syndrome associated with primar biliary cirrhosis?
ReplyDeleteC-Calcinosis Cutis
R-Raynaud Phenomenan
E-Oesophagal dysmotility
S-Sclerodactyle
T-Telengectasia