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.
"This male patient (obviously from the watch) has rashes over the knuckles and interphalangeal joints. There is also vesicle formation and vasculitic lesion. The periungal areas are erymathous. This is dermatomyositis.
In view of the opening statement that the patient has epistaxis, I would like to investigate for an underlying Nasopharyngeal carcinoma."
difficult to see but with the history of epistaxis one should think that the erythematous area must be telangiectasia the diagnosis would then be hereditary haemorrhagic telangiectasia or Oler-Rendu -Weber syndrome
Here's my answer and try
ReplyDelete"This male patient (obviously from the watch) has rashes over the knuckles and interphalangeal joints. There is also vesicle formation and vasculitic lesion. The periungal areas are erymathous. This is dermatomyositis.
In view of the opening statement that the patient has epistaxis, I would like to investigate for an underlying Nasopharyngeal carcinoma."
difficult to see but with the history of epistaxis one should think that the erythematous area must be telangiectasia
ReplyDeletethe diagnosis would then be hereditary haemorrhagic telangiectasia or Oler-Rendu -Weber syndrome
Yes, giant eagle, it is Dermatomyositis presenting with Gottron's papule.
ReplyDeleteHe also has NPC.
is NPC very common in Dermatomyositis? i heard GI malig is common.
ReplyDelete