By Banerjee, D.
"The first quantity during this revised suite of the best-selling MRCP PACES revision courses is now totally up-to-date. It displays either suggestions from PACES applicants as to which circumstances usually look in each one station. additionally taken under consideration is the recent marking approach brought during which the previous four-point marking scale has been replaced to a three-point scale and applicants at the moment are marked explicitly on among 4 and seven separate scientific skills"--Provided via publisher. Read more...
Read Online or Download An aid to the MRCP PACES Volume 2, Stations 2 and 4 PDF
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Extra info for An aid to the MRCP PACES Volume 2, Stations 2 and 4
For a full list of the signs that may be visible in the hands in chronic liver disease, see Vol. 1, Station 1, Abdominal, Case 3. Section G: Examination Routines 19 4 Pull down the lower eyelid to look for anaemia. At the same time check the sclerae for icterus and look for xanthelasma. g. ). 5 Look at the lips for cyanosis (cirrhosis of the liver) and shine your pen torch into the mouth* looking for swollen lips (Crohn’s), telangiectasis (Osler–Weber–Rendu), patches of pigmentation (Peutz–Jeghers) and mouth ulcers (Crohn’s).
1, Station 3, CNS, Case 13) 25% 2 Optic atrophy (Station 5, Eyes, Case 3) 21% 3 Bitemporal hemianopia (Vol. 1, Station 3, CNS, Case 13) 21% 4 Unilateral hemianopia (Vol. 1, Station 3, CNS, Case 13) 7% 5 Partial field defect in one eye due to retinal artery branch occlusion (Station 5, Eyes, Case 16) 7% 6 Bilateral homonymous quadrantic field defect (Vol. 1, Station 3, CNS, Case 13) 4% 7 Acromegaly (Station 5, Endocrine, Case 2) 4% Examination routine Ask the patient to sit upright on the side of the bed while you position yourself in visual confrontation about a metre away.
You may return to seek a less obvious Horner’s or nystagmus later, if necessary. In search of obvious abnormalities, run your eyes down to Section G: Examination Routines 27 2 the neck (pseudoxanthoma elasticum, lymph nodes), and then scan down the arms looking in particular at 3 the elbows which should be particularly inspected for psoriasis, rheumatoid nodules and scars or deformity underlying an ulnar nerve palsy. Before picking up the hands look for 4 a tremor (Parkinson’s disease), then briefly inspect 5 the hands in the same way as you have practised under ‘Examine this patient’s hands’ (see Examination Routine 15), looking at (a) the joints (swelling, deformity), (b) nail changes (pitting, onycholysis, clubbing, nail-fold infarcts), and (c) skin changes (colour, consistency, lesions).
An aid to the MRCP PACES Volume 2, Stations 2 and 4 by Banerjee, D.