Robert E. J. Ryder, M. Afzal Mir, Anne Freeman, Edward Fogden
An Aid to the MRCP Paces, Volume 3
Station 5
Robert E. J. Ryder, M. Afzal Mir, Anne Freeman, Edward Fogden
An Aid to the MRCP Paces, Volume 3
Station 5
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An Aid to the MRCP PACES Volume 3: Station 5 is a brand new, fully updated edition of the best-selling PACES revision guide to address the newest Station, covering Integrated Clinical Assessment, with content guided by the experiences of PACES candidates.
The cases and scenarios have been written in accordance with the latest examining and marking schemes used for the exam providing an invaluable training and revision aid for all MRCP PACES candidates.
In order to fully support candidates taking the exam, this trilogy of best-selling revision aids is now presented as: An Aid to the MRCP…mehr
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An Aid to the MRCP PACES Volume 3: Station 5 is a brand new, fully updated edition of the best-selling PACES revision guide to address the newest Station, covering Integrated Clinical Assessment, with content guided by the experiences of PACES candidates.
The cases and scenarios have been written in accordance with the latest examining and marking schemes used for the exam providing an invaluable training and revision aid for all MRCP PACES candidates.
In order to fully support candidates taking the exam, this trilogy of best-selling revision aids is now presented as:
An Aid to the MRCP PACES Volume 1: Stations 1 and 3, Fourth Edition
9780470655092
An Aid to the MRCP PACES Volume 2: Stations 2 and 4, Fourth Edition
9780470655184
An Aid to the MRCP PACES Volume 3: Station 5, Fourth Edition
9781118348055
The cases and scenarios have been written in accordance with the latest examining and marking schemes used for the exam providing an invaluable training and revision aid for all MRCP PACES candidates.
In order to fully support candidates taking the exam, this trilogy of best-selling revision aids is now presented as:
An Aid to the MRCP PACES Volume 1: Stations 1 and 3, Fourth Edition
9780470655092
An Aid to the MRCP PACES Volume 2: Stations 2 and 4, Fourth Edition
9780470655184
An Aid to the MRCP PACES Volume 3: Station 5, Fourth Edition
9781118348055
Produktdetails
- Produktdetails
- Verlag: Wiley & Sons
- 4. Aufl.
- Seitenzahl: 608
- Erscheinungstermin: Oktober 2013
- Englisch
- Abmessung: 241mm x 173mm x 28mm
- Gewicht: 1134g
- ISBN-13: 9781118348055
- ISBN-10: 1118348052
- Artikelnr.: 37705249
- Verlag: Wiley & Sons
- 4. Aufl.
- Seitenzahl: 608
- Erscheinungstermin: Oktober 2013
- Englisch
- Abmessung: 241mm x 173mm x 28mm
- Gewicht: 1134g
- ISBN-13: 9781118348055
- ISBN-10: 1118348052
- Artikelnr.: 37705249
Robert E.J. Ryder is Consultant Physician and Clinical IT Lead at City Hospital NHS Trust, Birmingham, and Honorary Senior Lecturer in Medicine at the University of Birmingham. Dr M. Afzal Mir is Senior Lecturer and Consultant Physician at University Hospital of Wales, Cardiff Dr Anne Freeman is Consultant Physician at Royal Gwent Hospital, Newport, and Clinical Adviser and Chairwoman of the Welsh Stroke Alliance Dr Edward Fogden is Consultant Physician and Gastroenterologist at Sandwell and West Birmingham Hospitals NHS Trust
Preface
ix Introduction
xiii Section G: Examination Routines
1 1 Pulse
7 2 Heart
8 3 Chest
13 4 Abdomen
17 5 Visual fields
22 6 Cranial nerves
23 7 Arms
26 8 Legs
30 9 Legs and arms
34 10 Gait
35 11 Ask some questions
36 12 Fundi
39 13 Eyes
43 14 Face
45 15 Hands
47 16 Skin
51 17 Rash
53 18 Neck
54 19 Thyroid status
56 20 Knee
58 21 Hip
60 22 What is the diagnosis? 61 Section H: Integrated Clinical Assessment
65 Station 5
Scenarios by specialty
75 Dermatology 1 Non-resolving leg ulcer: pyoderma gangrenosum
77 2 Generalized rash: psoriasis
81 3 Dermatomyositis and falls
85 Rheumatology 4 Systemic sclerosis and Raynaud's syndrome
90 5 Rheumatoid arthritis and effects on activities of daily living (ADL)
94 6 Psoriatic arthropathy
98 7 Ankylosing spondylitis: short notes
101 8 Gout: short notes
102 9 Steroid toxicity: short notes
103 Endocrine 10 Thyroid eye disease
105 11 Acromegaly
109 12 Diabetes mellitus and Charcot joint
112 13 Diabetes mellitus: foot ulcer and diabetes control
116 14 Goitre and weight loss
119 Eyes 15 Retinitis pigmentosa
125 16 Optic atrophy
128 17 Visual blurring in a patient with diabetes mellitus
132 Gastroenterology 18 Iron deficiency anaemia
137 19 Haematemesis
141 20 Elevated liver function tests: non-alcoholic fatty liver disease (NAFLD)
146 21 Elevated liver function tests and hepatitis B serology
151 22 Crohn's disease/inflammatory bowel disease
155 23 Dysphagia and weight loss
158 24 Diarrhoea: recent antibiotics
162 25 Weight loss
166 26 Gastrointestinal bleed: significant bleed
169 Haematology 27 Anaemia
173 28 Easy bruising/idiopathic thrombocytopenic purpura
176 29 Epistaxis/elevated international normalized ratio (INR)
180 30 Neutropenic sepsis
184 Cardiology 31 Young syncope
188 32 Angina/chest pain
193 33 Palpitations ?atrial fibrillation
197 34 Breathlessness/congestive cardiac failure
201 35 Syncope/aortic stenosis
205 36 Syncope (orthostatic)
208 Respiratory 37 Chronic obstructive pulmonary disease (COPD)
211 38 Asthma
214 39 Pleural effusion
217 40 Short of breath ?pulmonary embolism
221 41 Rheumatoid arthritis/breathlessness
226 42 Haemoptysis
229 Neurology 43 Headache: progressive/memory issues
233 44 Headache: migraine
236 45 Subarachnoid haemorrhage
240 46 Transient ischaemic attack: loss of vision
243 47 Left-sided weakness in a young woman
247 48 Parkinson's disease/falls in an elderly woman
250 49 Cranial nerve VI palsy: sudden onset
254 50 Blackout: first fit
258 51 Essential tremor
263 52 Temporal arteritis
267 53 Carpal tunnel syndrome
270 54 Multiple sclerosis/diplopia
274 55 Peripheral neuropathy
279 Miscellaneous cases 56 Urinary tract infection: male/sexual history
283 57 Swollen calf in a young woman
287 58 Deep venous thrombosis (DVT) secondary to neoplasia: elderly patient
291 59 Deterioration in renal function
295 60 Fever in the returning traveller
299 Section I: Short Case Records
305 Station 5
Skin
309 1 Systemic sclerosis/CREST syndrome
311 2 Neurofibromatosis (von Recklinghausen's disease)
312 3 Osler-Weber-Rendu syndrome
314 4 Psoriasis
316 5 Rash of uncertain cause
318 6 Dermatomyositis
319 7 Xanthomata
321 8 Vitiligo
324 9 Adenoma sebaceum in tuberous sclerosis complex
328 10 Pseudoxanthoma elasticum
330 11 Lichen planus
333 12 Yellow nail syndrome
335 13 Gouty tophi
336 14 Alopecia areata
337 15 Eczema
339 16 Pretibial myxoedema
342 17 Clubbing
343 18 Necrobiosis lipoidica diabeticorum
345 19 Lupus pernio
347 20 Tinea
350 21 Koilonychia
352 22 Raynaud's phenomenon
353 23 Erythema nodosum
355 24 Sturge-Weber syndrome
358 25 Purpura
360 26 Peutz-Jeghers syndrome
363 27 Vasculitis
364 28 Ehlers-Danlos syndrome
366 29 Livedo reticularis
368 30 Pemphigus/pemphigoid
370 31 Radiation burn on the chest
373 32 Herpes zoster
374 33 Henoch-Schönlein purpura
376 34 Mycosis fungoides
378 35 Morphoea
380 36 Kaposi's sarcoma (AIDS)
382 37 Porphyria
385 38 Lupus vulgaris
387 39 Dermatitis herpetiformis
389 40 Urticaria pigmentosa (mastocytosis)
391 41 Palmoplantar keratoderma (tylosis)
393 42 Secondary syphilis
395 43 Ectodermal dysplasia
397 44 Partial lipodystrophy
399 45 Fabry's disease
401 46 Reiter's syndrome/reactive arthritis/keratodermablennorrhagica
403 47 Malignant melanoma
405 48 Acanthosis nigricans
407 49 Keratoacanthoma
410 50 Pyoderma gangrenosum
411 51 Psychogenic/factitious
413 Station 5
Locomotor
415 1 Rheumatoid arthritis
416 2 Psoriatic arthropathy
422 3 Systemic sclerosis/CREST syndrome
425 4 Diabetic foot/Charcot's joint
428 5 Tophaceous gout
431 6 Ankylosing spondylitis
433 7 Paget's disease
435 8 Osteoarthritis
437 9 Marfan's syndrome
439 10 Vasculitis
441 11 Proximal myopathy
442 12 One leg shorter and smaller than the other
443 13 Radial nerve palsy
444 14 Arthropathy associated with infl ammatory bowel disease
445 15 Polymyositis
447 16 Systemic lupus erythematosus
448 17 Old rickets
450 18 Juvenile idiopathic arthritis
452 19 Swollen knee
454 Station 5
Endocrine
457 1 Exophthalmos
458 2 Acromegaly
461 3 Graves' disease
464 4 Goitre
467 5 Hypothyroidism
470 6 Cushing's syndrome
473 7 Addison's disease
478 8 Hypopituitarism
481 9 Pretibial myxoedema
483 10 Gynaecomastia
485 11 Turner's syndrome
488 12 Klinefelter's syndrome/hypogonadism
490 13 Bitemporal hemianopia
494 14 Diabetic foot/Charcot's joint
495 15 Necrobiosis lipoidica diabeticorum
496 16 Short stature
497 17 Pseudohypoparathyroidism
499 18 Pendred's syndrome
502 Station 5
Eyes
505 1 Diabetic retinopathy
506 2 Retinitis pigmentosa
511 3 Optic atrophy
512 4 Ocular palsy
514 5 Visual field defect
515 6 Retinal vein occlusion
516 7 Old choroiditis
518 8 Papilloedema
520 9 Cataracts
522 10 Myasthenia gravis
524 11 Albinism
525 12 Exophthalmos
526 13 Myelinated nerve fibres
527 14 Hypertensive retinopathy
528 15 Glaucoma/peripheral fi eld loss
530 16 Retinal artery occlusion
532 17 Asteroid hyalosis
533 18 Drusen
534 19 Laurence-Moon-Bardet-Biedl syndrome
535 20 Cytomegalovirus choroidoretinitis (AIDS)
537 21 Normal fundus
540 Station 5
Other
541 1 Bilateral parotid enlargement/Mikulicz's syndrome
542 2 Deep venous thrombosis (DVT)/Baker's cyst/cellulitis
543 3 Peripheral vascular disease
546 4 Osteogenesis imperfecta
548 5 Down's syndrome
549 6 Pernicious anaemia
550 7 Klippel-Feil syndrome
552 8 Leg oedema
554 Appendices
557 1 Checklists
559 2 Examination frequency of MRCP PACES short cases
563 3 Texidor's twinge and related matters
567 4 Abbreviations
569 Index
572
ix Introduction
xiii Section G: Examination Routines
1 1 Pulse
7 2 Heart
8 3 Chest
13 4 Abdomen
17 5 Visual fields
22 6 Cranial nerves
23 7 Arms
26 8 Legs
30 9 Legs and arms
34 10 Gait
35 11 Ask some questions
36 12 Fundi
39 13 Eyes
43 14 Face
45 15 Hands
47 16 Skin
51 17 Rash
53 18 Neck
54 19 Thyroid status
56 20 Knee
58 21 Hip
60 22 What is the diagnosis? 61 Section H: Integrated Clinical Assessment
65 Station 5
Scenarios by specialty
75 Dermatology 1 Non-resolving leg ulcer: pyoderma gangrenosum
77 2 Generalized rash: psoriasis
81 3 Dermatomyositis and falls
85 Rheumatology 4 Systemic sclerosis and Raynaud's syndrome
90 5 Rheumatoid arthritis and effects on activities of daily living (ADL)
94 6 Psoriatic arthropathy
98 7 Ankylosing spondylitis: short notes
101 8 Gout: short notes
102 9 Steroid toxicity: short notes
103 Endocrine 10 Thyroid eye disease
105 11 Acromegaly
109 12 Diabetes mellitus and Charcot joint
112 13 Diabetes mellitus: foot ulcer and diabetes control
116 14 Goitre and weight loss
119 Eyes 15 Retinitis pigmentosa
125 16 Optic atrophy
128 17 Visual blurring in a patient with diabetes mellitus
132 Gastroenterology 18 Iron deficiency anaemia
137 19 Haematemesis
141 20 Elevated liver function tests: non-alcoholic fatty liver disease (NAFLD)
146 21 Elevated liver function tests and hepatitis B serology
151 22 Crohn's disease/inflammatory bowel disease
155 23 Dysphagia and weight loss
158 24 Diarrhoea: recent antibiotics
162 25 Weight loss
166 26 Gastrointestinal bleed: significant bleed
169 Haematology 27 Anaemia
173 28 Easy bruising/idiopathic thrombocytopenic purpura
176 29 Epistaxis/elevated international normalized ratio (INR)
180 30 Neutropenic sepsis
184 Cardiology 31 Young syncope
188 32 Angina/chest pain
193 33 Palpitations ?atrial fibrillation
197 34 Breathlessness/congestive cardiac failure
201 35 Syncope/aortic stenosis
205 36 Syncope (orthostatic)
208 Respiratory 37 Chronic obstructive pulmonary disease (COPD)
211 38 Asthma
214 39 Pleural effusion
217 40 Short of breath ?pulmonary embolism
221 41 Rheumatoid arthritis/breathlessness
226 42 Haemoptysis
229 Neurology 43 Headache: progressive/memory issues
233 44 Headache: migraine
236 45 Subarachnoid haemorrhage
240 46 Transient ischaemic attack: loss of vision
243 47 Left-sided weakness in a young woman
247 48 Parkinson's disease/falls in an elderly woman
250 49 Cranial nerve VI palsy: sudden onset
254 50 Blackout: first fit
258 51 Essential tremor
263 52 Temporal arteritis
267 53 Carpal tunnel syndrome
270 54 Multiple sclerosis/diplopia
274 55 Peripheral neuropathy
279 Miscellaneous cases 56 Urinary tract infection: male/sexual history
283 57 Swollen calf in a young woman
287 58 Deep venous thrombosis (DVT) secondary to neoplasia: elderly patient
291 59 Deterioration in renal function
295 60 Fever in the returning traveller
299 Section I: Short Case Records
305 Station 5
Skin
309 1 Systemic sclerosis/CREST syndrome
311 2 Neurofibromatosis (von Recklinghausen's disease)
312 3 Osler-Weber-Rendu syndrome
314 4 Psoriasis
316 5 Rash of uncertain cause
318 6 Dermatomyositis
319 7 Xanthomata
321 8 Vitiligo
324 9 Adenoma sebaceum in tuberous sclerosis complex
328 10 Pseudoxanthoma elasticum
330 11 Lichen planus
333 12 Yellow nail syndrome
335 13 Gouty tophi
336 14 Alopecia areata
337 15 Eczema
339 16 Pretibial myxoedema
342 17 Clubbing
343 18 Necrobiosis lipoidica diabeticorum
345 19 Lupus pernio
347 20 Tinea
350 21 Koilonychia
352 22 Raynaud's phenomenon
353 23 Erythema nodosum
355 24 Sturge-Weber syndrome
358 25 Purpura
360 26 Peutz-Jeghers syndrome
363 27 Vasculitis
364 28 Ehlers-Danlos syndrome
366 29 Livedo reticularis
368 30 Pemphigus/pemphigoid
370 31 Radiation burn on the chest
373 32 Herpes zoster
374 33 Henoch-Schönlein purpura
376 34 Mycosis fungoides
378 35 Morphoea
380 36 Kaposi's sarcoma (AIDS)
382 37 Porphyria
385 38 Lupus vulgaris
387 39 Dermatitis herpetiformis
389 40 Urticaria pigmentosa (mastocytosis)
391 41 Palmoplantar keratoderma (tylosis)
393 42 Secondary syphilis
395 43 Ectodermal dysplasia
397 44 Partial lipodystrophy
399 45 Fabry's disease
401 46 Reiter's syndrome/reactive arthritis/keratodermablennorrhagica
403 47 Malignant melanoma
405 48 Acanthosis nigricans
407 49 Keratoacanthoma
410 50 Pyoderma gangrenosum
411 51 Psychogenic/factitious
413 Station 5
Locomotor
415 1 Rheumatoid arthritis
416 2 Psoriatic arthropathy
422 3 Systemic sclerosis/CREST syndrome
425 4 Diabetic foot/Charcot's joint
428 5 Tophaceous gout
431 6 Ankylosing spondylitis
433 7 Paget's disease
435 8 Osteoarthritis
437 9 Marfan's syndrome
439 10 Vasculitis
441 11 Proximal myopathy
442 12 One leg shorter and smaller than the other
443 13 Radial nerve palsy
444 14 Arthropathy associated with infl ammatory bowel disease
445 15 Polymyositis
447 16 Systemic lupus erythematosus
448 17 Old rickets
450 18 Juvenile idiopathic arthritis
452 19 Swollen knee
454 Station 5
Endocrine
457 1 Exophthalmos
458 2 Acromegaly
461 3 Graves' disease
464 4 Goitre
467 5 Hypothyroidism
470 6 Cushing's syndrome
473 7 Addison's disease
478 8 Hypopituitarism
481 9 Pretibial myxoedema
483 10 Gynaecomastia
485 11 Turner's syndrome
488 12 Klinefelter's syndrome/hypogonadism
490 13 Bitemporal hemianopia
494 14 Diabetic foot/Charcot's joint
495 15 Necrobiosis lipoidica diabeticorum
496 16 Short stature
497 17 Pseudohypoparathyroidism
499 18 Pendred's syndrome
502 Station 5
Eyes
505 1 Diabetic retinopathy
506 2 Retinitis pigmentosa
511 3 Optic atrophy
512 4 Ocular palsy
514 5 Visual field defect
515 6 Retinal vein occlusion
516 7 Old choroiditis
518 8 Papilloedema
520 9 Cataracts
522 10 Myasthenia gravis
524 11 Albinism
525 12 Exophthalmos
526 13 Myelinated nerve fibres
527 14 Hypertensive retinopathy
528 15 Glaucoma/peripheral fi eld loss
530 16 Retinal artery occlusion
532 17 Asteroid hyalosis
533 18 Drusen
534 19 Laurence-Moon-Bardet-Biedl syndrome
535 20 Cytomegalovirus choroidoretinitis (AIDS)
537 21 Normal fundus
540 Station 5
Other
541 1 Bilateral parotid enlargement/Mikulicz's syndrome
542 2 Deep venous thrombosis (DVT)/Baker's cyst/cellulitis
543 3 Peripheral vascular disease
546 4 Osteogenesis imperfecta
548 5 Down's syndrome
549 6 Pernicious anaemia
550 7 Klippel-Feil syndrome
552 8 Leg oedema
554 Appendices
557 1 Checklists
559 2 Examination frequency of MRCP PACES short cases
563 3 Texidor's twinge and related matters
567 4 Abbreviations
569 Index
572
Preface
ix Introduction
xiii Section G: Examination Routines
1 1 Pulse
7 2 Heart
8 3 Chest
13 4 Abdomen
17 5 Visual fields
22 6 Cranial nerves
23 7 Arms
26 8 Legs
30 9 Legs and arms
34 10 Gait
35 11 Ask some questions
36 12 Fundi
39 13 Eyes
43 14 Face
45 15 Hands
47 16 Skin
51 17 Rash
53 18 Neck
54 19 Thyroid status
56 20 Knee
58 21 Hip
60 22 What is the diagnosis? 61 Section H: Integrated Clinical Assessment
65 Station 5
Scenarios by specialty
75 Dermatology 1 Non-resolving leg ulcer: pyoderma gangrenosum
77 2 Generalized rash: psoriasis
81 3 Dermatomyositis and falls
85 Rheumatology 4 Systemic sclerosis and Raynaud's syndrome
90 5 Rheumatoid arthritis and effects on activities of daily living (ADL)
94 6 Psoriatic arthropathy
98 7 Ankylosing spondylitis: short notes
101 8 Gout: short notes
102 9 Steroid toxicity: short notes
103 Endocrine 10 Thyroid eye disease
105 11 Acromegaly
109 12 Diabetes mellitus and Charcot joint
112 13 Diabetes mellitus: foot ulcer and diabetes control
116 14 Goitre and weight loss
119 Eyes 15 Retinitis pigmentosa
125 16 Optic atrophy
128 17 Visual blurring in a patient with diabetes mellitus
132 Gastroenterology 18 Iron deficiency anaemia
137 19 Haematemesis
141 20 Elevated liver function tests: non-alcoholic fatty liver disease (NAFLD)
146 21 Elevated liver function tests and hepatitis B serology
151 22 Crohn's disease/inflammatory bowel disease
155 23 Dysphagia and weight loss
158 24 Diarrhoea: recent antibiotics
162 25 Weight loss
166 26 Gastrointestinal bleed: significant bleed
169 Haematology 27 Anaemia
173 28 Easy bruising/idiopathic thrombocytopenic purpura
176 29 Epistaxis/elevated international normalized ratio (INR)
180 30 Neutropenic sepsis
184 Cardiology 31 Young syncope
188 32 Angina/chest pain
193 33 Palpitations ?atrial fibrillation
197 34 Breathlessness/congestive cardiac failure
201 35 Syncope/aortic stenosis
205 36 Syncope (orthostatic)
208 Respiratory 37 Chronic obstructive pulmonary disease (COPD)
211 38 Asthma
214 39 Pleural effusion
217 40 Short of breath ?pulmonary embolism
221 41 Rheumatoid arthritis/breathlessness
226 42 Haemoptysis
229 Neurology 43 Headache: progressive/memory issues
233 44 Headache: migraine
236 45 Subarachnoid haemorrhage
240 46 Transient ischaemic attack: loss of vision
243 47 Left-sided weakness in a young woman
247 48 Parkinson's disease/falls in an elderly woman
250 49 Cranial nerve VI palsy: sudden onset
254 50 Blackout: first fit
258 51 Essential tremor
263 52 Temporal arteritis
267 53 Carpal tunnel syndrome
270 54 Multiple sclerosis/diplopia
274 55 Peripheral neuropathy
279 Miscellaneous cases 56 Urinary tract infection: male/sexual history
283 57 Swollen calf in a young woman
287 58 Deep venous thrombosis (DVT) secondary to neoplasia: elderly patient
291 59 Deterioration in renal function
295 60 Fever in the returning traveller
299 Section I: Short Case Records
305 Station 5
Skin
309 1 Systemic sclerosis/CREST syndrome
311 2 Neurofibromatosis (von Recklinghausen's disease)
312 3 Osler-Weber-Rendu syndrome
314 4 Psoriasis
316 5 Rash of uncertain cause
318 6 Dermatomyositis
319 7 Xanthomata
321 8 Vitiligo
324 9 Adenoma sebaceum in tuberous sclerosis complex
328 10 Pseudoxanthoma elasticum
330 11 Lichen planus
333 12 Yellow nail syndrome
335 13 Gouty tophi
336 14 Alopecia areata
337 15 Eczema
339 16 Pretibial myxoedema
342 17 Clubbing
343 18 Necrobiosis lipoidica diabeticorum
345 19 Lupus pernio
347 20 Tinea
350 21 Koilonychia
352 22 Raynaud's phenomenon
353 23 Erythema nodosum
355 24 Sturge-Weber syndrome
358 25 Purpura
360 26 Peutz-Jeghers syndrome
363 27 Vasculitis
364 28 Ehlers-Danlos syndrome
366 29 Livedo reticularis
368 30 Pemphigus/pemphigoid
370 31 Radiation burn on the chest
373 32 Herpes zoster
374 33 Henoch-Schönlein purpura
376 34 Mycosis fungoides
378 35 Morphoea
380 36 Kaposi's sarcoma (AIDS)
382 37 Porphyria
385 38 Lupus vulgaris
387 39 Dermatitis herpetiformis
389 40 Urticaria pigmentosa (mastocytosis)
391 41 Palmoplantar keratoderma (tylosis)
393 42 Secondary syphilis
395 43 Ectodermal dysplasia
397 44 Partial lipodystrophy
399 45 Fabry's disease
401 46 Reiter's syndrome/reactive arthritis/keratodermablennorrhagica
403 47 Malignant melanoma
405 48 Acanthosis nigricans
407 49 Keratoacanthoma
410 50 Pyoderma gangrenosum
411 51 Psychogenic/factitious
413 Station 5
Locomotor
415 1 Rheumatoid arthritis
416 2 Psoriatic arthropathy
422 3 Systemic sclerosis/CREST syndrome
425 4 Diabetic foot/Charcot's joint
428 5 Tophaceous gout
431 6 Ankylosing spondylitis
433 7 Paget's disease
435 8 Osteoarthritis
437 9 Marfan's syndrome
439 10 Vasculitis
441 11 Proximal myopathy
442 12 One leg shorter and smaller than the other
443 13 Radial nerve palsy
444 14 Arthropathy associated with infl ammatory bowel disease
445 15 Polymyositis
447 16 Systemic lupus erythematosus
448 17 Old rickets
450 18 Juvenile idiopathic arthritis
452 19 Swollen knee
454 Station 5
Endocrine
457 1 Exophthalmos
458 2 Acromegaly
461 3 Graves' disease
464 4 Goitre
467 5 Hypothyroidism
470 6 Cushing's syndrome
473 7 Addison's disease
478 8 Hypopituitarism
481 9 Pretibial myxoedema
483 10 Gynaecomastia
485 11 Turner's syndrome
488 12 Klinefelter's syndrome/hypogonadism
490 13 Bitemporal hemianopia
494 14 Diabetic foot/Charcot's joint
495 15 Necrobiosis lipoidica diabeticorum
496 16 Short stature
497 17 Pseudohypoparathyroidism
499 18 Pendred's syndrome
502 Station 5
Eyes
505 1 Diabetic retinopathy
506 2 Retinitis pigmentosa
511 3 Optic atrophy
512 4 Ocular palsy
514 5 Visual field defect
515 6 Retinal vein occlusion
516 7 Old choroiditis
518 8 Papilloedema
520 9 Cataracts
522 10 Myasthenia gravis
524 11 Albinism
525 12 Exophthalmos
526 13 Myelinated nerve fibres
527 14 Hypertensive retinopathy
528 15 Glaucoma/peripheral fi eld loss
530 16 Retinal artery occlusion
532 17 Asteroid hyalosis
533 18 Drusen
534 19 Laurence-Moon-Bardet-Biedl syndrome
535 20 Cytomegalovirus choroidoretinitis (AIDS)
537 21 Normal fundus
540 Station 5
Other
541 1 Bilateral parotid enlargement/Mikulicz's syndrome
542 2 Deep venous thrombosis (DVT)/Baker's cyst/cellulitis
543 3 Peripheral vascular disease
546 4 Osteogenesis imperfecta
548 5 Down's syndrome
549 6 Pernicious anaemia
550 7 Klippel-Feil syndrome
552 8 Leg oedema
554 Appendices
557 1 Checklists
559 2 Examination frequency of MRCP PACES short cases
563 3 Texidor's twinge and related matters
567 4 Abbreviations
569 Index
572
ix Introduction
xiii Section G: Examination Routines
1 1 Pulse
7 2 Heart
8 3 Chest
13 4 Abdomen
17 5 Visual fields
22 6 Cranial nerves
23 7 Arms
26 8 Legs
30 9 Legs and arms
34 10 Gait
35 11 Ask some questions
36 12 Fundi
39 13 Eyes
43 14 Face
45 15 Hands
47 16 Skin
51 17 Rash
53 18 Neck
54 19 Thyroid status
56 20 Knee
58 21 Hip
60 22 What is the diagnosis? 61 Section H: Integrated Clinical Assessment
65 Station 5
Scenarios by specialty
75 Dermatology 1 Non-resolving leg ulcer: pyoderma gangrenosum
77 2 Generalized rash: psoriasis
81 3 Dermatomyositis and falls
85 Rheumatology 4 Systemic sclerosis and Raynaud's syndrome
90 5 Rheumatoid arthritis and effects on activities of daily living (ADL)
94 6 Psoriatic arthropathy
98 7 Ankylosing spondylitis: short notes
101 8 Gout: short notes
102 9 Steroid toxicity: short notes
103 Endocrine 10 Thyroid eye disease
105 11 Acromegaly
109 12 Diabetes mellitus and Charcot joint
112 13 Diabetes mellitus: foot ulcer and diabetes control
116 14 Goitre and weight loss
119 Eyes 15 Retinitis pigmentosa
125 16 Optic atrophy
128 17 Visual blurring in a patient with diabetes mellitus
132 Gastroenterology 18 Iron deficiency anaemia
137 19 Haematemesis
141 20 Elevated liver function tests: non-alcoholic fatty liver disease (NAFLD)
146 21 Elevated liver function tests and hepatitis B serology
151 22 Crohn's disease/inflammatory bowel disease
155 23 Dysphagia and weight loss
158 24 Diarrhoea: recent antibiotics
162 25 Weight loss
166 26 Gastrointestinal bleed: significant bleed
169 Haematology 27 Anaemia
173 28 Easy bruising/idiopathic thrombocytopenic purpura
176 29 Epistaxis/elevated international normalized ratio (INR)
180 30 Neutropenic sepsis
184 Cardiology 31 Young syncope
188 32 Angina/chest pain
193 33 Palpitations ?atrial fibrillation
197 34 Breathlessness/congestive cardiac failure
201 35 Syncope/aortic stenosis
205 36 Syncope (orthostatic)
208 Respiratory 37 Chronic obstructive pulmonary disease (COPD)
211 38 Asthma
214 39 Pleural effusion
217 40 Short of breath ?pulmonary embolism
221 41 Rheumatoid arthritis/breathlessness
226 42 Haemoptysis
229 Neurology 43 Headache: progressive/memory issues
233 44 Headache: migraine
236 45 Subarachnoid haemorrhage
240 46 Transient ischaemic attack: loss of vision
243 47 Left-sided weakness in a young woman
247 48 Parkinson's disease/falls in an elderly woman
250 49 Cranial nerve VI palsy: sudden onset
254 50 Blackout: first fit
258 51 Essential tremor
263 52 Temporal arteritis
267 53 Carpal tunnel syndrome
270 54 Multiple sclerosis/diplopia
274 55 Peripheral neuropathy
279 Miscellaneous cases 56 Urinary tract infection: male/sexual history
283 57 Swollen calf in a young woman
287 58 Deep venous thrombosis (DVT) secondary to neoplasia: elderly patient
291 59 Deterioration in renal function
295 60 Fever in the returning traveller
299 Section I: Short Case Records
305 Station 5
Skin
309 1 Systemic sclerosis/CREST syndrome
311 2 Neurofibromatosis (von Recklinghausen's disease)
312 3 Osler-Weber-Rendu syndrome
314 4 Psoriasis
316 5 Rash of uncertain cause
318 6 Dermatomyositis
319 7 Xanthomata
321 8 Vitiligo
324 9 Adenoma sebaceum in tuberous sclerosis complex
328 10 Pseudoxanthoma elasticum
330 11 Lichen planus
333 12 Yellow nail syndrome
335 13 Gouty tophi
336 14 Alopecia areata
337 15 Eczema
339 16 Pretibial myxoedema
342 17 Clubbing
343 18 Necrobiosis lipoidica diabeticorum
345 19 Lupus pernio
347 20 Tinea
350 21 Koilonychia
352 22 Raynaud's phenomenon
353 23 Erythema nodosum
355 24 Sturge-Weber syndrome
358 25 Purpura
360 26 Peutz-Jeghers syndrome
363 27 Vasculitis
364 28 Ehlers-Danlos syndrome
366 29 Livedo reticularis
368 30 Pemphigus/pemphigoid
370 31 Radiation burn on the chest
373 32 Herpes zoster
374 33 Henoch-Schönlein purpura
376 34 Mycosis fungoides
378 35 Morphoea
380 36 Kaposi's sarcoma (AIDS)
382 37 Porphyria
385 38 Lupus vulgaris
387 39 Dermatitis herpetiformis
389 40 Urticaria pigmentosa (mastocytosis)
391 41 Palmoplantar keratoderma (tylosis)
393 42 Secondary syphilis
395 43 Ectodermal dysplasia
397 44 Partial lipodystrophy
399 45 Fabry's disease
401 46 Reiter's syndrome/reactive arthritis/keratodermablennorrhagica
403 47 Malignant melanoma
405 48 Acanthosis nigricans
407 49 Keratoacanthoma
410 50 Pyoderma gangrenosum
411 51 Psychogenic/factitious
413 Station 5
Locomotor
415 1 Rheumatoid arthritis
416 2 Psoriatic arthropathy
422 3 Systemic sclerosis/CREST syndrome
425 4 Diabetic foot/Charcot's joint
428 5 Tophaceous gout
431 6 Ankylosing spondylitis
433 7 Paget's disease
435 8 Osteoarthritis
437 9 Marfan's syndrome
439 10 Vasculitis
441 11 Proximal myopathy
442 12 One leg shorter and smaller than the other
443 13 Radial nerve palsy
444 14 Arthropathy associated with infl ammatory bowel disease
445 15 Polymyositis
447 16 Systemic lupus erythematosus
448 17 Old rickets
450 18 Juvenile idiopathic arthritis
452 19 Swollen knee
454 Station 5
Endocrine
457 1 Exophthalmos
458 2 Acromegaly
461 3 Graves' disease
464 4 Goitre
467 5 Hypothyroidism
470 6 Cushing's syndrome
473 7 Addison's disease
478 8 Hypopituitarism
481 9 Pretibial myxoedema
483 10 Gynaecomastia
485 11 Turner's syndrome
488 12 Klinefelter's syndrome/hypogonadism
490 13 Bitemporal hemianopia
494 14 Diabetic foot/Charcot's joint
495 15 Necrobiosis lipoidica diabeticorum
496 16 Short stature
497 17 Pseudohypoparathyroidism
499 18 Pendred's syndrome
502 Station 5
Eyes
505 1 Diabetic retinopathy
506 2 Retinitis pigmentosa
511 3 Optic atrophy
512 4 Ocular palsy
514 5 Visual field defect
515 6 Retinal vein occlusion
516 7 Old choroiditis
518 8 Papilloedema
520 9 Cataracts
522 10 Myasthenia gravis
524 11 Albinism
525 12 Exophthalmos
526 13 Myelinated nerve fibres
527 14 Hypertensive retinopathy
528 15 Glaucoma/peripheral fi eld loss
530 16 Retinal artery occlusion
532 17 Asteroid hyalosis
533 18 Drusen
534 19 Laurence-Moon-Bardet-Biedl syndrome
535 20 Cytomegalovirus choroidoretinitis (AIDS)
537 21 Normal fundus
540 Station 5
Other
541 1 Bilateral parotid enlargement/Mikulicz's syndrome
542 2 Deep venous thrombosis (DVT)/Baker's cyst/cellulitis
543 3 Peripheral vascular disease
546 4 Osteogenesis imperfecta
548 5 Down's syndrome
549 6 Pernicious anaemia
550 7 Klippel-Feil syndrome
552 8 Leg oedema
554 Appendices
557 1 Checklists
559 2 Examination frequency of MRCP PACES short cases
563 3 Texidor's twinge and related matters
567 4 Abbreviations
569 Index
572