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Informationen zum Autor 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 Klappentext 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 Edition9780470655092An Aid to the MRCP PACES Volume 2: Stations 2 and 4, Fourth Edition9780470655184An Aid to the MRCP PACES Volume 3: Station 5, Fourth Edition9781118348055 Zusammenfassung 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. Inhaltsverzeichnis 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<...
List of contents
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
