
An Aid to the MRCP PACES
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This new edition of An Aid to the MRCP Paces Volume 1: Stations 1 and 3 has been fully revised and updated, and reflects feedback from PACES candidates as to which cases frequently appear in each station.
The hundreds of cases have been written in accordance with the latest examining and marking schemes used for the exam and, together with exam hints, tips, routines and clinical checklists, provide an invaluable training and revision aid for all MRCP PACES candidates.
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Content
1.1 - Contents [Seite 7]
1.2 - Preface [Seite 9]
1.3 - Preface to the third edition [Seite 13]
1.4 - Preface to the second edition [Seite 15]
1.5 - Preface to the f?irst edition [Seite 17]
1.6 - Introduction [Seite 19]
1.7 - Section A: Preparation [Seite 23]
1.8 - Section B: Examination Routines [Seite 29]
1.8.1 - 1: 'Examine this patient's pulse' [Seite 33]
1.8.2 - 2: 'Examine this patient's heart' [Seite 34]
1.8.3 - 3: 'Examine this patient's chest' [Seite 39]
1.8.4 - 4: 'Examine this patient's abdomen' [Seite 43]
1.8.5 - 5: 'Examine this patient's visual f?ields' [Seite 48]
1.8.6 - 6: 'Examine this patient's cranial nerves' [Seite 49]
1.8.7 - 7: 'Examine this patient's arms' [Seite 52]
1.8.8 - 8: 'Examine this patient's legs' [Seite 56]
1.8.9 - 9: 'Examine this patient's legs and arms' [Seite 60]
1.8.10 - 10: 'Examine this patient's gait' [Seite 61]
1.8.11 - 11: 'Ask this patient some questions' [Seite 62]
1.8.12 - 12: 'Examine this patient's fundi' [Seite 65]
1.8.13 - 13: 'Examine this patient's eyes' [Seite 69]
1.8.14 - 14: 'Examine this patient's face' [Seite 71]
1.8.15 - 15: 'Examine this patient's hands' [Seite 73]
1.8.16 - 16: 'Examine this patient's skin' [Seite 77]
1.8.17 - 17: 'Examine this patient's rash' [Seite 79]
1.8.18 - 18:'Examine this patient's neck' [Seite 80]
1.8.19 - 19: 'Assess this patient's thyroid status' [Seite 82]
1.8.20 - 20: 'Examine this patient's knee' [Seite 84]
1.8.21 - 21: 'Examine this patient's hip' [Seite 86]
1.8.22 - 22: 'What is the diagnosis?' [Seite 87]
1.9 - Section C: Short Case Records [Seite 91]
1.9.1 - Station 1: Respiratory [Seite 95]
1.9.1.1 - Case 1: Interstitial lung disease (f?ibrosing alveolitis) [Seite 96]
1.9.1.2 - Case 2: Pneumonectomy/lobectomy [Seite 99]
1.9.1.3 - Case 3: Chronic bronchitis and emphysema [Seite 101]
1.9.1.4 - Case 4: Bronchiectasis [Seite 103]
1.9.1.5 - Case 5: Dullness at the lung base [Seite 105]
1.9.1.6 - Case 6: Rheumatoid lung [Seite 107]
1.9.1.7 - Case 7: Old tuberculosis [Seite 108]
1.9.1.8 - Case 8: Chest infection/consolidation/pneumonia [Seite 109]
1.9.1.9 - Case 9: Yellow nail syndrome [Seite 111]
1.9.1.10 - Case 10: Kyphoscoliosis [Seite 112]
1.9.1.11 - Case 11: Stridor [Seite 114]
1.9.1.12 - Case 12: Marfan's syndrome [Seite 115]
1.9.1.13 - Case 13: Carcinoma of the bronchus [Seite 116]
1.9.1.14 - Case 14: Klippel-Feil syndrome [Seite 119]
1.9.1.15 - Case 15: Kartagener's syndrome [Seite 120]
1.9.1.16 - Case 16: Lung transplant [Seite 121]
1.9.1.17 - Case 17: Cystic f?ibrosis [Seite 123]
1.9.1.18 - Case 18: Obesity/Pickwickian syndrome [Seite 125]
1.9.1.19 - Case 19: Pneumothorax [Seite 129]
1.9.1.20 - Case 20: Cor pulmonale [Seite 131]
1.9.1.21 - Case 21: Collapsed lung/atelectasis [Seite 132]
1.9.1.22 - Case 22: Superior vena cava obstruction [Seite 134]
1.9.1.23 - Case 23: Tuberculosis/apical consolidation [Seite 136]
1.9.1.24 - Case 24: Normal chest [Seite 138]
1.9.2 - Station 1: Abdominal [Seite 139]
1.9.2.1 - Case 1: Transplanted kidney [Seite 140]
1.9.2.2 - Case 2: Polycystic kidneys [Seite 142]
1.9.2.3 - Case 3: Chronic liver disease [Seite 143]
1.9.2.4 - Case 4: Hepatosplenomegaly [Seite 146]
1.9.2.5 - Case 5: Hepatomegaly (without splenomegaly) [Seite 148]
1.9.2.6 - Case 6: Splenomegaly (without hepatomegaly) [Seite 149]
1.9.2.7 - Case 7: Ascites [Seite 151]
1.9.2.8 - Case 8: Abdominal mass [Seite 153]
1.9.2.9 - Case 9: Crohn's disease [Seite 155]
1.9.2.10 - Case 10: Polycythaemia rubra vera [Seite 157]
1.9.2.11 - Case 11: Normal abdomen [Seite 158]
1.9.2.12 - Case 12: PEG tube [Seite 160]
1.9.2.13 - Case 13: Single palpable kidney [Seite 161]
1.9.2.14 - Case 14: Generalized lymphadenopathy [Seite 162]
1.9.2.15 - Case 15: Hereditary spherocytosis [Seite 164]
1.9.2.16 - Case 16: Idiopathic haemochromatosis [Seite 165]
1.9.2.17 - Case 17: Primary biliary cirrhosis [Seite 167]
1.9.2.18 - Case 18: Carcinoid syndrome [Seite 169]
1.9.2.19 - Case 19: Motor neurone disease [Seite 171]
1.9.2.20 - Case 20: Nephrotic syndrome [Seite 172]
1.9.2.21 - Case 21: Pernicious anaemia [Seite 174]
1.9.2.22 - Case 22: Pyoderma gangrenosum [Seite 175]
1.9.2.23 - Case 23: Felty's syndrome [Seite 176]
1.9.3 - Station 3: Cardiovascular [Seite 177]
1.9.3.1 - Case 1: Prosthetic valves (mechanical) [Seite 178]
1.9.3.2 - Case 2: Mitral incompetence (lone) [Seite 179]
1.9.3.3 - Case 3: Mixed mitral valve disease [Seite 181]
1.9.3.4 - Case 4: Aortic incompetence (lone) [Seite 183]
1.9.3.5 - Case 5: Aortic stenosis (lone) [Seite 185]
1.9.3.6 - Case 6: Mixed aortic valve disease [Seite 187]
1.9.3.7 - Case 7: Mitral stenosis (lone) [Seite 189]
1.9.3.8 - Case 8: Irregular pulse [Seite 191]
1.9.3.9 - Case 9: Other combinations of mitral and aortic valve disease [Seite 193]
1.9.3.10 - Case 10: Mitral valve prolapse [Seite 194]
1.9.3.11 - Case 11: Tricuspid incompetence [Seite 196]
1.9.3.12 - Case 12: Ventricular septal defect [Seite 197]
1.9.3.13 - Case 13: Marfan's syndrome [Seite 198]
1.9.3.14 - Case 14: Pulmonary stenosis [Seite 199]
1.9.3.15 - Case 15: Ankylosing spondylitis [Seite 200]
1.9.3.16 - Case 16: Atrial septal defect [Seite 201]
1.9.3.17 - Case 17: Ebstein's anomaly [Seite 203]
1.9.3.18 - Case 18: Raised jugularvenous pressure [Seite 205]
1.9.3.19 - Case 19: Down's syndrome [Seite 206]
1.9.3.20 - Case 20: Hypertrophic cardiomyopathy [Seite 207]
1.9.3.21 - Case 21: Dextrocardia [Seite 208]
1.9.3.22 - Case 22: Rheumatoid arthritis [Seite 209]
1.9.3.23 - Case 23: Fallot's tetralogy with a Blalock shunt [Seite 210]
1.9.3.24 - Case 24: Normal heart [Seite 211]
1.9.3.25 - Case 25: Cannon waves [Seite 212]
1.9.3.26 - Case 26: Coarctation of the aorta [Seite 213]
1.9.3.27 - Case 27: Eisenmenger's syndrome [Seite 215]
1.9.3.28 - Case 28: Infective endocarditis [Seite 217]
1.9.3.29 - Case 29: Patent ductus arteriosus [Seite 220]
1.9.3.30 - Case 30: Pulmonary incompetence [Seite 221]
1.9.3.31 - Case 31: Slow pulse [Seite 223]
1.9.4 - Station 3: Central Nervous System [Seite 225]
1.9.4.1 - Case 1: Peripheral neuropathy [Seite 227]
1.9.4.2 - Case 2: Myotonic dystrophy (dystrophia myotonica) [Seite 229]
1.9.4.3 - Case 3: Parkinson's disease [Seite 231]
1.9.4.4 - Case 4: Charcot-Marie-Tooth disease (hereditary motor and sensory neuropathy) [Seite 234]
1.9.4.5 - Case 5: Abnormal gait [Seite 236]
1.9.4.6 - Case 6: Spastic paraparesis [Seite 239]
1.9.4.7 - Case 7: Cerebellar syndrome [Seite 240]
1.9.4.8 - Case 8: Hemiplegia [Seite 242]
1.9.4.9 - Case 9: Muscular dystrophy [Seite 244]
1.9.4.10 - Case 10: Multiple sclerosis [Seite 246]
1.9.4.11 - Case 11: Motor neurone disease [Seite 248]
1.9.4.12 - Case 12: Friedreich's ataxia [Seite 251]
1.9.4.13 - Case 13: Visual field defect [Seite 253]
1.9.4.14 - Case 14: Ulnar nerve palsy [Seite 255]
1.9.4.15 - Case 15: Old polio [Seite 257]
1.9.4.16 - Case 16: Ocular palsy [Seite 258]
1.9.4.17 - Case 17: Spinal cord compression [Seite 262]
1.9.4.18 - Case 18: Ptosis [Seite 265]
1.9.4.19 - Case 19: Guillain-Barré syndrome (acute inflammatory demyelinating polyradiculopathy) [Seite 269]
1.9.4.20 - Case 20: Choreoathetosis [Seite 271]
1.9.4.21 - Case 21: Bulbar palsy [Seite 273]
1.9.4.22 - Case 22: Lateral popliteal (common peroneal) nerve palsy [Seite 274]
1.9.4.23 - Case 23: Proximal myopathy [Seite 276]
1.9.4.24 - Case 24: Absent ankle jerks and extensor plantars [Seite 277]
1.9.4.25 - Case 25: Cerebellopontine angle lesion [Seite 278]
1.9.4.26 - Case 26: Cervical myelopathy [Seite 279]
1.9.4.27 - Case 27: Myasthenia gravis [Seite 281]
1.9.4.28 - Case 28: Normal central nervous system [Seite 285]
1.9.4.29 - Case 29:Syringomyelia [Seite 286]
1.9.4.30 - Case 30: Diabetic foot/Charcot's joint [Seite 288]
1.9.4.31 - Case 31: Holmes-Adie-Moore syndrome [Seite 289]
1.9.4.32 - Case 32: Nystagmus [Seite 291]
1.9.4.33 - Case 33: Carpal tunnel syndrome [Seite 294]
1.9.4.34 - Case 34: Drug-induced extrapyramidal syndrome [Seite 296]
1.9.4.35 - Case 35: Lower motor neurone VIIth nerve palsy [Seite 297]
1.9.4.36 - Case 36: Dysarthria [Seite 301]
1.9.4.37 - Case 37: Subacute combined degeneration of the cord [Seite 302]
1.9.4.38 - Case 38: Argyll Robertson pupils [Seite 303]
1.9.4.39 - Case 39: Congenital syphilis [Seite 304]
1.9.4.40 - Case 40: Dysphasia [Seite 306]
1.9.4.41 - Case 41: Horner's syndrome [Seite 308]
1.9.4.42 - Case 42: Infantile hemiplegia [Seite 310]
1.9.4.43 - Case 43: Jugular foramen syndrome [Seite 312]
1.9.4.44 - Case 44: Lateral medullary syndrome (Wallenberg's syndrome) [Seite 314]
1.9.4.45 - Case 45: Polymyositis [Seite 316]
1.9.4.46 - Case 46: Pseudobulbar palsy [Seite 317]
1.9.4.47 - Case 47: Psychogenic/factitious [Seite 318]
1.9.4.48 - Case 48: Radial nerve palsy [Seite 320]
1.9.4.49 - Case 49: Subclavian-steal syndrome [Seite 321]
1.9.4.50 - Case 50: Tabes [Seite 323]
1.9.4.51 - Case 51: Thalamic syndrome [Seite 325]
1.9.4.52 - Case 52: Wasting of the small muscles of the hand [Seite 326]
1.10 - Appendices [Seite 329]
1.10.1 - 1: Checklists [Seite 331]
1.10.2 - 2: Examination frequency of MRCP PACES short cases [Seite 335]
1.10.3 - 3: Texidor's twinge and related matters [Seite 339]
1.10.4 - 4: Abbreviations [Seite 341]
1.11 - Index [Seite 343]
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