Aid to the MRCP PACES Volume 1 - Stations 1, 3 and 5,

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1 Aid to the MRCP PACES Volume 1 - Stations 1, 3 and 5, Ryder ISBN-13: Table of Contents Preface Preface to the third edition Preface to the second edition Preface to the first edition Introduction Section A: Preparation Section B: Examination Routines Section C: Short Case Records Station 1, Respiratory 1 Interstitial lung disease (fibrosing alveolitis) 2 Pneumonectomy/lobectomy 3 Chronic bronchitis and emphysema 4 Bronchiectasis 5 Dullness at the lung bases 6 Rheumatoid lung 7 Old tuberculosis 8 Chest infection/consolidation/pneumonia 9 Yellow Nail Syndrome 10 Kyphoscoliosis 11 Stridor 12 Marfan s syndrome 13 Carcinoma of the bronchus 14 Klippel Feil Syndrome 15 Kartagener s syndrome 16 Lung transplant 17 Cystic fibrosis 18 Obesity/pickwickian syndrome 19 Pneumothorax 20 Cor pulmonale 21 Collapsed Lung/Atelectasis 22 Superior vena cava obstruction 23 Tuberculosis/apical consolidation

2 24 Normal chest Station 1, Abdominal 1 Transplanted kidney 2 Polycystic kidneys 3 Chronic liver disease 4 Hepatosplenomegaly 5 Hepatomegaly (without splenomegaly) 6 Splenomegaly (without hepatomegaly) 7 Ascites 8 Abdominal mass 9 Crohn s disease 10 Polycythaemia rubra vera 11 Normal abdomen 12 PEG tube 13 Single palpable kidney 14 Generalized lymphadenopathy 15 Hereditary spherocytosis 16 Idiopathic haemochromatosis 17 Primary biliary cirrhosis 18 Carcinoid syndrome 19 Motor neurone disease 20 Nephrotic syndrome 21 Pernicious anaemia 22 Pyoderma gangrenosum 23 Felty s syndrome Station 3, Cardiovascular 1 Prosthetic valves (mechanical) 2 Mitral incompetence (lone) 3 Mixed mitral valve disease 4 Aortic incompetence (lone) 5 Aortic stenosis (lone) 6 Mixed aortic valve disease 7 Mitral stenosis (lone) 8 Irregular pulse 9 Other combinations of mitral and aortic valve disease 10 Mitral valve prolapse 11 Tricuspid incompetence 12 Ventricular septal defect

3 13 Marfan s syndrome 14 Pulmonary stenosis 15 Ankylosing spondylitis 16 Atrial septal defect 17 Ebstein's anomaly 18 Raised jugular venous pressure 19 Down's syndrome 20 Hypertrophic cardiomyopathy 21 Dextrocardia 22 Rheumatoid arthritis 23 Fallot s tetralogy with a Blalock shunt 24 Normal heart 25 Cannon waves 26 Coarctation of the aorta 27 Eisenmenger s syndrome 28 Infective endocarditis 29 Patent ductus arteriosus 30 Pulmonary incompetence 31 Slow pulse Station 3, Central Nervous System 1 Peripheral neuropathy 2 Myotonic dystrophy (dystrophia myotonica) 3 Parkinson s disease 4 Charcot Marie Tooth disease (hereditary motor and sensory neuropathy) 5 Abnormal gait 6 Spastic paraparesis 7 Cerebellar syndrome 8 Hemiplegia 9 Muscular dystrophy 10 Multiple sclerosis 11 Motor neurone disease 12 Friedreich s ataxia 13 Visual field defect 14 Ulnar nerve palsy 15 Old polio 16 Ocular palsy 17 Spinal cord compression

4 18 Ptosis 19 Guillain Barré syndrome (acute inflammatory demyelinating polyradiculopathy) 20 Choreoathetosis 21 Bulbar palsy 22 Lateral popliteal (common peroneal) nerve palsy 23 Proximal myopathy 24 Absent ankle jerks and extensor plantars 25 Cerebellopontine angle lesion 26 Cervical myelopathy 27 Myasthenia gravis 28 Normal central nervous system 29 Syringomyelia 30 Diabetic foot/charcot's joint 31 Holmes Adie Moore syndrome 32 Nystagmus 33 Carpal tunnel syndrome 34 Drug-induced extrapyramidal syndrome 35 Lower motor neurone VIIth nerve palsy 36 Dysarthria 37 Subacute combined degeneration of the cord 38 Argyll Robertson pupils 39 Congenital syphilis 40 Dysphasia 41 Horner s syndrome 42 Infantile hemiplegia 43 Jugular foramen syndrome 44 Lateral medullary syndrome (Wallenberg s syndrome) 45 Polymyositis 46 Pseudobulbar palsy 47 Psychogenic/factitious 48 Radial nerve palsy 49 Subclavian-steal syndrome 50 Tabes 51 Thalamic syndrome 52 Wasting of the small muscles of the hand Appendices

5 1 Checklists 2 Examination frequency of MRCP PACES short cases 3 Texidor s twinge and related matters 4 Abbreviations Index

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