Dear friends and colleagues, Passing the MRCP UK is an important step in the medical career. PACES is the practical clinical exam and require a wide breadth of knowledge. This blog is a space to share materials, information and knowledge and I hope you find it useful. Am open for any ideas or suggestion and would value your contributions and comments.
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Best wishes, Dr Elmuhtady Said
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findings:
ReplyDeletehelitrope rash over the eyelids and periorbital area.
gottron's papules over the knuckles
diagnosis:
dermatomyositis
examin for proximal muscle weakness/tenderness.
ask about:
dysphagia
weather the rash worsen by sunlight
if the patient is above 40 years,tell the examiner that you want to screen for malignancy(ovarian,colorectal,breast and lung)
investigations:
CK
EMG
muscle Bx
treatment:
steroids
immunosupressants
IV immunoglobulins
Excellent. Thank you
ReplyDeletegood summery precise and clear
ReplyDeleteExcellent
ReplyDeleteExcellent. Thank you
ReplyDeleteGood summery.well focused
ReplyDelete