- PACES station 1 abdomen
- PACES station 1 respiratory
- PACES station 2 history taking skills
- PACES station 3 cardiovascular
- PACES station 3 neurology
- PACES station 4 communication skill and ethics
- PACES station 5 (new station 5)
- PACES station 5 endocrinology
- PACES station 5 Fundus
- PACES station 5 rheumatology
- PACES station 5 skin
- record of PACES experience
Thursday, 5 June 2008
there is right UMN weakness of the facial muscles.the right arm and leg are weak with increased tone and hyper-reflexia.the right planter is extensor.
he is dysphasic and there is sensory inattension.
this is right hemiplegia.
I would like to finish my examination by:
examin the visual field for homonymous hemianopia
check for caroted bruit
pulse for AF/heart for murmur
check the BP
dip the urine for suger
what are the causes of stroke?
what are the risk factors?
how would classify stroke?
Bamford classification 1991:
1-total anterior circulation stroke TACS
higher cerebral dysfunction +
homonymous visual field defect +
ipsilateral motor and/or sensory deficit
2-partial anterior circulation stroke PACS
2 out of 3 of TACS or higher cerebral dysfunction alone
3-lacunar stroke LACS
motor stroke or sensory stroke or sensory-motor stroke
4-posterior circulation stroke POCS
ipsilateral CN palsy with contralateral motor +/-sensory deficit or
bilateral motor+/-sensory deficit or
can you list the features that are helpful t localize the site of hemiplagia?
Labels: PACES station 3 neurology