PACES resources,MRCP(uk) Practical Assessment of Clinical examination SKills

Dear friends and colleagues, having been through the difficulty of doing the final exam of the Royal College of physicians UK in multiple attempts, I understand the frustration the disappointment which can result from that. This blog is an idea 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. please visit my related pages on facebook and youtube.

Tuesday, 17 November 2009

examination of the thyroid status

-observe the general composure:

normal,hyperactive,fidegty,restless.

-examine the hand:

shake hand with the patient,observe sweaty hand

check the pulse:brady/tachycardia,AF

look for thyroid acropachy(swallon fingers,clubbing,perioteal

new bone formation),palmer erythema.

assess for fine tremers of out streched arm

-examine the eyes:

observe from top and side

led lag/retraction

eye movement.

-examine the shin:

pretibial myxedema

-check for proximal myopathy

-check reflexes

-finish by asking the patient about:

temp preference

wt loss with increase apetite

bowel habits

palpitations

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PACES resources,MRCP(uk) Practical Assessment of Clinical examination SKills

Dear friends and colleagues, having been through the difficulty of doing the final exam of the Royal College of physicians UK in multiple attempts, I understand the frustration the disappointment which can result from that. This blog is an idea 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. please visit my related pages on facebook and youtube.