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, 8 June 2010

Pseudoxanthoma elasticum

Chicken skin neck, axilla
Test:Punch bipsy – van Gieson stain shows fragmentation elastic tissue
Extensions.
Examine peripheral pulses
Fundus for angioid streaks
Complications: upper GI haemorrhage, visual loss, MI, stroke, claudication, miral valve prolapse, renovascular hypertension

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