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. please visit my related pages on facebook and youtube. Best wishes, Dr Elmuhtady Said
PACES Stations
- General
- 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
Stroke
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
cerebellar dysfunction
can you list the features that are helpful t localize the site of hemiplagia?
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PACES station 3 neurology
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