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
pseudohypoparathyroidism
ReplyDeleteclick on the picture to enlarge and make more clear.any other possiblities?
ReplyDeletepresence of tophi- chronic tophaceous gout??
ReplyDeletethat's correct.
ReplyDeletethis lady has chronic tophaceous gout.
important to remember the other types of clinical presentations,risk facros,investigations and lines of management.
good luck.
dont forget to look for tophi in the ear pinna
ReplyDelete