250 Cases in Clinical Medicine
A collection of short cases arranged by clinical area, emphasising the key diagnostic features of clinical conditions as commonly presented in the short case part of the Final MB and MRCP examinations. Also included are likely instructions or commands expected from the examiner for each condition, and the key points which the candidate must tell the examiner. In June 2001 the MRCP short cases exam is being replaced with a new OSCE-style exam called PACES (Practice Assessment of Clinical Examination Skills) and this book will take full account of this change.
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CARDIOVASCULAR SYSTEM l
Mitral stenosis 3
Aortic regurgitation 13
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abdomen abnormal acute ADVANCED-LEVEL QUESTIONS aetiology affected anaemia aneurysm antibodies aortic regurgitation aortic stenosis artery Ask the patient associated atrial fibrillation atrophy blood pressure carcinoma cardiac failure CARDIOVASCULAR causes cells cerebellar cervical chest chromosome chronic cirrhosis clinical coronary cranial nerves diabetes DIAGNOSIS This patient diastolic disorder drugs endocarditis Engl Examine this patient's fingers functional status gene haemorrhage heart failure heart sound hepatic Horner's syndrome hypothyroidism increased infection INSTRUCTION Examine INSTRUCTION Look involvement ischaemic joints Lancet left ventricular lesion limbs liver loss lung mitral regurgitation mitral stenosis motor neuron motor neuron disease multiple sclerosis murmur muscles myocardial infarction nerve palsy neurological normal oedema onset pain Parkinson's disease peripheral Proceed as follows pulmonary hypertension pulse reflex retinal rheumatoid arthritis right ventricular risk SALIENT FEATURES History sensory serum signs skin spinal steroids stroke surgery symptoms syndrome systolic Tell the examiner therapy thyroid transplantation treatment tumour usually vascular venous