By Stephen Hoole, Andrew Fry, Rachel Davies
This ebook has been written for PACES applicants through a group of authors who're themselves fresh PACES applicants. annoyed by way of the inability of appropriate revision fabric on hand, the authors drew upon their very own reports of learning and the examination to create this concise revision aid.
Presented in a case examine layout to check the examination, the e-book has a casual writing type. The syllabus for the examination has been reviewed broadly through the authors and, when making sure that the e-book covers all of the crucial info, imprecise circumstances should not featured.
Designed to slot in a white coat pocket for 'on the task' research, the constitution of the cloth courses the reader via self-directed studying
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Additional info for Cases for PACES
Investigation and management of multiple sclerosis. Differential diagnosis of headaches. Socio-economic impact of chronic disability. 31 32 History Taking Case 4 Briefing for patient You are a 35-year-old teacher. You have felt generally unwell and run down for several months. You have felt hot and shivery for a few weeks. Yesterday you noticed pain in the centre of your chest. The pain is sharp and grating. It hurts when you breathe in deeply. The only position you are comfortable in is sitting upright and last night you could not sleep lying down because of the pain.
Left ventricular failure. Right ventricular failure is preterminal. Investigations . ECG: LVH on voltage criteria, conduction defect. CXR: often normal; calcified valve. Echo: gradient >50 mmHg (>100 mmHg severe). Catheter: aortic gradient and coronary angiography (coronary artery disease often coexists with aortic stenosis). Treatment . Asymptomatic . None. Regular review 6/12. Antibiotic prophylaxis for dental, genitourinary and colonic investigations or treatments. Symptomatic . Aortic valve replacement =À CABG.
The lack of income is a major problem at home as your husband has recently been made redundant. You do not smoke but admit to drinking too muchÐroughly a bottle of wine per day. Your parents are both alive and well, and you do not have any siblings. You have one healthy 4-year-old boy (you had three miscarriages in your 20s). Problem list . The presenting problem is suggestive of acute pericarditis. She also describes a background of non-specific ill health with Raynaud's phenomenon, polyarthritis, photosensitivity and previous pleurisy.
Cases for PACES by Stephen Hoole, Andrew Fry, Rachel Davies