Cases Seen
Opthalmoplegia and Grave’s disease
Fibrosing alveolitis with Rheumatoid arthritis
Mechanical mitral valve with leak
Turners syndrome with coarctation of the aorta and bicuspid aortic valve
mechanical mitral valve with leak
old TB with lobectomy
proliferative diabetic retinopathy with photocoagulation scars
aortic stenosis
bilateral APKD, fistula for renal replacement therapy
HOCM
diabetic retinopathy with photocoagulation scars and aortic regurgitation
VSD
Osteogenesis imperfecta, mechanical aortic and mitral valves
VSD
Systemic sclerosis and fibosing alveoilitis
Mixed aortic regurg and mitral regurg.
Fascio-scapulo humeral muscular dystrophy
Renal transplant with fistulas and short stature
Rheumatoids hands
myotonic dystrophy
mechanical mitral valve with leak and hyperthyroidism
tuberous sclerosis
rheumatoid arthritis
mixed aortic valve disease
ivedo reticularis with SLE
polycystic kidney disease with liver involvement pre-dialysis
cerebello-pontine angle tumour
spastic paraparesis.
Peripheral neuropathy
old polio, bilateral tendon release
spastic paraperesis
Rheumatoid hands (subtle signs)
mixed aortic and mitral valve disease
Acromegally
Aortic valve replacement with Marfans syndrome
Sarcoidosis: (Hepatosplenomegally, clubbing, arthropathy
mechanical aortic valve prosthesis
cerebellar syndrome - dysarthria, abnormal tandem walking
leinfelters syndrome, VP shunt, Graves disease, hemiplegia
myelofibrosis: heptosplenomegally, polycythemia
Pulmonary stenosis following corrected tertalogy of Fallot
Kartageners syndrome, bronchiectasis and pneumenectomy
Mechanical aortic valve with leak
Rheumatoid hands, bilateral sympathectomy raynaulds.
Old polio with tendon release
Saturday, 23 February 2008
paces courses
London PACES
Courses focus on examination technique, how to improve quickly, and what is expected in the examination. Candidates receive continuous feedback from tutors throughout.
Locations
London
Course Formats
1 day PACES Communication Course (History & Ethics), £299
1 day PACES Neuro-Ophthalmology, £350
2 day Full PACES Course, £650
Ealing PACES
Ealing PACES provides four day MRCP PACES programmes and weekend revision courses. Ealing PACES has been running since 1992.
Locations
Ealing (West London)
fastPACES
Locations
London
Manchester
Course Formats
2 days, Clinical, £649
1 day, Clinical Crammer, £349
PasTest
Courses held in a hotel.
Locations
Harrow (North West London)
Manchester
Course Formats
4 weekdays, £1295
2 consecutive weekends, £1250
1 weekend, £690
PassPACES
4 day intensive PACES clinical courses at Guy's and St Thomas' Hospitals in London.
Locations
London
Course Formats
4 days, £1395
Hammersmith Medicine
Evening courses with opportunities for candidates to practise physical examination, history taking and communication skills themselves.
Locations
West London
Course Formats
4 evenings (Mon - Thu), £580
UCL Institute of Neurology
An intensive 2-day course including case studies covering a wide range of neurological conditions with lectures by neurologists at the National Hospital. MRCP Part II PACES examination preparation.
Locations
Central London
Course Formats
2 days, £700
PACES Ahead
80-100 short cases including Ethics/History stations. Emphasis is on exam tuition, technique and style.
Locations
South West London
Course Formats
2 days, £650
Medipaces
2-day courses including 60-70 short cases with consultant and specialist led training.
Locations
South West London
Course Formats
2 days, £580
Whittington Hospital
Running since the 1990s. A 3 day course in total. Day One is an Ethics and Communications Course. Days Two and Three are the Clinical Course.
Locations
London
Course Formats
1 day Ethics & Communications, £200
2 days Clinical, £500
3 days (both), £650
Neuropass
An intensive, comprehensive one day course to fully prepare candidates for the most difficult aspects of the PACES clinical examination: Neurology and Ophthalmology.
Locations
Hampstead, London
Course Formats
1 day, £310
PACESNeuro
1-day Neuro/Optho course taught by Neuro/Optho Cons/SpRs only.
Locations
South West London
Course Formats
1 day, £300
Northwick Park Hospital
Small group tuition in clinical skills, communication skills, management and history taking.
Locations
Northwick Park Hospital, London
Course Formats
2 days, £595
UK PACES Courses
Oxford PACES Course
Consultant-led. Has been developed with input from PACES examiners and those who have actually taken the PACES exam.
Locations
Oxford
Course Formats
1 day, £275
Milton Keynes PACES Course
1-day course with a 1:3 maximum ratio.
Locations
Milton Keynes
Course Formats
1 day, £360
Cardiff PACES
It's rare to find a PACES course in Wales. This one is a comprehensive 3-day course offering a balance of feedback about examination technique and presentation, history and communication skills, and seeing clinical signs.
Locations
South Wales
Course Formats
1 day History-taking, Communications Skill & Ethics, £300
3 days Clinical, £850
Fox PACES
One or two day PACES courses in Kent providing a large array of clinical cases and with a special emphasis on the communication and history stations.
Locations
Kent
Course Formats
1 day, £330
2 days, £600
NESC Courses Centre
A PACES course in Southampton offering clinical stations plus training focusing on specialist areas including Neurology, Cardiology, Rheumatology and Hepatology.
Locations
Southampton
Course Formats
2 days, £400
Online PACES Courses
123 Doc
Online e-course modules.
Courses Offered
Clinical Cardiology, 2 month subscription, £69.99
Clinical Cardiology, 4 month subscription, £94.99
Clinical Respiratory, 2 month subscription, £69.99
Clinical Respiratory, 4 month subscription, £89.99
Courses focus on examination technique, how to improve quickly, and what is expected in the examination. Candidates receive continuous feedback from tutors throughout.
Locations
London
Course Formats
1 day PACES Communication Course (History & Ethics), £299
1 day PACES Neuro-Ophthalmology, £350
2 day Full PACES Course, £650
Ealing PACES
Ealing PACES provides four day MRCP PACES programmes and weekend revision courses. Ealing PACES has been running since 1992.
Locations
Ealing (West London)
fastPACES
Locations
London
Manchester
Course Formats
2 days, Clinical, £649
1 day, Clinical Crammer, £349
PasTest
Courses held in a hotel.
Locations
Harrow (North West London)
Manchester
Course Formats
4 weekdays, £1295
2 consecutive weekends, £1250
1 weekend, £690
PassPACES
4 day intensive PACES clinical courses at Guy's and St Thomas' Hospitals in London.
Locations
London
Course Formats
4 days, £1395
Hammersmith Medicine
Evening courses with opportunities for candidates to practise physical examination, history taking and communication skills themselves.
Locations
West London
Course Formats
4 evenings (Mon - Thu), £580
UCL Institute of Neurology
An intensive 2-day course including case studies covering a wide range of neurological conditions with lectures by neurologists at the National Hospital. MRCP Part II PACES examination preparation.
Locations
Central London
Course Formats
2 days, £700
PACES Ahead
80-100 short cases including Ethics/History stations. Emphasis is on exam tuition, technique and style.
Locations
South West London
Course Formats
2 days, £650
Medipaces
2-day courses including 60-70 short cases with consultant and specialist led training.
Locations
South West London
Course Formats
2 days, £580
Whittington Hospital
Running since the 1990s. A 3 day course in total. Day One is an Ethics and Communications Course. Days Two and Three are the Clinical Course.
Locations
London
Course Formats
1 day Ethics & Communications, £200
2 days Clinical, £500
3 days (both), £650
Neuropass
An intensive, comprehensive one day course to fully prepare candidates for the most difficult aspects of the PACES clinical examination: Neurology and Ophthalmology.
Locations
Hampstead, London
Course Formats
1 day, £310
PACESNeuro
1-day Neuro/Optho course taught by Neuro/Optho Cons/SpRs only.
Locations
South West London
Course Formats
1 day, £300
Northwick Park Hospital
Small group tuition in clinical skills, communication skills, management and history taking.
Locations
Northwick Park Hospital, London
Course Formats
2 days, £595
UK PACES Courses
Oxford PACES Course
Consultant-led. Has been developed with input from PACES examiners and those who have actually taken the PACES exam.
Locations
Oxford
Course Formats
1 day, £275
Milton Keynes PACES Course
1-day course with a 1:3 maximum ratio.
Locations
Milton Keynes
Course Formats
1 day, £360
Cardiff PACES
It's rare to find a PACES course in Wales. This one is a comprehensive 3-day course offering a balance of feedback about examination technique and presentation, history and communication skills, and seeing clinical signs.
Locations
South Wales
Course Formats
1 day History-taking, Communications Skill & Ethics, £300
3 days Clinical, £850
Fox PACES
One or two day PACES courses in Kent providing a large array of clinical cases and with a special emphasis on the communication and history stations.
Locations
Kent
Course Formats
1 day, £330
2 days, £600
NESC Courses Centre
A PACES course in Southampton offering clinical stations plus training focusing on specialist areas including Neurology, Cardiology, Rheumatology and Hepatology.
Locations
Southampton
Course Formats
2 days, £400
Online PACES Courses
123 Doc
Online e-course modules.
Courses Offered
Clinical Cardiology, 2 month subscription, £69.99
Clinical Cardiology, 4 month subscription, £94.99
Clinical Respiratory, 2 month subscription, £69.99
Clinical Respiratory, 4 month subscription, £89.99
peripheral neuropathy
Here is an Indian gentleman who complaints of feeling shaky on walking for the past 3 years. The onset is insidious and his condition gradually worsen for the period mentioned.
There is trophic changes noted over the lower limbs i.e. the skin is shinny, smooth and loss of hair. There is hyperpigmented skin lesions suggestive of diabetic dermopathy. There is no muscle wasting and the power is normal.There is impairment of sensation to vibration sense, joint position and pinprick over a stocking distribution ( from foot up to knee level). The reflexes are absent.
There is sensory ataxia as evidenced by positive Romberg's sign and stamping gait (broad based gait, foot stamping on the floor)In conclusion, he has a peripheral neuropathy predominantly involving the sensory component. Functionally, he has sensory ataxia due to impaired joint position sense. The likely cause would be diabetes mellitus in view of the diabetic dermopathy.I would like to complete my examination by:1. Checking the upper limbs (sensory loss over a glove distribution)2. Palpating the peripheral pulses (peripheral arterial disease due to the trophic skin changes)3. Examine the fundus for diabetic retinopathy.4. Checking the urine for sugar.What are the other causes for sensory peripheral neuropathy?
There is trophic changes noted over the lower limbs i.e. the skin is shinny, smooth and loss of hair. There is hyperpigmented skin lesions suggestive of diabetic dermopathy. There is no muscle wasting and the power is normal.There is impairment of sensation to vibration sense, joint position and pinprick over a stocking distribution ( from foot up to knee level). The reflexes are absent.
There is sensory ataxia as evidenced by positive Romberg's sign and stamping gait (broad based gait, foot stamping on the floor)In conclusion, he has a peripheral neuropathy predominantly involving the sensory component. Functionally, he has sensory ataxia due to impaired joint position sense. The likely cause would be diabetes mellitus in view of the diabetic dermopathy.I would like to complete my examination by:1. Checking the upper limbs (sensory loss over a glove distribution)2. Palpating the peripheral pulses (peripheral arterial disease due to the trophic skin changes)3. Examine the fundus for diabetic retinopathy.4. Checking the urine for sugar.What are the other causes for sensory peripheral neuropathy?
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