Physical Examination in Medicine

A Primer for MRCP PACES
1. Auflage 2027
ISBN: 978-1-041-42872-5
Verlag: Taylor & Francis

Buch, Englisch, 208 Seiten, Format (B × H): 156 mm x 234 mm

Reihe: MasterPass

This book guides readers through fifty-six clinical cases designed to develop physical examination skills for the MRCP PACES exam and similar postgraduate assessments. Organized across four systems, nervous, cardiovascular, respiratory, and abdomen, each case presents physical findings, interpretation, differential diagnosis, investigations, and management. It emphasizes clinical reasoning, pattern recognition, and integrating positive and negative findings to reach a diagnosis. Written as if a senior clinician is guiding you through each examination, it helps candidates not only pass PACES but develop deeper diagnostic skills and confidence in real clinical practice.

Key Features:

- Teaches clinical reasoning and interpretation rather than rote memorization where readers learn to integrate examination findings, distinguish observation from clinical significance, and present findings logically, mirroring how experienced clinicians think at the bedside and building real diagnostic confidence.

- Essential preparation resource for MRCP PACES and postgraduate OSCE-style examinations that assess physical examination skills and clinical reasoning; addresses the critical need for candidates to interpret findings dynamically rather than rely on checklists or pre-labelled diagnoses.

- Adopts a diagnostic approach that mirrors actual PACES scenarios where the diagnosis is unknown; written in a bedside teaching style, it prioritizes logical reasoning, pattern recognition, and safe systematic thinking over performing perfect examination routines.

Zielgruppe

Professional Practice & Development

Autoren/Hrsg.

Suresh, Ernest

Inhaltsverzeichnis

SECTION 1: NEUROLOGY

UPPER LIMBS

Case 1: Myotonic dystrophy.

Case 2: Syringomyelia.

Case 3: Wrist drop.

Case 4: Claw hand.

Case 5: Median nerve palsy.

Case 6: Facioscapulohumeral muscle dystrophy.

Case 7: Cervical spondylosis.

Case 8: Parkinsonism.

Case 9: Cerebellar disease.

LOWER LIMBS

Case 10: Foot drop.

Case 11: Charcot Marie Tooth disease.

Case 12: Old polio.

Case 13: Motor neurone disease.

Case 14: Peripheral neuropathy.

Case 15: Friedreich’s ataxia.

Case 16: Spastic paraparesis.

Case 17: Flaccid paraparesis.

Case 18: Hemiplegia.

CRANIAL NERVES

Case 19: Horner’s syndrome.

Case 20: Third nerve palsy.

Case 21: Sixth nerve palsy.

Case 22: Internuclear ophthalmoplegia.

Case 23: Optic neuritis.

Case 24: Homonymous hemianopia.

Case 25: Bell’s palsy.

Case 26: Bulbar palsy.

SECTION 2: CARDIOLOGY

Case 27: Aortic stenosis.

Case 28: Aortic regurgitation.

Case 29: Mitral stenosis.

Case 30: Mitral regurgitation.

Case 31: Mitral valve prolapse.

Case 32: Prosthetic heart valve.

Case 33: Ventricular septal defect.

Case 34: Atrial septal defect.

Case 35: Patent ductus arteriosus.

Case 36: Fallot’s tetralogy.

Case 37: Tricuspid regurgitation.

Case 38: Hypertrophic obstructive cardiomyopathy.

Case 39: Coarctation of aorta.

SECTION 3: RESPIRATORY

Case 40: Idiopathic pulmonary fibrosis.

Case 41: Bronchiectasis.

Case 42: Chronic obstructive pulmonary disease.

Case 43: Lobectomy.

Case 44: Pleural effusion.

Case 45: Lung collapse.

Case 46: Fibrocavity.

Case 47: Lung consolidation.

Case 48: Normal respiratory examination.

SECTION 4: ABDOMEN

Case 49: Renal transplant.

Case 50: Polycystic kidney disease.

Case 51: Hepatomegaly.

Case 52: Splenomegaly.

Case 53: Chronic liver disease.

Case 54: Ascites.

Case 55: Liver transplant.

Case 56: Abdominal mass.

Über Autor(innen)

Dr Ernest Suresh is currently the head of medicine at Ng Teng Fong General Hospital in Singapore. Over the last three decades, he has worked in three different countries with contrasting healthcare systems and cultures. He has been teaching MRCP candidates for over two decades and received more than a dozen teaching excellence awards in the last ten years alone. He has regularly published educational review articles on a wide range of topics in peer-reviewed internal medicine journals and written an acute medicine handbook to guide the junior doctors in his hospital. His previous two books, published in 2023 and 2024, cover clinical consultation skills and communication skills in medicine.

He believes that all doctors, regardless of their speciality, should practice holistically, and learn to treat the person that has the illness and not just the illness the person has. He considers himself an ‘old-fashioned clinician’ and pays a lot of attention to bedside clinical skills and communication, the essential traits that the Royal College expects PACES candidates to possess.