Pass MRCP Header

MRCP PACES Home MRCP Featured Article MRCP Previous Issues MRCP Forum Here MRCP Blog Here MRCP Support Here



Make a better site!


QuickScroll  Case 1 | Case 2

Case ID: 1
Created: 30 June 2008

Inspect this lady's hand and proceed.




     Some of you might not seen this condition during your years of medical posting. However, if you are working in any of the skin clinics in Malaysia, this condition is rather common. Although this is not a popular MRCP PACES question, my friend actually got this case two years ago when he sat for MRCP PACES in Kuala Lumpur. OK, this lady actually has scabies over her hand. The lesion is always described as pimple-like irritations, burrows or rash of the skin. Classically, you can find this lession over the webbing between the fingers; the skin folds on the wrist, elbow, or knee; the penis, the breast, or shoulder blades. You will be suprised that it is a type of sexually transmmitted disease (STD). Scabies is an infestation of the skin with the microscopic mite Sarcoptes scabei. Below is a photo of the mite involved.

Common questions examiners would ask you

arrow1) How do you diagnose this condition?

arrow2) How do you manage this condition?

arrow3) Can your pet spread scabies to you?

Diagnosis: This lady has scabies.

Extra points:

1) Learn more about scabies at


Created: 30 June 2008

Interesting Images in Clinical Medicine.

CT scan-issue42


Case History:

    Mr Hashim is a 45-year old Malay gentleman presented to our hospital with backpain and fever for 2 weeks. Please describe the CT scan shown above. What is the abnormality and what is the probable diagnosis??

To see previous issues, click here! To send a quick comment, click here!