We had a revision of history station two video stations in preparation for the exam next week.

The history was of a child 21 days old presenting with a sodium of 113 mmol and weight loss. Video Scenarios were one of a child with nephrotic syndrome and the other with congenital heart disease and congestive heart failure.

Learning Point:

• Think of differential diagnosis while reading the instructions or watching the video
• Think of two or three different diagnoses, you do not need a longer list
• Ask relevant questions to the differential in the history
• Examine for a finding that will help you differentiate the diagnosis
• Justify what you feel is the differential diagnosis with the findings you have
• Do not ask the same information again that has been provided to you in the sheet
• Try and not make the history station into a communication station you’ll be wasting your time.