WHAT OUR MIND DOES NOT KNOW – OUR EYES DON’T SEE.
There were a lot of subtle signs which are not obvious on the video but discussion and highlighting them will ensure you will NOT forget them in the exam.
First 30 seconds are VITAL – General observation – from a distance will give you 60-80% of the information on the diagnosis.
Work out a differential in your mind.
Following that you will need to proceed systematically to elicit the signs that are present. DO NOT make them up.
- Gait – decide as discussed last time.
- Look at the ARMS also and NOT only the legs.
- 4 Ss.
- Shoes / Spine / Shunt / Squint
- Kneel down / squat to look at feet and legs for scars and bulk.
Put the signs elecited together and go through your differential diagnosis.
Rest will follow.
Check out the support available to children – it is on the website. Leave your comments – Dr FF is the most diligent in writing to me about the sessions. thank you FF.