Video was of a term looking, 3 day old neonate notes to have signs of significant Hypotonia requiring tube feeding and under phototherapy. No obvious respiratory distress.

The signs demonstrated were picked up – baby was hypotonic – but important to mention each sign when describing your findings – supporting observation of hypotonia: frog like posture, complete head lag, rag doll ‘tone’ slipping through grip on holding under the arms / axilla.

Important o frame history question appropriately so as to help your differential diagnosis and same for targeted examination.

Learning point:

• Ask question – very specific – ideally a closed question.
• Differential diagnosis: BROAD brush to begin with – gives scope to expand
• MORE important – gives wriggle room in case your only diagnosis is not correct
• Investigations – again – start with basics – say what you EXPECT to find.
• How they will guide your differential
• Have a reasonable idea of the management plan.