First was of a boy with difficulty walking, abnormal gait and +ve Gower’s sign. Second was a 4 year old boy with a swelling in the neck in the region of the thyroid gland. Discussion was done well.

Introduction, exposure of part, observation, muscle bulk, sitting and getting up, 5 Ss and then closer examination for tone and reflexes. While in the second scenario associated examination – pulse, eye signs, looking in the mouth, tremors, sitting and getting up for myopathy. Good differential and discussion.
Learning pointes:

• associated examination points for swelling in the neck
• Eye signs, pulse. Mention reflexes in thyroid swelling
• Non invasive relevant investigation before invasive test are better e.g. isotope scan.

Please leave any other comments.
Anil Garg