We discussed scenario of constipation and encopresis. It is a very common clinical problem in paediatrics but seems enough attention is not paid to it by trainees. It is worth reading it and discussing or explaining to a colleague.
Learning points were:

  • While reading the information ‘outside’ think of 2-3 causes
  • Check for presenting ‘concerns’ or worries’.
  • Focus should be on events in previous 3-6 months
  • Important to get information on diagnosis and treatment
  • The Differential diagnosis should help you structure your questioning
  • Be focussed. You do not have time to get history of everything as in ward clerking
  • Summarise at 9 minutes with your understanding of the positive and negative points

leave a comment of other learning points I may have missed.
Anil Garg