Thank you for participating in the session today.

Random Rapid Review:

  • Septicaemia – causes, clinical reasoning of hypovolemia
  • Management of Meningococcal shock
  • Febrile child – common aetiology and management

Dr A & Dr K – Dr V & Dr S took the hotseat for recollecting and presentation.

Hypovolemia is due to maldistribution of fluid due to capillary leak into third space and NOT due to Dehydration.

Ensure Airway by way of intubation if have to give resuscitation fluids more than 30-40 mls/kg. (Check current guidelines)

Common causes of Seizure in a febrile 2 year old:Febrile seizure,Meningitis, Encephalitis

In the Clinical station – scenario of a 9 year old girl with clinical findings of Neurofibromatosis-1 seen for yearly review. What all will you examine.Dr C & Dr V took the hotseat and covered most of the points. Very brave to step forward – remember June & September are not far away.

Learning points:

  • If diagnosis is obvious – Say it and be prepared for ‘more detailed’ discussion
  • Have a Differential diagnosis following Universal cues
  • How to approach clinical station – Have a system in your mind to proceed, Dr V & Dr S
  • Systematic approach is mandatory
  • Can give a very brief ‘Over view’ of what you wish to examine
  • Do NOT just a list what you want to do to examiner
  • Ask and wait for reply to your query
  • Use other Specialists to help in management
  • Hotseat is Stressful like in the Real Exam but you do NOT forget afterwards.
  • 30 second Rule – DO NOT forget with EXAMINER also!!

Add your comments or anything I may have missed.
Anil Garg