Dear All
Thank you for your participation in the session. RRR are proving to be popular as they seem to meet the need for broad paediatric review with real time recall as essential for the exam.

Random Rapid Review:

  • Anorexia Nervosa
  • Failure to thrive in 1 year old: Group causes: Inadequate intake / absorption, Excessive use / Emotional

Dr A, Dr P, Dr M & Dr V attempted the rapid review and covered most of the points. With practice we will get the structure to our presentations.

The clinical station was of a 14-year-old who had come for her outpatient review. The queues were finger clubbing, porta Cath, evidence of delayed puberty and insulin pump. Dr S & Dr M as we had connectivity issues with Dr A who had volunteered first, took the hotseat and made a very good attempt, being systematic at finishing the examination in 8 minutes.

Learning Points:

  • Combine different cues and work out a unifying diagnosis
  • Chronic Suppurative Lung Disease – Cystic Fibrosis is one of them
  • Diabetes associated with Cystic Fibrosis is NOT Diabetes Mellitus Type 1.
  • CF related diabetes requires very low dose insulin
  • Port a Cath – semi ping-pong ball size ‘device’ inserted subcutaneously for venous access
  • Structured thinking and approach is MANDATORY and will come by Practice, Practice, Practice.
  • IRT for Cystic fibrosis screening is valid for first 3 months of life only.
  • Do not forget to examine for Nasal polyps
  • Do NOT forget 30 seconds rule while speaking.

Please visit www.mrcpchonline.org to add your comments or any other points I may have missed.
Anil Garg