Thank you for participating in the session today.

We discussed clinical examination and what to expect and how to proceed in the various systems. It is important to practice and have a structured approach to the examination as without that life can be very difficult.

Rapid Random Review:

• Hypothyroidism – one of few preventable causes of severe learning difficulties.
• Croup

Dr C, Dr M, Dr S & DR A discussed hypothyroidism and croup with good clarity. The learning point was that thyroxine does not cross the placenta. Describing common conditions is difficult and hence it is worth practising them to.

Clinical scenario was of a 12 year older and task was to examine her lower limbs at a neurology station. She had evidence of central sternotomy, left side hemiparesis with shortening of limbs and a hemiplegic gait. Dr K volunteered to be in the hotseat and made a good attempt. Dr S did the station well proving practice does improve performance.

Learning points:

• If a Name is given – USE it – do not address as Child or Kid
• Be systematic. DEVELOP your own template for each system.
• Need to be fluent – as if have done it a hundred times.
• Do NOT forget to check the room for ‘appliances & aids’
• Lower limb discrepancy – how to confirm & where to measure
• True length: Ant Sup Iliac Spine to medial malleolus
• Apparent length: Umbilicus to medial malleolus
• Describe lesion as UMNL / LMNL and then go further
• Learn about Support available to a child with various disabilities
• Thyroxine does not cross the placenta
• Hypothyroid feature difficult to detect in first few months.

Add your comments or any points I may have missed.
Anil Garg