Thank you for participating in the session today. We covered History & Management.
RRR:

• 10 day old baby with jaundice – yellowish greenish tinge of the skin. DD: Congenital Infection, Biliary atresia, Metabolic. Check for Wt, Stool colour.

Dr K took the quick answering hotseat and managed reasonably well.

A brief PP presentation on salient points for the History station.

History station was a scenario of eight-year-old having constipation and soiling. Dr J was in the hot seat and Dr S was the role player. They both completed their respective tasks. Dr M & Dr S – were in the roles in the evening session.

Learning points:

• In the four minutes not your differential and important questions that need to be checked
• Structure your questioning and keep to time.
• Social history is very important and do not miss it.
• Medication is important to get details off – not necessarily milligrams but the frequency to ensure compliance
• Summarise at nine minutes in 15 seconds – then move on to questions not asked
• Check how Parents are COPING & SUPPORT they are getting.
• DISCUSS with RP / Parent instead of Educating them
• Involve Child in your management planning and explain to them also.
• Dis-empaction regime – know about it.
• Back to basics – read fundamentals

Visit www.mrcpchonline to add your comments or points I have missed.
Anil Garg