Thank you for participating in the session today.

The Rapid Random Review were:

• Down’s syndrome – feature & genetics – inheritance
• Arrhythmia in children – SVT
• Bruising in 5 years old – ITP? management

The Video scenario was of a 14 years old seen in A&E following a seizure recorded by teacher. Evidence of asymmetrical limbs movement. Dr S & Dr I were in the hotseat.
Learning points:

• Note details in introduction – each word has been looked at carefully
• Observe the Video very carefully
• Structured approach
• Tonic clonic seizures are symmetrical
• ITP – refresh management guidelines – do not say ‘ No Treatment’.
• Be confident of your observation
• In Communication – Do NOT keep on apologizing
• Before ‘intervention’ mention why i.e. referral for counselling.

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

Anil Garg