Thank you for participating in the session and making it so interesting and interactive.
In RRR we discussed:

• Congestive heart failure in an infant: signs and management
• Brittle diabetic causes and management – can have physiological causes too.
• Recurrent chest infections in a 1 1/2 year old – meconium passage

In the clinical station we had universal cues of a 15-year-old with a G shaped scar in the right Iliac fossa and some others around the umbilicus. Dr S and Dr H were in the hot seat and attempted verbalising the clinical examination.

Learning points were:

• It is important to know the common scars noted on abdominal wall
• You need to be slick and finish the exam in five minutes.
• It is a focused examination so do not follow your undergraduate template do you have to cover all points
• Have a differential diagnoses in the 4 minutes when watching the universal cues.

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

Anil Garg