Thank you for participating in the session and making it interesting and interactive.
In RRR we discussed:
- Neonatal resuscitation
- Neonatal hypotonia
- Central cyanosis in a newborn infant
The clinical case was of a two-year-old with hydrocephalus with difficulty in walking. The universal cues were a large head, scar in the Occiput and cervical area and normal lumbar spine.
The Learning points were:
- Time management – practice to finish examination in 5 minutes
- Opportunistic examination in very young children – try and remain systematic
- Describe the lesion as UML or LML with supportive reasoning / findings
- Do NOT forget 5Ss in examination
- More important to look for Squint than Jaundice in a Neuro scenario
- Precise questions when checking for Dependent cues – ‘horizonal scars in tendon Achillis area’ rather than are any scars visible?
- Test power in group of muscles at a particular joint
- RRR – open with ‘Broad categories’ if possible
Please visit www.mrcpchonline.org to add your comments or any points I may have missed.