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.

Anil Garg