Dear All
On 9th we had only one session – 3:00-4:00 pm hence there was no link for 6:00-7:00 session.
In RRR we discussed:

• Cow’s Milk Protein allergy – diagnosis & management. Types of milk.
• Clubbing – causes. Hyperthyroid is an unusual cause note for neck swelling
• Ambiguous genitalia – causes and management

In the Development station scenario was a 3 year old girl with Trisomy 21 – parents concerns of ‘being slow’. Dr I was in the hotseat for history and then we watched a video of assessment for developmental age.
Learning points:

• Time management is very important
• History has to be focused
• Do not ask much of what child can do for domain to examine
• Read ambiguous genitalia as is a common scenario.
• Know various types of milk used in CMP.
• Summary should be compact and brief.

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