Thank you for participating in the session today. We met new members – welcome to them all.
In the RRR we discussed:

• Birth injuries: Categories broad categories before getting into individuals
• Infective Endocarditis: Predisposition & Duke’s criterion
• ITP: Management – check your local guideline.

In the Clinical station the scenario was of a 7 years old, operated at 1 year of age. Features of Trisomy 21, median sternotomy scar, Superior axis with biventricular hypertrophy on ECG and an audio cue. Dr A, Dr R and Dr C were in the hot seat and did a fair job – with certain things to improve.
Learning points:

• Time managment – try to finish the exam in 5 minutes
• It is a focused exam – remember you CANNOT cover EVERYTHING.
• Note the universal cue. If syndromic – try to check by confirming dependent cues
• Do NOT make up findings to box into your presumed diagnosis
• General physical exam is MUST – DO NOT forget GROWTH.
• Revise ECGS – basics
• Revise murmurs: What, where and what they imply
• THRILL means murmur is LOUDEST there.

Visit www.mrcpchonline.org to add your comments or anything I may have missed.
Anil Garg