Thank you for participating in the session today.
In RRR we discussed:

• 18 month old with difficulty in going to sleep
• DDH / CDH
• Limp in 6 year old

The Communication scenario was of an 11 month old with suspected meningitis. Mother is not giving permission for a Lumbar puncture. Dr A & Dr D were in the hotseat while Dr A & Dr J were very competent role players.

The task was difficult and the learning points are:

• To be accurate with anatomical description
• Meningitis is not infection of the brain.
• Treatment of meningitis is Antibiotics and NOT Lumber Puncture.
• LP is important to confirm diagnosis and decide on best treatment option
• Viral meningitis will not need antibiotics.
• Address RP’s CONCERNS or they will NOT move forward
• If you are going round in loops – STEP out.
• Seniors will come as soon as they have finished a ‘clinic’ or looking after another child

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