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

• 29 weeker twins. Problems of prematurity
• Sudden desaturation of 1 day old preterm on ventilator: DOPE
• Hypothyroid – TSH 400mu/L on 6th day blood test

In the Clinical station we discussed a 4 year old presenting with difficulty in walking and frequent falls. Universal cues were of calf hypertrophy and Gower’s sign. Dr I & Dr D were in the hot seat. Both made very good attempts.
Learning points are:

• Structured examination
• Follow a logical order
• Power check in Group of muscle acting on a joint
• Summary – your DD and supporting clinical findings
• Time management is essential and practice completing exam in 5 minutes
• General examination is part of EVERY clinical systemic exam.

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