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

• Genetic counselling – what, how for ie child with Cystic fibrosis
• Bronchiolitis
• Prune Belly syndrome

The Video station was of a 3 year old child with puffy eye and reasonably well otherwise. It was attempted well by Dr S & DR I in hotseats the two sessions.

Nephrotic syndrome / Acute Glomerulonephritis / Angioneurotic – Allergy / Protein losing enteropathy
Learning points:

• Workout a Differential diagnosis of 2-3 conditions
• This will guide your history and examination cues
• Keep it simple
• common things are common
• Do not bring in complicated tests into management as 1st option
• Be systematic
• Be careful of WHAT you say – DONOT dig a hole for yourself.

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