Dear All
Thank you for your participation in the sessions today.In RRR we discussed:

  • Alpha 1 – Antitrypsin deficiency. Presentation.
  • 4 year old with periorbital swelling and lateral outward displacement of eye
  • Chronic inflammatory Bowel Disease

The clinical Development scenario was of a 18 month whose mother is concerned about speech development. We discussed the expected mile stones to demonstrate. Dr D & Dr A took the hotseat. IT is a ‘different’ station to other clinical stations and needs more practice.
Learning points were:

  • Receptive vs Expressive speech
  • Fluent examination technique
  • Have a Transcript of how you will ‘run’ the station
  • Choose appropriate ‘commands’.
  • Observe the child, demonstrate signs
  • If child not playing ball – ASK parents help.
  • If STILL successful – examiner will allow you to ask ‘parent’ direct question
  • Important to keep time for the last option
  • Red flags: Not talking by 2 years & Not walking by 18 months

I attach a thematic approach and mile stones.
Visit to add your comments or points I may have missed.
Anil Garg