Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Syndrome diagnosis (Trisomy 21) & Genetic counselling
• Nightmare & Night Terrors: if NO IDEA – throw back on Role player.
• Rickets – causes

The Video Station was of a video clip of 2 year old generally looking well with facial swelling, puffy eyes. Dr I took the hotseat and picked up the clinical signs but the history could have been more specific. It is important to get he differential diagnosis at the start – do not go into the video station with ONLY one diagnosis.

Learning points:

• Read the lead in statement very carefully
• After watching the cues develop a differential diagnosis
• Do NOT end up with ONLY ONE diagnosis.
• The differential will guide you to the History questions and Examination points
• Management of Investigations – give with expected results – NOt just a list
• Visualize what you would do on the ward
• Always involve your Consultant and Tertiary unit where appropriate

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

Anil Garg