Thank you for participating in the session today.

In RRR we discussed:

• Failure To Thrive
• NAI and Place of Safety / order
• Chickenpox exposure to a child with Leukaemia

The Video station scenario was of a 14 year old admitted for ‘regular’ admission for assessment & treatment. Grade four clubbing of fingers & toes + O2 supplement. Dr P took the hotseat. Clinical signs were picked up. Discussion with questions and examination required help. It was a useful presentation exercise.

Learning points:

• Develop a differential diagnosis. DO NOT work with ONE diagnosis only.
• You may reach your One diagnosis by history question & examination.
• History & examination has to be Specific – almost a closed question.
• Summary – give your impression / Differential and then support by finding
• Do NOT narrate you finding and not mentioning your ‘diagnosis or DD’.
• Specific common investigations first.
• Involve your consultant before speaking with any other team

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

Anil Garg