Dear All

Thank you for participating in the session today.

In RRR we discussed:

• SCID
• Persistent Pulmonary Hypertension of Newborn (h/o Birth Asphyxia)
• Shock – what is and stages

The Video station was on a young man admitted for ongoing treatment. There were two iv access plus few other signs. Dr M took the hotseat and managed the clues well and good discussion. There is always room for improvement till we are in the actual exam.

When you see a ‘child with a particular signs’ close your eyes for a moment and think of the last time you admitted or managed a similar patient. This will help you decide what next.

The Learning points are:

• Watch the video carefully and take note of initial information provided.
• How to approach a child with chronic illness.
• ‘What medications is the child on? or is taking is a softer statement.
• Learnt how to approach the Video station.
• Got to know various access methods – all depend on length of time access required
• Peripheral iv – Peripheral long line – Central line – Hickmann line – Porta Cath
• Renal catheters – pigtail per cuteneous
• Cyanosis in newborn
• Malignancy is a better opening diagnosis than ALL.
• Features of ‘Chemotherapy’ are evident in treatment of all malignancies
• Remember – a Lot of diagnosis are possible – you HAVE to think of 2-3 common ones.

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

Anil Garg