Thank you for joining the session and making it so interesting.
In the RRR we discussed:
- Unsteadiness due to Cerebelitis
- Chronic active hepatitis
- Guillian barre syndrome
The cardiovascular station was a scenario of 15-year-old with central sternotomy scar and a murmur. Dr P and Dr J took the hotseat and were good at getting the clinical findings.
We had the following Learning points:
- Systematic examination is a must.
- General examination is MUST for all stations
- Do NOT spend more than 1 min on introductions & General exam
- Do not forget inspection palpation percussion auscultation.
- Expose the part.
- Sit child on edge of couch with arms up to look for scars.
- Also moved from periphery to central i.e. fingers to the chest
- Localise the apex beat feeling on both sides – Left & Right.
- Check for THRILL – this will give site of maximum intensity of murmur
- Do not want to miss Dextrocardia
- Listen to the members carefully and be able to differentiate common ones
- Take 10 seconds to organize your thoughts before presenting
- Avoid going back & forth as it seems poorly organised technique
Visit www.mrcpchonline.org to add your comments or points I may have missed.