Thank you for attending the session today.
In RRR we discussed:
- Diabetic Keto Acidosis: assessment
- Pneumonia – 3 yr old
- Convulsion in 2 hour old.
We then discussed MSK & Neurology examination: what are the similarities and what are the differences. Important to keep in mind at the examination.
The clinical station was of a 12 year old with evidence of Left hemiplegia. Task was to Examine the Lower Limbs and else needed. Dr P was put in the hotseat. She made a good attempt at the station. Dr W took the seat for a shorter period after.
The Learning points are:
- SYSTEMATIC approach is VITAL.
- Start with INSPECTION – a lot can be gathered
- TIME MANAGMENT
- 6 mins is a short time and will FLY by in the exam
- Practice, practice to complete the examination in 5 mins.
- Keep 1 minute for nerves.
- Test Power in Group of muscles acting on a joint: Hip, Knee, Ankle
- Reflexes: Normal Brisk or Diminished
- Put your findings together – do not overtly worry about diagnosis.
- Lesions in Neurology is: UMN or LMN.
- Remember: 5S: Shoes, Scars, Spine, Shunt, Squint
Good wishes to all who are sitting in the over the next few days.
Visit www.mrcpchonline.org to add your comments or points I may have missed.