Dear All

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.

Anil Garg