Dear All

Thank you for joining session today.

In the RRR we discussed:

  • NEC – management
  • Addison’s disease
  • Breath holding attack – Non Epileptic Seizures

The clinical station was of a 6 yr old with h/o blood transfusions and hepatomegaly. Dr I took the hotseat and did the exam well but took a little longer than 6 minutes allotted. Discussion was good.

The Learning points are:

  • Systematic examination technique should be ‘automatic’.
  • Rapport – Inspection – Palpation – Percussion – Auscultation –
  • Expose the part following introductions so as NOT to forget
  • Scars – DO NOT miss them – be Vigilant.
  • Identify scars – some may be due to NON MEDICAL procedures
  • Cautery by ‘Local native’ practitioners
  •  Time management is essential – practice completing ‘exam’ in 5 minutes
  • Conclusion –  give Diagnosis if reasonably sure with supporting findings
  • Otherwise – findings with your differential diagnosis

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

Anil Garg