Dear All

Thank you for participating in the session this week. Dr Sumit was our moderator – I would like to thank him for his help an support. Due to technical reasons we could not record the session on Tuesday.

In RRR we discussed:

• Intra Ventricular Haemorrhage in a neonate
• Turner’s syndrome
• Worsening respiratory distress in 10 month old.

The video station demonstrated a boy of 6 years with a wide spread rash. Dr D took the hot seat and picked up the clinical signs. The questions asked were good and examination findings could be clarified more explicitly. Discussion was good.

The Learning points are:

• IVH – ventricular index, neurosurgical opinion
• SIADH – restrict maintenance fluids in ‘Respiratory’ conditions
• Observe carefully – try and focus on ‘different’ aspects of video
• Write them down, do not get engrossed in what you have already noted
• Think of a differential – most obvious first – try not to limit to ONLY one
• If a diagnosis stands out – mention that first
• Wrong order WILL make you lose marks
• Eczema herpeticum – uncommon but is a common exam scenario
• Secondary bacterial infection – Staph – is common hence treat
• Indications for acyclovir & avoiding contact following chickenpox
• Dr Shishir has circulated current guidelines – look them up
• Keep reading and practicing management of ACUTE CONTIONS
• All Hypos – Hypers – Status xyz
• Management: KNOW broad interventions – NEED NOT go into minute details
• Time management is important

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

Anil Garg