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 to add your comments or points I may have missed.

Anil Garg