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.