Thank you for participating in the session.
In RRR we discussed:
- RSV prophylaxis
- Meningococcal sepsis
- Syncope / fainting in 5 year old
The History station was of a 21 day old baby admitted with poor feeding and lethargy for 1 week with a Na:113. Dr A took the hotseat and Dr N was a very good Role Player. There was fair bit of time left at the end of Dr A’s history taking and we had candidates taking the exam in a next few weeks take supplementary question for 2 mins each. Dr A then summarised well. Discussion on how to manage the condition and advice to parents.
The learning points are:
- Have a Differential diagnosis based on information provided
- Write down heading of history points on your sheet
- Open questions first – do not interrupt
- Go through the history systematically
- Closed questions to ‘close’ the ‘session’ / task
- Even if diagnosis ‘obvious & in your face’ – cover other DDs
- Linked questions to get information for drugs
- Sick day plan
- Birth weight & current weight are MUST for neonate
- Probably more important than Vital signs – as likely to forget.
- Treat Emergency first before calling others – if appropriate
- Brain block can happen – do NOT panic
We will cover Video Station at next sssion.
Please visit www.mrcpchonline.org to add your comments or points I may have missed.