Dear All

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.

Anil Garg