Dear All

Thank you for participating in the session today. Some of our colleagues are going to be in the real ‘hotseat’ tomorrow and in the following few days. We wish all of them Best of Luck and nerves for the exam. We are confident you will do well.

In the RRR we discussed:

• Neuroblastoma – LL paresis in 6 month old
• Pyloric stenosis
• Shock – types

The Video was of a 2 day old baby having a seizure. Dr A took the hotseat and picked up most of the clinical signs demonstrated. History questions were relevant and examination made useful points. However it is important to have a differential diagnosis to work through.

The Learning points are:

• 2-3 differential diagnosis after completing video watching
• Watch video carefully and focus on different signs
• Do not get locked into most obvious finding
• Common differentials
• Questions to support or refute your differential
• Do NOT ask vague broad questions – likely to get vague reply.
• ALWAYS ask for Br weight and Current Wt in newborn or weight loss
• Management – top 3-4 bullet points
• Acute problem – sort out first. Convulsion – stopping is top priority.

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

Anil Garg