Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Seizure – Differential diagnosis
• Poisoning
• Raised ICP

The clinical station was of a 13 year old boy presenting with joint swellings and joint deformity. Task was to do a MSK examination. DR A took the hot seat and made a very good attempt at MSK examination. There was confusion between neurology vs MSK examination. Although there are some similarities between the two tasks there are significant differences. It is vital not to mix the two. We then saw a video of MSK examination.

pGALS – look up and know well.

The Learning points are:

• MSK: Joint functionality and muscles
• NEURO: Muscle power – Tone – reflexes.
• TM – joint & Spine
• Mentally jot down the points you have to work through
• Be Systematic
• Poisoning – 3 types
• Inform your consultant before contacting others.

A number of our colleagues have written the exam in the past two week. We anxiously await the results.

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

Anil Garg