Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • Antenatal screening
  • Obesity
  • Cong Hypothyroidism

The Clinical station – we covered a Video Station scenario. 6 month old with Spina bifida & VP shunt presenting with vomiting for 24 hours. Dr A & Dr P had the examiner hat – Dr j took the hot seat and made a very good attempt. He identified the clinical signs present. History and examination dependent cues were important. In history & examination- What can be deducted by clinical exam to help support or refute diagnosis is the key.

Learning points:

  • UTI, Gastroenteritis, Meningitis – common causes.
  • Video station – concentrate on Acute problem
  • Do not go into detailed past medical history
  • Develop a differential diagnosis of 3 to work through
  • DO NOT get stuck with ONLY one diagnosis
  • Simple things first
  • A complicated diagnosis may not be causative of presentation
  • Targeted questions as opportunity to ask only 2-3
  • Focus and be structured
  • Antiemetics and NOT give routinely in UK practice
  • Regular use only in association with Chemotherapy
  • Antibiotics – do not delay after culture sample taken
  • Involve your consultant

Visit to add your comments or points I may have missed.

Anil Garg