Thank you for participating in the session today.
In RRR we discussed:
- Antenatal screening
- 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.
- 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 www.mrcpchonline.org to add your comments or points I may have missed.