Thank you joining the session today.
In RRR we discussed:
- Munchausen by proxy
- Chronic Fatigue Syndrome
- Hearing loss in 6 yr old
The Video station had a 6 yrs old with generalized rash, flaccid blisters, eye and oral cavity involvement. Dr R & Dr D had the examiner hat while Dr A was in the hotseat. Clinical cues were all picked and differential was thought of. Specific history and examination points could be better elicited. Know important complications. Management is important – learn important initial 3-4 points. There will not be time for very detailed discussions.
Learning points are:
- Practice to formulate clear questions
- Be brief and to the point.
- Do not waste valuable time in explaining your rationale.
- Each word in the stem is chosen very carefully and has relevance.
- Examination: specific ‘test’ for: crepitation, bulging fontanelle, Nikolski’s sign etc
- Read VERY carefully.
- Develop a Differential diagnosis – ask related questions.
- Generalized rash – drug history: antibiotics, anticonvulsants.
Please visit www.mrcpchonline.org to add your comments of points I may have missed.