Dear All

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 to add your comments of points I may have missed.

Anil Garg