Thank you for participating in the session today.
In RRR we discussed:
- Hypertension in a 8 year old
- Diabetic Ketoacidosis – assessement
- Acute hemiplegia
The Video station had a baby clinical signs (universal cues) looking generally well, jaundice and some hiccups (red herring). Dr P took the hotseat while Dr D had the examiner hat. Universal cues were picked up but emphasis was also paid to other not so important cues. Dependent Cues with History & Examination could be more targeted. Let’s assume the diagnosis is Rhesus disease causing jaundice. Management does not mean jumping to ‘Treatment’ intervention like phototherapy or Exchange transfusion. Assessment – investigation to gauge severity of disease process should come first.
The Learning points are:
- Common things are common – (think of top 3 you have seen)
- Read and get comfortable with all ‘Hypers…’, ‘Hypos….’
- Look up and remember guidelines all ‘Status ….’ at a minimum
- BSPeds – gives collection of current guidelines
- Categorise cause ‘system wise’…
- In Neonates – always check Birth weight & Current Weight.
- Feeding is very important – breast or bottle
- Practice, Practice, Practice.
Please visit www.mrcpchonline.org to add your comments or points I may have missed.