Dear All

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.

Anil Garg