Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Short stature
• Asthma management
• Henoch Schönlein Disease

The main session was changed to a Video station as Dr P, our RP, was busy at work hence we changed to Video station scenario. The video clip was of a 2 day old new born, with evidence of seizure activity, oxygen via headbox and virtually no movement of left arm. Dr D opted for the hotseat. Dr P picked all the relevant clinical clues and asked appropriate questions coming up with good differential diagnosis. It is important to remember ANTIBIOTICS for an unwell neonate as Sepsis can never be ruled out and ignoring it can lead to death.

The Learning points are:

• Watch the video very carefully
• Try and focus on different aspects to one you have noted during first view
• Differential diagnosis: mention most common FIRST
• Structure your answer – in broad categories first as far as possible.
• Examiner may ask details on one of them
• Sepsis – never forget as a possible cause
• Communication with parents is important
• DOCUMENTATION – mention you will write down in the notes – definite mark
• Law states: If NOT written – assumed it is NOT done. Medicolegal catch
• The last point you should adopt in your Clinical practice – if not so already

Please visit www.mrcpchonline.org to add your comments or points I may have missed.

Anil Garg