Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • Anorexia nervosa
  • Coeliac disease
  • Altered sensorium – 9 yr old

The H&M was a review of a 7 year old with an afebrile seizure when on holiday abroad. Referred by GP for review. Dr Shisher was moderator. Dr S was in the hotseat. Dr A very able Role Player. Dr D & Dr S wore the examiner hats. Dr S, good introduction and took very good history and covered most of the important details. A few points were lacking and highlighted by the examiner.

Learning points:

  • Address the Role Player by name – not ‘Mum’ or ‘Dad’.
  • Avoid Medical jargon
  • Use the information provided carefully but take as accepted
  • Work out a differential diagnosis to explore
  • Seizures come from two sources: Brain or Heart
  • Read and refresh all medical emergencies
  • Summarize at 9 minutes – brief
  • This will highlight what you may need to ask or elaborate further
  • Do not lose your calm
  • Practice will keep ‘Brain connected’ during ‘hotseat / Exam’

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

Anil Garg