Thank you for participating in the session.
In RRR we discussed:
- Hyperthyroidism in 13 year old
- Acute Liver Failure
- Developmental Regression in 2 year old
The Clinical Station was to examine a young person with a neck swelling. Dr A took the hot seat and made a very good attempt at the examination and discussion. There were very good suggestions from examiners regarding thinking more broadly and conducting relevant ‘examinations’. Midline neck swelling is likely to be a ‘Thyroid swelling’ unless it is proved otherwise.
Learning points are:
- Have a differential diagnosis
- In Thyroid swelling – beside the neck findings – consider
- Voice changes
- Eye signs
- Muscle weakness – proximal myopathy
- Deep tendon Reflexes
- Systematic and orderly examination technique
- Ht & Wt centile are appropriate in all situations
Please visit www.mrcpchonline.org to add your comments or points I may have missed.