Dear All

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
  • Tremors
  • Deep tendon Reflexes
  • Systematic and orderly examination technique
  • Ht & Wt centile are appropriate in all situations

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

Anil Garg