Thank you for participating in the session today.
In RRR we discussed:
- Staph & Streptococcal infections
- Fragile X syndrome
The Clinical station was on a 2 year old presenting with maternal concerns regarding his walking. He demonstrated a large looking head, scar in cervical spine area and with no other obvious abnormal clinical signs. Dr A took the hotseat and Dr AR took a second shot at the clinical examination. Lot of signs were picked up & some missed. The picked up signs were not summarised and discussed.
The Learning points are:
- Complete systematic examination is a MUST
- It should seem you have examined hundreds of children
- You should be fluent in you technique.
- Growth centiles – check in the beginning.
- Expose the parts to examine.
- Inspections needs to be thorough.
- Do not skip at this stage.
- You may ask for a Chaperone if appropriate.
- Engage child and if needed Ask mother to help
- In ‘Neurology’ examination – 5 Ss Not to be missed
- Shoes – Spine – Scars – Squint – Shunt
Please visit www.mrcpchonline.org to add tour comments or points I may have missed.