Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • Hydrocephalus
  • 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 to add tour comments or points I may have missed.

Anil Garg