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 www.mrcpchonline.org to add tour comments or points I may have missed.

Anil Garg