Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • Coeliac disease – diagnosis & management
  • Brain tumour – SOL – Symptoms & Signs
  • Hirschsprung’s presentation

The Clinical station was 12 year old presenting for review – for Neurology  examination of Lower Limbs. AG discussed Neurology examination – Lower limbs, Upper limbs including the important General Examination. Dr D took the hotseat and made a good attempt of examination but ran out of time. Others gave useful suggestions on what was in the clinical video clues given.

The Learning points are:

  • Systematic approach is VITAL
  • Examination technique should be smooth flowing
  • Inspection / Observation – Palpation / Tone – Percussion / Reflexes – Auscultation prn
  • 5 Ss – Shoes / Scars / Spine / Shunt / Squint
  • summarize well – keep diagnosis / differential in mind
  • Managment – top few options

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

Video recording of the session will be available in 24-48 hours.

Anil Garg