Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • Preterm 30 wks – expected complicartions
  • Precocious puberty
  • Acute heamolytic anaemia

The Clinical station was examination of Respiratory system of a 8 years old with h/o increasing shortness of breath over past 3-4 days. Dr S took the hotseat while Dr A & Dr S wore the examiner hats. Dr S attempted the examination systematically but there were some points noted by the examiner: ward regarding pain, growth parameters, Clubbing, scars on chest wall.

The learning points are:

  • Consider a differential even diagnosis seems obvious
  • Ask of pain and reassure will stop if uncomfortable
  • General examination is mandatory at ALL stations
  • Systematic examination – Expose / ask
  • Inspection – Palpation – Percussion – Auscultation
  • It is fine to check for scars in General examination
  • Growth parameters
  • In summary – give your diagnosis then support with signs
  • Asthma is a common diagnosis – easy hence need better ‘performance’
  • Do NOT narrate your finds and keep your diagnosis for the end.
  • 3-4 questions on management

We move to a Communication scenario next on popular demand.

Visit to add your comments or points I may have missed.

Anil Garg