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