Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Biliary atresia
• Choanal atresia
• Enuresis in 5 year old

We discussed Video station today. AG gave a PowerPoint presentation on the details of the Video station with Dos & Don’ts. Video clip showed a 6 month old with distended abdomen, a transverse scar in upper abdomen, left hydrocele and pale white stools. Dr S took the hot seat while Dr D & Dr S wore the examiner hat. There was some confusion in identifying the clinical signs in the video. We had a good discussion on what should be done in a situation when you are not sure of the signs you ‘see’.

Learning points:

• Do Not shy away from asking a question to examiner
• Clinical sign – Clarify your doubt – if not sure – ASK the examiner
• Examiner will normally clarify a specific point.
• Do not ask – What can I see? Is that line a scar or mark for measurement?
• Develop a differential diagnosis of 2-3 on evidence noted.
• In management – discuss the ‘child’ in front of you
• Do NOT give generic management as in the books
• Be age specific in management discussion
• Refer to your consultant and tertiary units for advice
• Do NOT be prejudiced by previous experience of similar video

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

Anil Garg