Dear All

Thank you for joining the session today.

In RRR we discussed:

• Delayed puberty
• Iron Deficiency Anaemia
• Recurrent vomiting

The Development was on request for members sitting the exam within the next few days. The scenario was a girl with features of Trisomy 21. Parental concerns were slow development as compared to her siblings. Task to take focused history – we could only cover this and not the verbalizing of the exam – which we will cover at our next session. Dr S took the hotseat and made a very good attempt at tackling the task. Details of symptoms were explored however important domains could not be covered due to time limitations.

We had a brief PowerPoint presentation by AG on ‘History in the Clinical Exam’. What emphasis is required for different stations you will be ‘taking history’.

Learning points are:

• Developmental Concerns – Aetiology is implied – need identification.
• Check what the child can do now.
• Any regression?
• Comorbidities & Medications
• Social history
• Impact on family members -how mother coping?
• EHCP – Education – Health – Care Plan
• Living Allowance: Disability, Mobility
• Main Stream schooling – as far as possible

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

Anil Garg