Dear All
Thank you for participating in the session today.
In RRR we discussed:
- Vulvovaginitis in 3 yr old
- STI – Sexually Transmitted Infection
- ADHD
We started on Video station today. AG presented the nuts and bolts and Do’s & Don’ts for the Video station. 2 stations with video clips and discussion with examiners at both. We then had a video of a relatively well looking 6 month old presenting with vomiting for 24 hours. There was evidence of repaired meningomyleocele and Ventriculo-Peritotenal shunt. Dr A took the hot seat with Dr P & Dr P took the examiner hat. It was a good attempt but could be done better. Examiner gave relevant feedback. Read up Hydrocephalus – with open fontanelle and later on in older children.
The Learning points are:
- Video slpis are normally approx a minute long
- Concentrate on different aspects when reviewing video 2nd time.
- Have a Differentail diagnosis of 2-3 after watching Video
- History questions should help refute or support your DD.
- Examination has to be for specific findings with similar aim
- Common thing common – when considering diagnosis
- Do not jump to conclusion with in first few seconds
- Keep an open mind – else heading for trouble
- Do not argue with the examiner if they offer a different diagnosis
- Management is essential and first few steps need to be clear
Please visit www.mrcpchonline.org to add your comments or points I may have missed.
Anil Garg