Dear All

Thank you for joining the sessions today.

In RRR we discussed:

• Coeliac disease – diagnosis (H-E-I)
• Anorexia Nervosa
• Anaphylaxis – Emergeny management

Video station was of a 7 year old boy with history of 4 week hospital admission and walking with an abnormal, high stepping, broad based gait. Dr A took the hotseat with Dr P, Dr A & Dr P taking the examiner hots. Dr A was good, got the diagnosis and discussed management as appropriate. There were a few history and examination points that could be improved. Exminers contributed to building the complete picture.

The Video discussion, having gone well, finished ‘quickly’. We took the opportunity to discuss ‘Examination’ of Gait and lower limbs. How and where to position oneself, how to follow a logical sequence to examination. It will help in Clinical station.

Next week we start with Clinical Stations.

The Learning points are:

• Read the information very carefully. Every word counts.
• Watch whole ‘body’ and not only legs.
• Paucity of movement of upper limbs can be vital.
• In history ask – ‘When was the concern first noted’.
• Fully expose the part you have to examine.

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

Anil Garg