Thank you for particpating in the session today.
In RRR we discussed:
- ALL – Symptoms & Signs
- Delayed Puberty
- Acute Abdomen – abdominal pain
The clinical station was of a 6 year old whose parents are concerned that she is clumsy. You are asked to do a MSK examination. Dr A took the Hotseat. He started well with screening questions, then moved to gait and inspection and followed the pGALS instructing the child. He overran and completed the examination in over 9 minutes. Dr P attempted the station after some feedback from all and did the examination in 6 minutes but missed a few minor points.
Remeber – you may be asked to demnstrate a sign or technique of doing a particular test i.e. detection of effusion in knee.
The Learning points are:
- Prepare a DD of 3 for any given scenario
- Do not go in with only 1 diagnosis
- pGALS can be done in any order – complete all.
- Expose the parts – legs and arms in this instance.
- Be systematic in your exam and slick
- Spine – a mild scoliosis is ‘physiological’ when upright – check when touching toes
- Practice finishing the exam in 5 minutes
- Investigations – mention with expected results
Please visit www.mrcpchonline.org to add your comments or points I may have missed.