Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Enuresis – how to manage
• Feacal Soiling
• Cong Adrenal Hyperplasia – management

The Clinical station – we discussed another CVS case. 7 year old refered for a murmur. Dr P took the hotseat and Dr A & Dr P wore the Examiner hat. We had some hiccup in technology, audio was lost at crucial momnet when the murmur was played. It took about 5 minutes to sort it our and get audio to the particpants. Dr P was calm, systemic and covered most of the points. Summary at tend of examination could be improved to make presentation as that of a post graduate. Improvement in flow of eaxmination was pointed out by the  examiners.

The Learning points are:

• Have a Script of examination in your mind
• Involve the child – explain what you will be doing
• How can they particpate – help
• Important to be Systematic and fluent in exam
• General Physical Examination is a MUST for every station
• Follow Inspection – Palpation – Percussion – Auscultation
• Summarize with you Imperssion / Diagnosis first
• Support your Diagnosis with finding +ve & -ve
• Murmur can be discribed as advised in books
• Remeber Common is Common
• Concentrate on Child in front of you and not all possibilites
• Keep to time – try and finish examination in 5 minutes

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

Anil Garg