Dear All

Thank you for your particpation in the session today.

In RRR we discussed:

• Head Injury – Primary & Secondry damage
• Burns & Fire
• Adrenal Insufficiency – features

The Clinical Station was examination and discussion of a 6 year old with h/o of transfusions since age of 2 and a full abdomen. Dr A took the Hotseat and Dr P & Dr P had the examiner hat. Dr T did a systematic general and local examination covering almost all the points in an orderly sequence. His conclusion was succient and to the point. Examiner discussion was brief. Questions were what medications , long term complications and their monitoring. The examiners and others gave important points on management.

The Learning points are:

• Thalassaemia – Iron overload
• Complications of Iron on various organs
• Heart, Liver, Pancreas
• Penicillin prophylaxis after spleenectoy
• Following Head Injury – detection of CSF leak
• Check clear fluid with Dextrostix: CSF will be +ve
• Pain control is first management in Burns.
• Mention any other obvious abnormality in examination

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

Anil Garg