Thank you for particpating in the session today.
In RRR we discussed:
- Iron Deficiney Anaemia: management
- Hearing loss in 6 year old
- Abdominal malignancy: Symptoms & signs
The Clinical Station was to examine the Lower Limbs and any other relavant examination in a 12 year old girl. She had features of Left hemipresis. Dr K took the hotseat and made the first attempt at the station. Dr K ran out of his 6 minutes. Dr A came to the hotseat next and completed the exam in a structured way though with a little guidance. Comments from all were relevant.
The Learning points are:
- Structured fluent examination is essential
- Inspection of surroundings and ‘child’ is next
- Get down to level of child & kneel to get your eyes at correct level
- 5 Ss are essential in a neurology station:
- SHOES – give important clues
- Observe the ‘Whole’ child and not just the legs
- Compare one side with the other
- When offered to ask question to get to aetiology
- “When did parents first concerned of problem?’
- This will guide to time where to explore for more details
- Keep questions – simple.
Please visit www.mrcpchonline.org to add your comments or points I may have missed.