Dear All

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
    • Spine
    • Scars
    • Shunt
    • Squint
  • 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.

Anil Garg