Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Failure to Thrive: causes & Investigation
• Asthma: management of Acute severe attack
• Increased Intra Cranial Pressure: symptoms & signs

AG gave a Power Point presentation on approach to Neurology station, Dos, Don’ts and systematic examination.

The clinical station was neurology – Parents of 4 year old concerned about his walking. Task – to examine Lower Limbs. This was to build up on previous session. Dr P was in the hotseat with Dr S & Dr A had the examiner hats. Dr P made a very good attempt, was systematic and proceeded well but ran short of time and also used jargon in communication with child. Examiners and others made good observations and gave appropriate comments. Dr Shishir gave valuable tips on the examination process.

The Learning points are:

• Time management is VITAL
• Select tasks in Neurology exam – you cannot do everything
• Use cues when provided
• Keep Commands / instructions to child SIMPLE
• Upper Limbs – remember Cerebellar ‘functions.
• Failure to Thrive: Non Organic & Non organic causes
• Practice – Practice – Practice

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

Anil Garg