Dear All

Thank you for participating in the session.

Dr A gave us an update on her experience fo the recent exam a few days ago. We then had:

RRR:

• Friedreich ataxia
• Delayed puberty
• Acute Liver Failure

Clinical station: a 11 year old girl presents for FU. She is small, has distended abdomen and a longitudinal scar to the right of midline. Dr L took the hotseat while Dr S & Dr N had the examiner hats. Dr Shishir conducted the station. Dr L did a full abdominal examination, including general physical exam. The only point to improve was time.

The Learning points are:

• Write points of examination on a A4 sheet
• Practice regularly so it becomes a ‘reflex’.
• Summary – give your impression or diagnosis or DD first
• Then support your opinion with +ve & -ve findings.
• Think and put all points together – clinical reasonong.

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

Anil Garg