Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Devices in Asthma treatment (inhalers)
• Polyarthritis – causes
• IUGR vs Low Birth Weight – complications

The Video station – was a clip of 6 month old presenting with Failure to thrive. clinical Cues – alert, pink, tachypnoeic, some intercostal recession, mark parallel to rib cage, right hypochondrium, NG in situ. Dr S took the hotseat and was able to pick out the cues. History and examination needed some more structure. Dr L and Dr N had a good attempt. Dr Shishir was at hand to guide and suggest points to focus on.

The Learning points are:

• Develop a DD after the initial information and watching Video.
• DD should guide your questions for further history & Examination.
• Formulate your question: precise & succint
• Examination needs to be specific – not full system & vague.
• If you note ‘something’ on video and are not sure – Clarify with examiner.
• You will not be marked down but will not go down a wrong path
• Better to ask than to assume and be wrong!!

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

Anil Garg