Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Signs of shock
• Precocious puberty
• Toxic shock syndrome.

We practiced the Video station with a slight difference with suggestions from the participating members. After the initial information provided prior to seeing the video we asked each member to work out a short 3-4 ‘diagnosis’ they would consider (while waiting for entering the station). We then watched the video for 3 minutes and then each member got the opportunity to give their observations and modified Differential diagnosis with information gathered so far. We then followed on to History they would like to gather and Examination they would like to conduct. The ‘final’ list of Differential was presented and the discussion with examiner carried out as in the usual fashion.

Dr Shishir had the examiner hat and also provided tips on how to use the information gathered to develop a Differential suggesting on how to best use the information provided.

The Learning points are:

• How to check Ventriculo-Peritoneal shunt for blockage
• Read precocious & delayed puberty
• 8 yrs & 13 years Girls: 9 yrs & 14 years Boys
• Lumber puncture in repaired meningomyeloceles is not possible
• Our new method provided better learning outcome.

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

Anil Garg