Dear All

Thank you for joining the session today.

I would like to start by Congratulating two members who have become Member of Royal College of Paediatrics & Child Health at the last diet in UK. Two of three were able to satisfy the examiners on the day while one could not convince them – we will sit together to review, reflect, aim and take the first step again.

In RRR we discussed:

• Breast feeding  advantages & disadvantages
• Supra-Ventricular Tachycardia
• Tall stature – causes

The Video station, a clip of a 2 month old with evidence of respiratory distress receiving oxygen via nasal prongs. We did not have any person in the hotseat – instead we discussed the differential diagnosis after the initial information and the following cues noted after watching the video. The discussion was good and Dr Shishir suggested points to make the history questions specific and examination targeted. We did not discuss full management of the infant under discussion.

The Learning points are:

• Be focused and relate to ‘child’ under discussion
• Work out differential diagnosis
• Initially Categorise broadly
• < 6 month infant – always consider Sepsis in diagnosis & management
• Remember – sepsis – will kill if left untreated.
• Seriously ill child – even with bronchiolitis – consider antibiotics
• Always discuss with your consultant – for Exam scenario.

We will start on Communication at our next session.

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

Anil Garg