Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Polyhydramnios – causes
• Nephrotic syndrome – complications
• Polyarthritis – causes

The Clinical station we discussed was Video Station. Clip was of a 14 month old with findings of tachypnoea receiving Oxygen and seeming distressed. Dr D had the hotseat while Dr R and Dr S had the examiner hats. Initial discussion among all the differential diagnosis were: Bronchiolitis / Pneumonia / Viral wheeze / Foreign body / Congestive Heart Failure. Dr D asked relevant questions and asked appropriate examination findings. Management could be done different. However in discussion and feedback all points were brought forward.

The Learning points are:

• Video station is tougher than it appears
• Read the Stem very carefully – every word is important
• Do not confuse gender of child / Role player in Communication
• Watch video – concentrate on different aspect when reviewing
• Develop a differential diagnosis
• Do NOT go in with ONLY one diagnosis
• Frame History questions (3/4) to support or refute your DD
• Same process for Examination findings
• Practice to frame questions in ‘specific language’
• In Management – Mention what you will DO – as that is asked
• Not what you will NOT do i.e. investigation, medication etc
• Inform your Consultant as earliest appropriate opportunity

In discussion AG updated on a Communication scenario – With drawl of care. Try and remain a doctor with positive attitude and try and find a positive silver lining in the time of misfortune and extreme sadness.

Please visit www.mrcpchonline.org to add your comments or points I may have missed. Do like if you so feel.

Anil Garg