Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • Pneumocystis carinii infection
  • PUO
  • Pneumothorax

The Video scenario was of a 6 months with new movements noticed by mother over last few weeks. There was a weight gain from 50th to >91sr centile. Dr S, Dr A Dr J had the options to tackle the video with observations, history, examination and management in turn due to their proximity to examination with support from other members.  The observations of clinical signs was accurate however integrating the full information provided needed prompting.

  • The Learning points are:
  • Read the information provided VERY carefully.
  • Each word has relevance.
  • After watching video you should have 2 – 3 differential diagnosis
  • Common things Common – logical order.
  • Questions need to be ‘closed’  with  yes and no answers
  • Confirmation of diagnosis – investigations with expected results
  • Managment – broad principles first and can expand as discussion progresses.
  • Discussion with parents is part of management 
  • Documentation is essential – “Not written is not done!”

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

Anil Garg