Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Urine sample – collection
• Inflammatory Bowel Disease: Ulcerative Colitis / Crohn’s
• Atopic eczema

The Clinical station was CVS examination of a 6 year old attending for a routine FU. Operated at 2 years. In a stroller. Dr S took the Hotseat with DR K & Dr F having the examiner hats. Dr S made a good attempt at describing the examination. General examination was covered with systemic examination running short of time, with extra time the examination could not be completed. Examiners noted the positives and missed technique and signs.

The Learning points are:

• Read Introductory statement VERY carefully. 
• Note any ‘abnormal’ or out of place features presented.
• Structured examination technique is a MUST.
• Inspection – Palpation – Percussion – Auscultation
• Fundamentals – do NOT forget.
• General examination with surroundings.
• Ask for Weight & Height Centiles and NOT Kgs & Cms.
• Follow your template for examination – write one & share
• Be confident of your examination and findings
• Do not manipulate signs to fit what you think is the diagnosis.
•  Summarize with your ‘impression / diagnosis’ do not just narrate what you have found.
• Practice to finish Systemic examination in 5 minutes.
• Write out template for each station and share them in Group

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

Anil Garg