Dear All

Thank you for participating in the session today. Results declared yesterday of the recent exam again made us really PROUD. 8 of our members became Members of RCPCH and sadly one member was unable to satisfy the examiners on the day.

In RRR we discussed:

• UTI investigations
• Infantile spasms
• Paracetamol Overdose

The Clinical station was Respiratory system examination of a 14 year old young person attending OPD for a routine Follow Up. Signs were of growth failure, porta-cath, clubbing, and an Insulin pump. Dr V took the hotseat while Dr T and Dr A had the Examiner hats. Dr V attempted the station and collected some of the clinical signs but ran short of time. The Examiners picked the clues missed.

The Learning points are:

• Systematic and sleek examination is required
• You need to finish the examination in 5 minutes
• Seek permission and explain what you will be doing and expect from child / young person
• PAIN – check for pain / discomfort – reassure will stop if needed
• General examination is PART of every station – spend 30 secs.
• Expose the part after introductions and your task
• Mention all you see – even if you are Not sure what it may be.
• Adolescent: check for Puberty and history if appropriate
• Look up porta-cath and other options for prolonged venous access.

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

Anil Garg