Dear All

Thank you for participating in the double session today.

In RRR we discussed:

  • Brain tumors – symptoms & signs
  • Preterm / Sick infant stabilisation / care
  • Kawasaki disease

We covered 3 clinical stations today:

  • Other – Eyes examination: Hotseat – Dr A
  • Abdomen: Hotseat – Dr A
  • MSK: Hotseat – Dr A

Our examiners were: Dr A, Dr M, Dr K, Dr F & Dr V.

The Learning points are:

  • Eye Exam – check if uses Specyacles. Test acuity with corrective glasses if needed
  • Check vision in EACH eye individually
  • Do not need to check vision on a chart – use book, pictures, clock in the room
  • Aids – Acuity – Movements – Visual fields – Fundoscopy
  • Abdomen – know scars and their significance
  • Kidney transplant – normally in RIF
  • If you feel a mass – do not ignore it – trust your skills
  • Percuss to get information on “how solid”
  • MSK – confirm – if not made claer
  • Screening 3 questions – ask following seeking permission
  • Pain, ability to go up and down stairs, dressing self and eating with ‘fork & knife’
  • In India – unlikely to use F&K – ask can feed self independently
  • Start with upper limbs – and progress smoothly.
  • Need to check hands as if with JRA
  • The examination can be finished in 5 mins with practice
  • 1 min for ‘nerves’ a if a local joint exam is needed
  • Develop templates for each, share and practice

Next week we will start History and Managment station.

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

Anil Garg