Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Thrombocytopenia in newborn
• Acrodermatitis entropathica
• Q & As – exam in 3 days – what to carry to exam.

We discussed Clinical Station – Neurology on request of members sitting the exam in few days. AG discussed a PowerPoint presentation on How to, Do’s and Don’ts of Neurology station. We then had practice of LL Neurology  examination. Dr V was in the hotseat with Dr K and Dr A with examiner hats. Dr V did a complete neurology examination but ran short of time by about a minute. Dr A made appropriate assessment with feedback on Summary presentation and discussion.

The Learning points are:

• Have a template of ‘Examination technique’ in mind
• Follow your template
• Read the information & instructions provided carefully
• If in doubt – Clarify with examiner – do not go down wrong path
• Be Systematic in your exam – follow logical sequence
• PAIN – check and say will STOP if causing discomfort
• Expose part – General examination – Inspection – ….
• Kneel on floor to be at eye level
• 5Ss – Squint / Shunt / Spine / Scars / Shoes – Do not forget
• Keep an open mind
• Have Diagnosis or Differential diagnosis at end of your examination
• Upper Motor Neurone (UML) / LMN lesion because – give your findings
• Thank Child and Parent at end of your examination or when leaving room.

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

Anil Garg