Dear All

Thank you for participating in the session today.

In RRR we discussed:

• RSV prophylaxis
• ADHD
• Febrile seizure

The clinical station was a Lower limbs examination of a 12 year old girl with asymmetry of Rt and Left Upper & Lower limbs. There was evidence of abnormal gait. Dr F took the hotseat with Dr S and Dr R having the examiner hats. Dr F did a fluid systematic examination – General Physical and Lower limbs examination. She completed the full task but slightly over ran the six minutes. She was able to corelate sternotomy scar with diagnosis on Upper Motor Neurone (UML) to the pathology noted. Examiners noted the smooth flow of the technique and suggested little more practice to complete the examination in required time.

The Learning points are:

• Remain clam
• Be reassuring and encouraging to the ‘patient’
• Give specific instruction to ‘patient’ of what you would like them to do.
• Be logical and systematic in examination technique
• Sitting down before moving on to couch – Gower’s
• Practice, Practice & Practice.

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

Anil Garg