Dear All

Thank you for participating in the session today.

In RRR we discussed:

  • Fragile X – 2nd most common cause of genetic severe learning disorder
  • Diabetes mellitus: Long term Aims of treatment
  • Assessment of dehydration

The Mini Mock exam was on Video Station. Clip was of a 14 year old presenting with progressive spreading rash on her trunk. Dr A took the hotseat with Dr S and Dr AG as examiners. Dr A made a ‘spot’ diagnosis of the diagnosis but could not think of other possible causes or why such a rash was present in a 14 year old. This affected the History questions and points for Examination. Dr M made good observation. The subsequent discussion was good.

The Learning points are:

  • If you Do Not know – admit and say so – Do Not waffle – Examiners ‘know’.
  • Watch the Video clip very carefully – focus on different aspect on second watch
  • Diagnosis – work out 2-3 differential diagnosis
  • Diagnosis – if ‘irrefutable’ – work on aetiology of cause for diagnosis
  • Consult other specialists and Professional in care – you alone are not responsible
  • Inform your Consultant and seek their advice
  • Know broad management guidelines

Please visit www.mrcpchonline.org to add your comment sor points I may have missed.

Anil Garg