Dear All

Thank you for participating in the session.

In RRR we discussed:

• Haematuria in 5 year old
• Delayed puberty
• Correcting Gestational age in premature infants

Mini Mock was a Video station of a 7 year old with prolonged hospital admission following a flu like illness with signs of unsteady, high stepping gait with proximal muscle weakness – inability to jump. Dr a took the hot seat and made a good attempt at picking up clues and developing a differential diagnosis. Dr S completed on points that were missed. Good discussion.

The Learning Points are:

• Listen to the Question carefully – do NOT get confused
• If not sure – clarify!! e.g. Delayed puberty vs early puberty
• Differential diagnosis – think of cases you have seen in clinic / practice
• Do Not develop your differential from text book list
• Common thing first
• Remain calm and do not get confused
• If you have not never seen it – it is unlikely to be relevant

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

Anil Garg