Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Neonatal Jaundice – 2nd day baby.
• Proteinuria
• Microcephaly

The Video was of a 3 day old baby in SCBU. Signs of Hypotonia. Dr M was in the hotseat, Dr Shishir with Examiner hat. Dr M picked up the signs and knew the possible causes in great detail. He asked relevant questions, needed some help with specific examination. Good discussion.

Learning points:

• Develop a differential diagnosis of 2-3
• Microcephaly: check if without Developemntal delay (familial) or with delay
• Hypotonic neonate – antenatal h/o foetal movement
• Infection: prenatal, postnatal
• One history question should related to one DD
• Exam – deep tendon reflexes, ventral suspension
• When watching Video clip – concentrate on different parts of the frame
• Do not concentrate on what you have already noted.

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

Anil Garg