Dear All

Thank you for participating in the session.

In RRR we discussed:

• Haematuria following URTI
• Willaim’s syndrome
• Intracranial tumor S&S

The Clinical station was a 10 year old presenting following fainting at school sports day. Task – CVS examination.  Dr M had the hotseat with Dr V in the examiner role. Dr M made a good attempt at verbalising the examination but got side tracked by asking to plot Ht & Wt and few other minor points. Dr M corrected most of the clinical steps. Diagnosis presentation and discussion was good but can be improved.

The Learning points:

• After introductions – do NOT forget to request to expose the part.
• Else you are likely to forget and will disturb your flow of examination
• HT and Weight – ask for CENTILES – avoids plotting yourself.
• Checking for scars – ask child to sit on edge of bed, raise arms above head and walk around.
• Practice a system each day to get fluency to your technique.
• Summary – if sure of diagnosis – start with it and then supporting findings.
• Try and avoid undergraduate description- examiner has been observing you.

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

Anil Garg