Dear All

Thank you for participating in the session.

In RRR we discussed:

• Damage caused following Head Injury
• Kawasaki disease
• Nappy rash

Mini Mock exam was Clinical station – 14 year old referred for a murmur noted by GP, finding of normal saturation and growth with gross clubbing noted on General Examination. Dr M was in the hotseat with Dr G with examiner hat. Dr M did a good clinical examination. He picked up the clinical signs but focussed only on the CVS and not considering other aetiology of clubbing. The discussion hence was focused on how to proceed in such situations during the exam.

Learning points:

• General physical examination is a must
• Follow a logical sequence to your technique
• Obvious finding – think of possible differential – do NOT be limited to only one.
• Rheumatic fever is prevalent in Saia hence should be kept in mind
• Common things first.

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

Remember we have Face to Face course in Bengaluru – tell friends who may be preparing for the exam.

Anil Garg