Dear All

Happy Diwali.

Thank you for participating in the session.

In RRR we discussed:

• Neurofibromatosis – characteristics
• Asthma – assessment of efficacy of treatment
• Newborn screening

Mini Mock was a Video station. Dr V was in the hot seat with Dr M with examiner hat. The clip was of a happy looking 3 year old girl with puffy eyes, swollen face and an iv cannula in on hand. Dr V noted the clinical findings and got the diagnosis. Dr V did not develop a differential diagnosis hence was hampered in the optional history questions and points to examine. The discussion on Nephrotic syndrome was satisfactory however there were factual error that need to be avoided e.g. “kidneys do not absorb protein.”

The Learning points are:

• Watch the complete video carefully.
• Develop a differential diagnosis – do NOT go in with only ONE diagnosis
• Talk of the ‘child’ you have seen – not general book description
• Do NOT use abbreviations e.g RFTs, HIE
• Mention investigations in sequence or relevance of severity – timeline
• Mention investigation with what you are expecting in the results.
• Write out a template for each station and know it be heart
• In the exam you will be working almost on autopilot so practice well

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

Anil Garg