Dear All

Thank you for particpating in the session today.

In RRR we discussed:

• Modalities of Therapy in malignancy
• Side Effects of Chemotherapy
• Measles – complications

the Video clip deonstrated a 14 year old girl with erythematous, papular, unilateral, dermatome confined rash. Dr P was in the hotseat and managed to note the slient clinical signs. Dr r was with examiner hat and Dr P was an oberver today. A proper differential could not be developed hence th ehistory questions and examination could be done better. The diagnosis was shingles – differential of causes had to be worked out! On second guided review a Hickman catheter could be seen. 

The Learning points are:

• See the video carefully till the end.
• On second view – shut out what you have noted – look for other clues
• If diagnosis is certain – think of causes for it.
• Develop a history question for each diagnosis & same for examination
• This should help you narrow the diagnosis
• Management – broad princilples first

Please visit www.mrcpchonline.org to add

your comments or points I may have missed.

Anil Garg