Dear All

Thank you for participating in the session today.

In Rapid Random Review (RRR) we discussed:

  • Acute Asthma management
  • Haemophilia A
  • Chronic renal Failure – presentation

Clinical Video station we practised differently. This was due to difficulty we have noticed in defining differetial diagnosis, history questions and Examination specific points, were having members. Management has not been such an issue. Video Scenario was of a 7 year old, reviewed in OPD follwoing 8 weeks after an episode of 4 weeks of hospitalization. Ataxia, high stepping gait and weakness were clinically evident in the signs. Dr S was in the hotseat with DR P, Dr R and Dr PD able to contribute. We asked for their Differential diagnosis and talked thorough how to develop the questions and examination based on that.

Dr Shishir towards the end gave an over view synopsis of how diagnosis of  Gulliam Barre Syndrome is reached with evidence available and management.

The Learning points are:

  • Ask ‘Was the child well before the current symptoms’ to give a time line for DD.
  • Totally New Learning – need to practice more
  • Still struggling with Video and need more practice
  • All members developed similar DD but subsequent was a problem.
  • Specific History and Examination points to ‘help’ with each differential
  • Remeber it is NOT a history station – you cannot ask many details
  • Investigations – mention with EXPECTED results and not just a list
  • Communication – very important to generate targetted questions
  • Over all we are improving but need more practice

Please visit www.mrcpchonline.org

MRCPCH A to Z ~ OnlineFOP TAS AKP CLINICALS – working together to reach your goalwww.mrcpchonline.org

to add your comments or points I may have missed.

Anil Garg