Dear All

Thank you for participating in the session today.

In Rapid Random Review – RRR –  we discussed:

• Cow’s Milk Protein Allergy
• Epiglotitis
• Brusing & Purpura – causes

Mini Mock Exam Video station – Dr P was in the Hotseat with Dr P & Dr R in support seats. Scenario was of a 9 month old with worsening respiratory distress over 24 hours, initially he is sitting with audible coupy cough and stridor, towards end alarms can be heard and child lies back in father’s arms. Dr P picked up the initial signs and differential diagnosis developed by all was similar and close with Croup being the first diagnosis. History and Exam was appropriate. They all however over looked the child flopped back into father’s arms and loud alarms – which was crucial.

The Learnig Points are:

• Watch the full video very carefully.
• You will have enough time ot watch it twice or three times.
• Note down signs and on second view – IGNORE THEM and concentrate on REST of the FIELD for other cues.
• Your have to be structured in your history & exam technique
• Develop skills for targeted questions
• Investigation – with results – here CXR will exclude other DDs.
• All of us know the definitive diagnosis but structured discussion needs to be developed.

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

Anil Garg