Dear All

Thank you for participating in the session today.

In RRR we discussed:

• Hypothyroidism
• Hypoglycaemia
• Delayed puberty

Mini Mock – Dr S was in the hotseat with Dr P & DR R in supporting seats. Video clip demonstrated a 2 hour old newborn Very mucusy, respiratory distress, Ventilated, CXR with multiple bifid thoracic vertebrae and NG tube curled in pharynx. Diagnosis was arrived at quickly but the supporting history questions and examination needed team work. Management Dr Shishir discussed and explained.

Learning points:

• Watch video carefully
• Examine for findings not see in video i.e. examine for anal opening
• CXR – develop your own method so as not to miss findings
• Check for all’artefacts’ see on film and work out if correctly placed
• Be prepared to talk to parents – information in small bytes.
• Do not overload them with information.

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

Anil Garg