Dear All

Thank you for participating in the session.

In Rapid Randon Review we discussed:

• Supraventricular Tachycardia
• Chickenpox complications
• Anaemia in children – causes

The Mini Mock – Dr P had the hotseat with Dr P & Dr S in supporting Roles. The clip was on a 18 month old boy in paediatric ward. H/o of fever for 3 days. He had a runny nose, was irritable, miserable with erythematous rash, rad lips and palms. Dr P picked all the clinical signs and developed a differential diagnosis of: Kawasaki – Measles – Scarlet fever – Meningococcal. History questions were focussed and examination good to reach the diagnosis with particpation of supporting Role ‘doctors’. Management was discussed well. One point of discussion – throbmocytosis – seen towards end of first week of illness – will we see in after 3 days of fever? Well the prodrome has been on for a few days prior to fever developing hence – important to mention it.

The learning points are:

• Keep it simple
• Do not think ‘too’ much and devle too deep in minutiae
• Knowing too much can be a disadvantage 
• Remeber you are a ‘ Senior SHO’ not a Consultant for the exam

We have completed Video station and I can see the progress. We will not move to History & Management station.

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

Anil Garg