Dear All

Thank you for particpating in the session.

In Rapid Random Review we discussed:

• Maternal drugs affecting foetus
• Ambiguous genitalia
• Limp in a 6 year old

Mini Mock CVS was of 6 years old child reviewed inoptpaitents. H/o cardiac surgery with central and lateral sternotomy and a continuos murmur in upper left sternal region. Dr P had the Hot seat with Dt I & Dr P with examiner hats. Dr P made a good attempt in ‘examining’ the case and followed his template. Most points were covered. There was confusion as to identification of the murmur. Discussion was reasonable. Dr P and Dr I picked up the shortfalls. It was noted that on this attempt the time taken was 9 minutes, inspite of some technical glitches – much improved from previous session. 

Learning points are:

• Structured smooth examination 
• Learn to identify more murmurs
• Systolic, Diastolic and Continuous – location with thrill will provide rest
• Do NOT fit your findings into a preconcieved Diagnosis
• Present what you find and be confident of your findings.
• We will discuss and Learn murmurs at next session

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

Anil Garg