Dear All

Thank you for participating in the session today.

In RRR we discussed:

• NAI – warning signs to note 
• GOR – complications
• Neonatal jaundice – persistent

The Mini Mock exam was of a Neurology station. 2 year old with parents concerns of his walking. Scar lower skull – upper cervical spine. Biggish head. Dr P took the hot seat with Dr S & Dr I the examinaer hat. A good attempt was made but final effeort needed a lot to be practiced and to be worked upon.

The Learning points are:

• Read and learn systemtic examination for various systems
• Practice repeatedly so as not to have a ‘blank out’ in the. exam.
• Always expose the relevant parts – inspect front & back
• Be prepared for a young child to be ‘distressed and not cooperate’.
• Examiner is watching – be GENTLE – do not force your examination
• STEP BACK – let the child calm down.
• Continue to observe – mention what you would you elicit by your exam
• Presenting: do NOT follow a ‘top to bottom approach’ -tiem will run out
• Start with obvious – your diagnosis and supporting signs

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

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



Anil Garg