n RRR we discussed:

• Hypertension in a 8 year old
• Deafness in a 6 year old
• Short stature in 7 year old

The Clinical station we discussed today was Abdomen. It is a common scenario and one you are likely to come across. First was a 15 year old with evidence of a scar and fullness in Right Iliac fossa and second was a 6 yr old child with features suggestive of a Haemolytic Anaemia – likely Thalassaemia. You were in the hotseat for both and managed with a little support. 

There are some Learning points from our session:

• Do NOT panic – Listen Very carefully to Instructions
• Think and Talk about the child / patient in front of you
• Do not give generic answers – as if talking from a book
• Common things Common – should be mentioned first
• Give Diagnosis first – if you are confident instead of narrating findings
• Support by +ve findings and important -ve’s 
• Remember Examiner is watching your technique very carefully
• Presence of mind is necessary – ‘think on your feet’
• Corelate your observations better to reach a Conclusion
• e.g. Steroid tablets with Renal mass – ? transplant and immunosuppression
• Know broad management steps for common conditions
• Management – is a TEAM effort so involve others prn

We then discussed How to attempt the Video station and will practice at our next session.

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

Anil Garg