Dear All

Thank you for participating in the session.

In Rapid Random Review (RRR) we discussed:

• Thrombocytopenia in newborn
• Congenital Adrenal Hyperplasia (CAH)
• Respiratory Distress Syndrome

The Video station was on a 4 day old baby admitted following referral by midwife and clinically looking jaundiced. Dr R took the hotseat, Dr P was with examiner hat. Dr R noted the clinical findings. She made a diagnosis but could not get a differential of common caused. The history and examination also needed help by observer Dr S.

Dr Shishir gave very valable tips.

The Learning points are:

• Read the initial information carefully and watch FULL video.
• Focus on different aspect of video clip.
• Develop a differential diagnosis of atleast 2-3.
• Common things are common – hence consider first.
• This guides your clinical reasoning – history & examination.
• Sepsis should always be considered and not missed as can swiftly be fatal.
• Weight – current and at birth – is an important marker of hydration in neonate.
• Always examine scalp for haematoma and Anterior Fontanelle.
• Investigations – mention with expected results
• Management is not only about drugs – supportive care equally important.

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

Anil Garg