Dear All

Thank you for participtaing in the session today.

In RRR we discussed:

• Anaphylaxis management
• Necrotising Enterocolitis – management
• Iron Deficiency anaemia

The Video station today was a clip of a 3 year old with h/o being unwell for 2 weeks and now in hospital bed with puffy looking eye. 

We tackled the station today slightly differently to our usual pattern. Dr P took the hot seat with Dr S & Dr R being in the ‘supporting role’. Dr P mentioned the clinical signs noted and developed a differential diagnosis that was essentially agreed by others. History questions were different as was the Examination points. We had a discussion on how to develop a differential diagnosis, common things being common first. Followed by how to develop history questions and examination points for findings to best guide you to reach a diagnosis.

Practised presentation of your differenital diagnosis with supporting points to demonatrate your clinical reasoning. Discussion on managment of agreed diagnosis then takes place between you and examiner.

The Learning points are:

• Read all the information carefully.
• Every word had relevance
• Do not go with One diagnosis only
• Develop differential – common things common.
• If you have NOT seen the condition – unlikely it is the one
• Do not overthink the video – it is not meant to trick you
• Your first or one of differentials needs to match Examiner’s diagnosis
• All differential donot need to be same as examiner’s
• Justify your diagnosis with +ve & -ve findings
• History Questions need to be specific
•  Examination – same – & to help to reach a diagnosis
• Investigations – mention with expected results

Please visit www.mrcpchonline.org to add 

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

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your comments or points I may have missed.

Anil Garg