By Andrew Papanikitas
With a seriously revised structure in attention of the hot DCH scientific exam adjustments, this re-creation of the great revision consultant presents the candidate with a definitive, one-stop revision resource.
- Familiarise your self with the revised layout of the exam, together with revised timings
- Learn your revision wishes via ample eventualities and labored examples
- Study utilizing the wealth of certain revision tips, examination assistance, diagrams, and perform cases
Written by way of an skilled writer group with huge wisdom of the examination through its position instructing DCH classes, this identify is at the moment the single revision consultant that's excited by the medical a part of the DCH exam. Get via DCH Clinical is key interpreting and revision fabric for postgraduate applicants getting ready for the scientific a part of the DCH examination.
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Additional info for Get through DCH clinical
This is a potentially accident-prone time! Most accidents (in adults and children) occur in the living room, followed by the kitchen. You should try to find out: Is the child adequately supervised, especially when eating or in an area where they can roam and are free to fall or encounter a hazard? ●● Are medicines kept locked away and out of reach? ●● Are locks fitted on cupboards where knives, medications and cleaning products are stored? Are stair gates and plug sockets covered? ●● Are small objects that could be swallowed or aspirated out of reach?
1 in 4 or 25% 4. Antenatal testing for cystic fibrosis: chronic villus sampling or amniocentesis. Postnatal testing: neonatal heel prick test or sweat test 44 Candidate information Role: You are a paediatric SHO Setting: Paediatric general outpatient clinic Task: Data interpretation Scenario: You see a 35-month-old boy in clinic. He has been referred by his GP due to poor weight gain. On examination you notice he has buttock wasting. Growth chart 18 21 Weight 24 27 30 Gestational Age: Weeks Length Head Circ.
Referral to an appropriate paediatrician, genetic counselling and chromosomal analysis blood tests should be the next steps. Remember that at this stage there is no firm diagnosis. Implications of a diagnosis of Down syndrome include: Immediate/short term: possible heart defects, duodenal atresia, developmental delay, possible low IQ (this varies – average 50), hearing and eyesight problems ●● Later medical complications: increased risk of chest infections, hypothyroidism, early-onset Alzheimer disease, atlantoaxial instability and leukaemia ●● However: life expectancy and quality of life are constantly improving – and issues in the long term may be finding suitable employment and accommodation in adulthood.