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Murtagh's Triads

Short stature + webbed neck + facies
‘elfin’ face + intellectual disability + aortic stenosis
Weakness + weight loss + vomiting (severe / projectile)
In an infant <3 months, usually male.

Study Topic Ideas

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For investigations, consider the indications for ordering the test and the key findings for common or critical conditions.
In addition to managing the key diagnoses related to each of the presenting problems above, here are some examples of key management issues to think about.
  • Adolescent mental health edit
  • Child communication skills edit
  • Child rehydration edit
  • Circumcision referral edit
  • Gillick competence edit
  • Infant / toddler nutrition edit
  • Infant settling edit
  • Mandatory reporting edit
  • Parenting skills edit
  • Recognition of sick child edit
  • Routine childhood immunisations edit
  • School exclusion periods edit
  • Stimulant medications edit
  • Weight-based prescribing edit
  • Wet dressings edit
For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management. This list is by no means exhaustive, but here are a few assorted diagnoses to consider.
  • Abdominal migraine edit
  • Absence seizures edit
  • Acute appendicitis edit
  • Acute intussusception edit
  • ADHD edit
  • Alkaptonuria edit
  • Atrial septal defect edit
  • Autism Spectrum Disorder edit
  • Balanitis edit
  • Benign Acute Childhood Myositis edit
  • Biliary atresia edit
  • Blocked lacrimal duct edit
  • Breast milk jaundice edit
  • Bronchiolitis edit
  • Coarctation of aorta edit
  • Congenital hypothyroidism edit
  • Croup edit
  • Down syndrome edit
  • Duchenne Muscular Dystrophy edit
  • Epiglottitis edit
  • Epstein Barr Mononucleosis edit
  • Faecal impaction edit
  • Foetal alcohol syndrome edit
  • Fragile X syndrome edit
  • Friedreich ataxia edit
  • Galactosemia edit
  • Haemolytic jaundice edit
  • Henoch-Schonlein Purpura edit
  • Inhaled foreign body edit
  • Kawasaki syndrome edit
  • Klinefelter syndrome edit
  • Laryngomalacia edit
  • Loose anagen syndrome edit
  • Maple syrup urine disease edit
  • Marfan syndrome edit
  • Medulloblastoma edit
  • Meningococcal infection edit
  • Mesenteric adenitis edit
  • Noonan syndrome edit
  • Oesophageal or duodenal atresia edit
  • Osgood Schlatter disorder edit
  • Otitis media with effusion edit
  • Para-umbilical hernia edit
  • Patent foramen ovale edit
  • Perthes disease edit
  • Pertussis edit
  • Physiological jaundice edit
  • Prader Willi syndrome edit
  • Pyloric stenosis edit
  • Rare congenital malformations edit
  • Scheuermann disorder edit
  • Septic arthritis edit
  • Slipped Capital Femoral Epiphysis edit
  • Strabismus edit
  • Testicular torsion edit
  • Tracheo-oesophageal fistula edit
  • Tuberous sclerosis edit
  • Turner syndrome edit
  • Ventricular septal defect edit
  • Viral wheeze edit
  • Williams syndrome edit
  • Wilms tumour edit
Foundation topics like anatomy, physiology and embryology are not the main focus of GP fellowship exams. The following are examples of topics that may be useful for quizzing any medical students you are supervising:
  • Child development edit
Medical students may be more focused on learning basic definitions, aetiology and pathophysiology of specific diagnoses, but registrars need to focus more on clinical problem solving. For each common presenting problem, consider what would be the red flag features, the most common differentials, as well as the most dangerous and most often missed (see Murtagh for more information on this model). For each diagnosis that arises from your differentials, you can then consider the key signs, investigations and management.
Medicine is nebulous with many conditions that arise infrequently in General Practice. These topics are not the main focus of college exams but nonetheless might occasionally appear - just as they can appear in your consultation room on a Friday afternoon. Other topics are so controversial that they are very difficult to examine. Here are some examples of topics that should not be the main focus of your study.
  • Benign Acute Childhood Myositis edit

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