Critical bloodspot result before rural discharge — structured clinical encounter

Station brief (candidate)

You are the paediatric registrar. Noah is 5 days old and looks well. The first dried bloodspot was unsatisfactory. The laboratory has now reported a critical elevated TSH. The family wants to leave for a town 2 hours away within the hour. You have 12 minutes with the family and 5 minutes for examiner discussion. ^{[3] [17]}