Showing posts with label INTERNAL MEDICINE. Show all posts
Showing posts with label INTERNAL MEDICINE. Show all posts
Sunday, August 03, 2008
Essential books for Internal Medicine
these books came in pretty handy during ward rounds and also discussions, when refrerring to Davidson or Kumar and Clark was too much of a hassle.
Wednesday, July 30, 2008
im clinical exams
after the exams today i felt numb. agaknye sebab anxious sangat before that.
it all ended at around 11.30am.
for my long case, i got a left deep vein thrombosis (dvt) of a 52 year old malay gentleman with underlying diabetes melitus and hypertension. his only complaint was of a painless and progressive swelling of the left calf. alhamdulillah there were no symptoms of pulmonary embolism. i've read about DVT but not actually seen any case throughout my 7-week posting. setakat baca dalam buku and pernah jumpe case dulu2. so i tried to ask for risk factors of DVT such as prolong immobilization, trauma etc but he didnt really have any risk factors. he claimed that his diabetis and hypertension was well-controlled.
waktu tengah clerk tu ada kak farah (houseman) reviewing the patient in the opposite bed so i asked her about this patient. at least i tak tengok patient's case notes which were on the table. so she told me a bit about the case.
then i had to present to Dr Hilmi who is quite nice and not scary. i said i'd give thrombolytic therapy to the patient to lyse the clot and dr was hmmming and said "really?". i degil gak nak bagi thrombolytic and anticoagulant. sebenanye tak ingat sangat management dia. tak pe i'll look it up after this.
then i had to wait for a while to be taken for my short case. maka datanglah kak nik (the same lecturer i got mase 3rd year. dulu i got a respi case and managed to diagnose it as bronchiectasis tapi presentation terabur giler).
this time she asked me to examine the abdominal system of a young girl. she was jaundiced and pale. i couldn't detect the hepatosplenomegaly. but there was ascites. i knew that all those signs were consistent with hemolytic anaemia. at that time my mind just went blank. i couldnt remember all the causes yang banyak itu including thalassaemia or even SLE. terus dr bebel2 satu wad dengar. she asked me basic questions such as examintaion techniques etc. sedih2.
i dunno how much she gave me but the total marks(SC=LC) accumulated to a pass alhamdulillah.
i will so not sia2 kan my next posting.
yay to delivering babies and meeting expectant mommies! and also the notorious anti-islamist!
it all ended at around 11.30am.
for my long case, i got a left deep vein thrombosis (dvt) of a 52 year old malay gentleman with underlying diabetes melitus and hypertension. his only complaint was of a painless and progressive swelling of the left calf. alhamdulillah there were no symptoms of pulmonary embolism. i've read about DVT but not actually seen any case throughout my 7-week posting. setakat baca dalam buku and pernah jumpe case dulu2. so i tried to ask for risk factors of DVT such as prolong immobilization, trauma etc but he didnt really have any risk factors. he claimed that his diabetis and hypertension was well-controlled.
waktu tengah clerk tu ada kak farah (houseman) reviewing the patient in the opposite bed so i asked her about this patient. at least i tak tengok patient's case notes which were on the table. so she told me a bit about the case.
then i had to present to Dr Hilmi who is quite nice and not scary. i said i'd give thrombolytic therapy to the patient to lyse the clot and dr was hmmming and said "really?". i degil gak nak bagi thrombolytic and anticoagulant. sebenanye tak ingat sangat management dia. tak pe i'll look it up after this.
then i had to wait for a while to be taken for my short case. maka datanglah kak nik (the same lecturer i got mase 3rd year. dulu i got a respi case and managed to diagnose it as bronchiectasis tapi presentation terabur giler).
this time she asked me to examine the abdominal system of a young girl. she was jaundiced and pale. i couldn't detect the hepatosplenomegaly. but there was ascites. i knew that all those signs were consistent with hemolytic anaemia. at that time my mind just went blank. i couldnt remember all the causes yang banyak itu including thalassaemia or even SLE. terus dr bebel2 satu wad dengar. she asked me basic questions such as examintaion techniques etc. sedih2.
i dunno how much she gave me but the total marks(SC=LC) accumulated to a pass alhamdulillah.
i will so not sia2 kan my next posting.
yay to delivering babies and meeting expectant mommies! and also the notorious anti-islamist!
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