psychi 1st day

its my 1st day of psychiatry. i'm attached to dr ramli for 2 weeks. the highlight of this posting is the visit to hospital permai tampoi. boleh balik rumah yay! but thats 4 weeks away huhu.

i dunno what to say of psychiatry yet. i reserve my judgement for now.

my exams.

yay i dah habes my paeds clinical exams yesterday.

i got long case bronchopneumonia (ddx tb) becoz of fever and chronic cough for 1month with dr fadzil.

short case steroid resistant nephrotic syndrome with cushingoid features with dr aye aye (question: look at this boy and examine him accordingly). kene examine steroid toxicity. good thing dah buat ngan dr zabidi hari tuh. he had moon facies and bilateral leg oedema. yg lain sume tade.

OSCE kuar gambar conjunctival haemorrhage, perianal desquamation, rashes on the lower limb extensors, rashes on the back and barium meal of duodenal atresia. sume org ada macam2 jawapan. 2 minits nak pikir. kring loceng dah bunyi. hentam sajelah whatever pun. haha.

PMP kuar diabetic ketoacidosis and hydronephrosis with UTI secondaru to genitourinary tract anomalies.

i had a rather bad episode of psychosomatic symptoms this time around. now dah abes the triger, boleh lah relax kejap for 2 months (yeke?). i think worries of PRO lagi teruk kot.

3 more exams to go thru including PRO.

session with Prof Zabidi

today we had one day with Prof Zabidi, the neurologist paediatrician from HUSM.

the bedside teaching with him was very interesting.

while examining the kids, he told us to apply TOP;

• thorough observation
• oppurtunistic
• purposeful play

seeing him in action would make anyone interested to be a paediatrician :)

kak chik has a program anak angkat in kuantan so i culik her from her program and took her to my place.

COMMON CASES IN PAEDS WARD

this 12 months old child has stridor with suprasternal and subcostal resession and also pectus excavatum.

differentials anyone?

dr fadzil said, she'll have this condition until april next year.

hint hint die masuk PRO xm haha.

..................................................................................................................................

Everyday, the usual cases include bronchopneumonia, bronchiolitis, exacerbations of asthma or hyperactive airway.

Febrile fits are quite common. meningitis and cerebral palsy once in a while.

There are always several nephrotic syndromes and acute glomerular nephritis.

Acute gastroenteritis cases are in abundance.

There have been many cases of snake bites and hornet stings too. selalunye bermusim.

Once in a while we also see congenital heart diseases such as tetralogy of fallot post blallock taussig shunt and ventricular septal defects.there's still one congenitally corrected transposition of great arteries with VSD and pulmonary atresia

Other cases include:

Dysmorphism with vesicourethral reflux and failure to thrive

Poorly controlled epilespsy with right-sided hemiparesis
Herpes zoster
Kawasaki disease
Scarlet fever
Scabies
Meningomyelocele with urinary & bowel incontinence and bilateral congenital talipes equinovarus.
Peritonitis in a child with end stage renal failure
Biliary atresia post Kasai operation

kalau ada patient suspected to have menigitis requiring a lumbar puncture, parents usually refuse. jarang sangat parents bagi. terpaksa hentam those microorganims blindly with broad spectrum antibiotics. nanti develop resistance to antibiotics, derang gak yg susah.

seronok buat developmental assessment kat budak2 because its usually very correct.

a few patients asyek masuk keluar ward especially bronchiolitis or hyperactive airway disease. dah build rapport with the moms.

i'm in my last week of paeds. next week is the end posting exams. there's still lots i dunno about paediatrics...

please pray that i can do well inshaAllah.

Neonatology

Last week, we had a teaching session with Dr Hasmawati, a neonatologist from Kota Bharu Hospital.

She gave 4 lectures on neonatology and then we had a practical session on neonatal resuscitation. So we practiced resuscitation and intubation on a baby mannequin and we took turns acting out possible scenarios that could occur involving the neonate.

Best jugak jadi neonatologist. Boleh buat kerja2 anaesthetist jugak.

Just FYI, a baby is considered a neonate from birth until day 28, then the child is considered an infant until 1 years old. After that they are considered toddlers until 3 years old. 4-6 is preschool age. And then they become the school-going group .

beramai2 dalam gambar

kene observe dulu. cari epiglottis baru boleh masukkan endotracheal tube tu.

menyibuk dalam gambar wa

NAMES

proud aunties

Aisyah al-Humairaa' binti 'Aadtif

Ayyasy AsSiddiq bin 'Aadtif

Nawaz bin Nasrul Hakim

In the paeds ward, you can see the latest trends in names given by parents.

For boys, every other kid is an Adam, Daniel, Haikal or Farish or the combination of those names.

For girls, popular names include Puteri, Qistina, Batrisha, Nadia and Fatin.

Most have at least 2 names. Some even have four. Plus bin or binti and name ayah 2 or 3 words jadi 6 or 7 words altogether in their name. penat nak tulis mase pekse or isi borang.

However long or sedap a name is, they end up being called by a monosyllable or two, haha.

to differentiate the kids kitorang kene panggil them by their diseases i.e nadia SLE or nadia hemosiderosis. haha

For me, I prefer unique, single names with meaning or the names of past great muslims or scholars.

But, it is not time yet for me to be thinking about children names yet. Although it can be an entertaining activity when one is bored. I know several people who already have a list of their favourite children names :)

zain-ing

i had a wonderful weekend at home even tho my sisters sibok with exam prep and teaching.

mak masak sedap2; laksa penang and pizza etc.

i went to jamuan raya jim.

met a lot of people yg dah lame tak jumpe; k.ainal, k.sakinah, k.khadijah, aisyah z

a lot of them said i da kurus. haha. i kept thinking :"ces, how fast was i dulu?"



this is week 2 and final week of zain-ing

(read: crash course of seminars, PBA's and case presentations with Dr Zain, the paediatrician)



my consciousness level naik turun mase kelas dr ranging from total alertness, drowsiness, stupor to unconscious but still arousable, hehe. he's notorious for his long (read: more than 2 hours) classes. after the firts 1 and a half hour, dr tak penat langsung, kitorang yg penat haha. nampak sgt stamina yg menurun di kalangan generasi muda2 nih.



now love is in the air. read here

a jumble of things

today i start my paediatrics posting.

our paediatrics department which consists of 2 lecturers (a head of department and an invited lecturer from myanmar) isn't really the most efficient department. today alone there were many blunders with our schedules mixed up and all over the place.

i don't have much to say about paeds yet besides that weekends will usually be full due to the many invited lecturers from other unis and hospitals who come to teach us.

i drove this car back to kuantan.
(only a quarter of the journey actually sebab penat and ngantuk and sakit perut).
good thing i had other drivers to back me up.

i know nawaz is definitely gonna miss the car. haha.

after going to nihlah+mujahid's walimah in bukit antarabangsa, we stopped by nibah's fren's house, tasha, anak Dato' Mahir (the owner of MAHIR productions, syarikat yg produce buku soalan2 tahun lepas tuh). saje nak tengok the lifestyle of the rich and mighty. haha.
i'm glad with my own background, alhamdulillah.

we were stranded there for a while due to the heavy rain.

the occasionally adorable kids :)

p.s. i'm definitely not drinking coffee anymore.

i was so clever as to drink half a can of nescafe latte right before bedtime in fear of it going to waste and i couldn't sleep the whole night. am still penat.