:: uh-huhh?? ::

25/8/2010

18.50 pm

Assalamualaikum.. spt biase, senyum dahulu :)

senyum adelah sedekah, oleh itu senyumlah selalu :)

spt biaselah, ptg2 xde keje mcm ni marilah menaip di sini..hehe..boleh gak recall balik ape yg aku buat hr ni...

eh, start ngn mlm td la.. last nite was another unfortunate night.. i slept at 11pm and woke up at 6.30 am. nice!! i just manage to read Gullain-Barre syndrome, bulbar & pseudobalbar palsy.. the cardiovascular and respiratory system was left untouched! huhuhu

Then pg td terasa rajin utk pegi CPC.. nice cases.. regarding awareness under anaesthesia.. kesian patient!

Kul 11 ade seminar dgn Prof Raymond :)) case stroke.. bestnyeeeee... bnyk common mistakes yg prof betulkan.. kdg2 mistakes tu xprasan pn sbb dh terbiase buat dlm daily practise...

ni antara yg Prof betulkan:

1. Biasanya student (and even HO/MO) tend to write 'right facial asymmetry'...salah ayat tu.. >>>supposedly ckpla 'facial asymmetry with drooping of right cheek' ke ape ke..
2. Kalau patient ade slurred speech, kna ckp jgk kt Dr ape yg dia ckp.. bezakan antara dysphasia, dysarthria..
3. Jangan guna 'abnormal movement'..>>> instead, specify whether it is 'abnormal voluntary movement' or 'abnormal involuntary movement'...
4. Then, in general examination, usually student tend to say "........she was lying COMFORTABLY in bed.....bla3.." >>>how do u know patient is comfortable?? comfortable is a symptom, not sign.
5. Masa present GCS, jgn ckp "GCS score was 15/15" >>>tp kna ckp Glasgow Coma Score was 15/15..
   

Pastu Prof lukis brain structures: motor, sensory homonculus, internal capsule, external capsule, reticular fiber, bla3.. pastu Prof relatekan kalu lesion kt tempat tu, ape sign n symptom die.... waaaa.. principle die sgt senang!! ak pn nk jadi terer mcm Prof jgk... huhuhu

Pukul 2 plak ade Seminar Emergency Medicine ngan DR NGIU..aku punyela berdebar..dh rumors ckp dia ni sgt2 garang.. then bila dia smpai terus aku terkedu.. nak2 plak dia x bwk slide presentation dia n ckp it will be an interactive session.. DOLL!! cuak gile.. haha.. nak2 plak aku duk dpan skali dpan batang idung die...!! haha..

Rupe2nye.. hari ni dia sgt nice.. hari ni lah aku officially kenal Dr Ngiu.. biase dgr org ckp je.. td OKlah, xde pon dia marah.. dia ckp dia mmg suka torture org.. huhu,, xtawla tu dh aku xpnah kene.. tp bestlah td.. dia highlight emergency cases that medical students should know in n out..

1. acute exacerbation of bronchial asthma
2. acute exacerbation of COPD
3. pulmonary embolism
4. status epilepticus (bila suh define, sume org senyap!! huhu)
5. and of course, our best fren acute coronary syndrome
6. pericarditis
7. meningitis/encephalitis
8. tumor lysis syndrome
9. DKA, HHS
10. addison's crisis
11. electrolyte imbalance
12. poisoning: Paracetamol, paraquat
13. nephrotic, nephritic syndrome
14. Wernicke-Korsakof syndrome
15. Guillan Barre syndrome
16. Chronic hepatitis..

dan lagi n lagi laaaaaaaaaaaa

aaaa.. bnyknye.. adoilllaa... hukhuk...

xtaw nk cakap apa da.. harapnye aku akn lebih BERMOTIVASI utk belajar... tu je..

oh encik mata, tolongla bg kerjasama.. ok :))

sekian, wassalam :)))