Monday, May 10, 2004

I PASS MY EXAM



Thank God! I pass my final exam. What a relief. Results were announced last Saturday. All my housemate pass except Zul. He failed Surgery and Medicine. This the mortality rate was really shocking! 17 students failed. about 20% failed in the UPM final examinations. this breaks the record in the faculty and in the country! UM mortality was 2%.

Today, went to met lecturers at faculty. met Prof Yunus, Prof Dev and Mr Kwan. They gave an advice how to become a life as a HO. life just begin man!

Friday, May 7, 2004

VIVA LISTS ARE COMING OUT

baru habis exam tadi. exam medicine. long case OK. dpt case COAD. examiner Prof Mustafa Embong dari IMU. discuss sampai management. short case not too good. 1st case was OK, case of mitral regurgitation. second case was bad. dpt case pleural effusion. dpt finding tapi presenting tak bagus. miss an obvious scar at left chest.

exam surgery not too bad. long case was ok. dpt prof yunus and prof james as my examiner. case discussed was familial adenoposis coli (FAP). short case was bad. 1st case dpt case parotid tumor (very huge one) associated with CN 7 palsy. 2nd case dpt case infected surgical wound over the medial right foot. it thought it was an ulcer, so describelah macam ulcer, tapi sebenarnya it was a surgicically created wound.

My ortho was bad. long case dapat AVN of the hip. gelabah sungguh! nasib baik dpt examiner yg OK. walau dah habis masa still discuss investigation dan management. short case SO-SO. 1st case was ganglion of the left dorsum. i got the diagnosis right but can't answer their super power question after that.

2nd case was PCL tear and medial collaterl ligament laxity. not to bad, dpt the findings tapi mistake buat McMurray's test.



nanti result viva utk besok nak keluar. viva utk distintion or extintion!

Can I pass?

Friday, April 30, 2004

IS JUST BEGiN



just finished my ortho paper today, not to bad. got hints from the lecturers. they asked about management of osteoarthritis, Rheumatoid arthtis, septic arthritis etc. the theory paper just finished today. next week is the clinical exams, start with surgery followed by orthopaedic and finally medicine. the clinicals are the most real thing of this exams. if I managed get thru' , I'll be doc soon, or otherwise has to study for the next 6 months.

Saturday, April 10, 2004

PALPITATION, DYSPNOEA AND REDUCED EFFORT TOLERANCE



lagi 16 hari nak big bang exam, final exam of the year. the exam where i can be a doc or not. takut siut. sekarang dah ada palpitation. makan pun tak lalu tapi tidur over-over lak.



pagi tadi baru jer buat short case kat wad P2. banyak jugak case respiratory, cardiovascular, pns etc.

aku rasa banyak aku tak tau. especially pasal fundoscopy dan orthopaedic. surgery macam ok tapi dah banyak berkarat. medicine lagilah, makin banyak baca makin banyak tak tau.

entahlah, i really hope that i can go through this exam. tak larat nak ikat perut sebab tak cukup duit. yea la dah la sewa rumah mahal, parents aku pun tak dapat tolong.

kalau dah kerje, i have my own money dan boleh lah survive kat malaysia ni.

aku appply ho kat hosp klang, melaka dan tawau. hajat dihati nak letak tawau pilihan no 1. tapi tak der duitla.



WISH ME ALL DA BEST FOR MY EXAM!

Wednesday, March 10, 2004

TENSION



baru habis exam mcq ortho, susah nak mampus, 10 soalan jer tapi carry 100%. aku kena 5 soalan betul nak pass..rasa macam tak pass jer, soalan tricky.

actually bukan study banyak mane pun, lepak sakan.

hari nie lagi satu tension, exam clinical sepatutnya pagi tadi, tapi lecturer mintak postponed hari jumaat. penat tunggu selama 2 jam kat wad 2 (ortho wad). budak lain dah habis exam clinical. nora dpt case klumpke's palsy. tse nee dpt case vertebral infection dan hema dpt case TB of spine. kesian bebudak ngan prof devnani pagi tadi. habis kena bom. dia tanya pasal antibiotic eq metronidazole, penicillin. sorang pun tak dapat jawab. Kalau aku ngan prof devnani mesti aku tension jugak

Saturday, February 28, 2004

I FEEL GOOD



The whole last week i was at the National sport institute, KL. what a great place. here is the place where they trained professional atheletes. The posting started on Tuesday (24/02/04) [mon is a public holiday] . arrived there at 9.00 am, we used a LRT b'coz the faculty does not provides a bus that day. welcomed by a cute and charming AP dr lim, he brief us what to do here. later, his assistant, ms sue git bring us around the place (tourlah). nice place and great facillities. they have a pool, gym, exercise physiology, counselling room etc.

at lunch time, we played basketball. with a tie a casula shoes i shut 3 balls. the game was great. this is a 1st time we played together within 5 years. actually we played like a net ball as most of the girls were net ball players. in the afternoon, was spent at the exercise physiology room. met mr patrick (canadian), he thought us how they assess the fitness of an athelete. limi offered to undergo the process. in a machine, with a running floor, she runs at the gradually increasing constant speed. her mouth was connected to a com where her O2 consumption and CO2 product can be measured. she got tired at stage 2 (ok lah for girls).

here we had a lot of activities.

at morning we joined sport clinics. adalah tengok kes sport injuries.

in the afternoon, we went to the pool and learned about aqua jogging. this help in rehab pt. met ms sandra, a tall mat salleh girl. we also play a games with the pt in the pool. we lost 0 to 9 points. the next day, met her again and she thought us about exercise in a gym.

we met a few numbers of well known atheletes. took a picture with lee lam wah. met nazmizan (sprinter) who broke an asean games record. saw hafiz hashim but don't dare to approach him (seganlah) while he was in training.

the last day was ok. we had a psychology session. here we need to tell about our selves to the group. i knew a few of my friends secret, one of my friend cried (don't expect her to cry b'coz she is hunky punky gal). what a shock!

the posting here was enlightment me to a new field of medicine, where medicine is applied to sport. it is an interesting field and wish to come back there.





Wednesday, February 18, 2004

CANTIK SIUT!



hari nie dah 3 hari posting kat hospital selayang, posting pasal penyakit rheumatology. cantik betul hospital selayang nie, macam hospital private. sejuk ber aircon, tak macam hospital kuno kerajaan lain. wad pun luas. katil pun baru. setiap pesakit dpt cubicle sendiri beserta ngan tirai. tak macam ngan HKL. tirai pun tak de. sometime kalau nak buat per rectal examination pun tak bertirai, open!

Nilah kelebihan hospital baru. kerajaan sebaik mungkin nak perbaiki perkhidmatam kesihatan rakyat.

Workload kat sini pun tak banyak. so boleh concentrate pada patient in detail dan hopefully tak mismanaged.



KEs-kes rheumatology kat sini memang menarik. adela tengok kes SLE dan rheumatoid arthritis. pagi tadi clerk case patient suspecting ada connective tissue disease. History pt nie:



19 year old Malay, boy:

c/o bilateral calf pain for 3 months

-worse on walking

-relieved at rest, taking analgesic

-intermittent, moderate in severity



went to nearby clinic, blood Ix showed raised ESR,

referred to Kajang hospital,

xrays done: normal, discharged but developed,

bilateral ankle swelling for 1 month

sudden in onset.



also had LOW, LOA, sms of anaemia

no history of alopecia, malar rash, oral ulcers, joint pain, fit

no family history of connective tissue disease



o/e

cachexic, pale, no jaundice

left supraclavicular bruit

CVS, Resp and abdomen normal

livido reticularis both lower limbs

erythema nodusom both feet

generalized hyperreflexia



What is yr dx?





p/s they are thinking of polyarteritis nodosa, investigations are waiting.