CPG: Management of Type 2 Diabetes Mellitus

Diagnosed by ~YM~ On June 25th 2009

The latest(4th) edition of CPG for management of Diabetes Mellitus Type 2 is out! There's no need to seek or look for the old ones when the new ones is already here, with the management of all its macrovascular and microvascular complications. Are you up for it?

CPG: Schizophrenia

Diagnosed by ~YM~ On June 16th 2009

Schizophrenia Management in Adults is out! Let's strive to work ourselves up to learn more about it then! Malaysia Ministry of Health has put up a CPG for this, hoping doctors would be able to benefit from it and put it into practice.

H1N1: The Pandemic Begins

Diagnosed by ~YM~ On June 12th 2009

40 years since the last pandemic call has been made. 1968 was the year of Mexican flu, and the country of flu has breed another one, the H1N1 (Swine Flu). Would WHO take specific measurements to prevent the spread? Can they still advice travels just because they would not want to affect US tourism? How good can WHO be in containing the virus? Only time shall tell as the world is battling the unknown. We at Med PBL would try to spread the words of the swine flu for a better understanding of the Swine flu and its nature.Click on the title for the brochure for general reading of Swine Flu.

CPG: Management of Primary Open Angle Glaucoma (2008)

Diagnosed by ~YM~ On May 31st 2009

Glaucoma has been one of the leading cause of blindness worldwide. Perhaps it is time for us to take proper steps to ensure that it would not be a hindrance for Malaysians to enjoy the beauty of sight. This latest CPG is available via the sidebar downloads.

Consensus Guidelines on URTI 2009

Diagnosed by ~YM~ On May 11th 2009

Upper Respiratory Tract Infection (URTI) is a common condition in most primary care clinics throughout the world. In what may seem a trivial matter, it can lead to death if left untreated. Yet, despite the efforts done for a better medical outcome, there is still a wide abuse of antibiotics which may lead to unwanted complications. With this said, the Malaysian Society of Otorhinolaryngology Head Neck Surgery (MSO HNS) has come out with a consensus on how it should be managed.

Well, the 4th years do need some advise on this matter (clinical posting) as well, right? So, here's going to be a compilation of efforts from anyone and everyone regarding the postings, be it a short note, or a lengthy detailed ones. A really grateful thanks to all contributors to this section who share their very own experiences. n_n

General:

Triad Posting (ENT, Ophthalmology, Anesthesiology):
Triad Posting Books - by YM
ENT Intro - by YM
Ophthalmology Intro - by YM

Psychiatry Posting:

Orthopedic Posting:
Orthopedics - by Jeffrey

Pediatrics Posting:

Alright, here's some material downloads from Jeffrey. More is soon to come for this posting when other contributors are willing to aid us. :P

Materials
  1. Misc:
    • Orthopedics - Dr. H. von Schroeder,Paul Kuzyk, Mark Shekhman, Adam Sidky,
      Anna Kulidjian
    • Using the 10-g Semmes–Weinstein Monofilament & 128 Hz tuning fork usage - American College of Physicians
    • Pressure Ulcer Prevention -National Pressure Ulcer Advisory Panel
    • Pressure Ulcer Treatment - National Pressure Ulcer Advisory Panel
    Download Link: Rapidshare| Sendspace | 4shared

Orthopaedics

Diagnosed by Jeffrey 2 referrals
Long time never write here already~~ so its time for some overview on orthopaedics

Orthopaedics Textbooks: Concise (or Big?) Apleys...basically not so enough because the management part is outdated. Need to learn from registrars and the Net
On the net a good website is Emedicine Orthopaedic Surgery
For PE, although most advocate the use of the Lee Joon Keong UM PE, i don't really like it(partly because the style is the same as the booklet on PE that i wrote) mainly because some important stuff are not mentioned in it. Therefore,i think a better book will be McRey's and Reiders(available in PDF format but i dunno how to upload, wait i send to YM :P). Nonetheless, if you still want to use the UM book you must add in lots of things from Reiders and McReys.

Orthopaedic Department is on the 9th floor, meet in the Seminar room during the 1st day. No supervisors in Orthopaedics, you will be rotated between the 7 teams, 2 weeks for the 1st team and 1 week each for the next few teams.

Clinic is very important because you can clerk new cases and "pretend" to be doctors. You are allowed to write your findings in the case notes, so there's no need to bring any paper to clerk. You can formulate differentials and provisional diagnosis. Present to whoever you like(or whoever who is willing to listen). Important things are learnt from clinics mostly.

Ward rounds for some team are just "walk-around" sessions, while for other teams(Rehab and Arthro for instance), we are really part of the team.

Orthopaedics is nice because it is not so rigid(skema) and you can follow and learn from whoever you like.

Files for orthopaedics will be sent to YM to be uploaded.
Special thanks to Yi Hui, we have our early materials for Pediatrics posting. He'd kindly sent in the presentation files from the Group 4 who had Peds as their 1st posting. More is soon to come!!

Group 4 Presentations:
Below are the compilation of efforts for the Ophthalmology posting. Sadly, there aren't any soft copy of lecture notes a a result of non-distribution. However, we'll try next time with the help of other groups in other posting if possible.

The case write up template for Ophthalmology can be downloaded from the sidebar. This template is in accordance with the one given to the representative posting.

On the other hand, here's a copy of production from Medical PBL to aid in the fundoscopy techniques and findings. I admit there's quite a number of flaws in it, so I hope there would be reviewers who would kindly give your comments and suggestions to improve this "book."

*Update(28th June 2009): The revised 2nd edition is now available!

Fundoscopy Made Easy
2nd edition
Download Link:
Sendspace |Rapidshare | 4shared

By the way, the e-book of "Welch-Allyn Guide to the Use of Diagnostic Tools for Ear and Eye Examination" is available from the download sidebar in the Triads folder.



The 3rd edition is now history. Looking at how great an impact of Type 2 Diabetes Mellitus in our society (prevalence 14.9%), it is high time to look again at its management.

For the past 4-5 years, rapid updates and changes has occur, including new targets for control, new classes of pharmacological agents targeting novel pathways as well as major outcome studies. All these have changed the algorithms for the management of T2DM.

This new edition of the CPG will address many of these changes. In addition, the emphasis and recognition that a cluster of cardiovascular risk factors that make up the metabolic syndrome in which T2DM is the cornerstone of this syndrome is vital. As such, the management of T2DM requires an integrated and holistic approach that also involves the management of hypertension,
dyslipidaemia and overweight/obesity in order to reduce the risk of macrovascular complications. Furthermore, recent major outcome studies showed that early and aggressive reduction in blood glucose level to target decrease the risk of complications thereby reducing healthcare cost.

To download this latest CPG, it is available at the downloads section:

0303-Medicine Year 3 --> 03 - Relevant CPG --> Diabetes Mellitus Type 2 Mx 2009

Or alternatively, click on the image above, which would redirect you to the same download link as well.


*Others of note:

CPG for Management of Percutaneous Coronary Intervention is out as well. Just head on to the downloads section at:

0303-Medicine Year 3 --> 03 - Relevant CPG --> Percutaneous Coronary Intervention 2009
  1. The end of semester examination timetable is out. The finalized copy may not be out, but this would give a rough estimate idea how's the exam is going to be. There are a few errors in the actual copy, and for those corrections has been made. However, I'm not sure if there is really a KFQ in Triad exams. Let's hope there isn't. :P

    *Click on image to enlarge**Click on image to enlarge*

  2. With regards to the Year 4 medical students for the session 2009/2010 who have yet to register your course at the start of the year, you are required to pay a fine of RM15 at the Financial Department 1st floor, Academic Block. Please submit your receipt to "Sekretariat Pengajian Prasiswazah & Hubungan Masyarakat by 3rd of July 2009 (Friday) the latest.
    The list of names are:
    • A104167 - Mohammad Sobrie bin Rahim
    • A104173 - Wan FawwazulHakim bin Wan Ghazali
    • A104356 - Ahmad Rizduan binAzahari
    • A113510 - Siti Fatimah bte Samsuri
    • A113564 - Muhammad Hafiz bin Abdul Rasid
    • A114021 - Lovenia A/P Luxuman
    • A114278 - Siti Nurul' Ain binti Jasmi
    • A114748 - Mohammad Mursyidan bin Mazli
    • A114848 - Mohd Zulfadli bin Mohd Hanib
    • A114922 - Yeo Soo Ting
    • A115130 - Abdul Malek bin Mohamad
    • A115301 - Chong Hock Chin
Below are the compilation of efforts for theAnesthesiology posting, which the downloads are solely for internal distribution. The added extra readings will be for all to read and gain.

Materials:
1.Anesthesiology Case Write Up Template 2009
Download links: 4shared (Also available from Downloads Section)

2.Body Simulation for Anesthesia
http://1.bp.blogspot.com/_dB753l5Z6iQ/SDCq4AZC6XI/AAAAAAAAAX8/JeucCuhlZdo/s400/body%2Bsimulation.jpg
Found these download links for the program used during CAL, with more than the 6 patients. Please do note that use at your own risk as this program tends to have bugs and crashes rather often, just like the CAL legitimate program.
Download link: Rapidshare| Sendspace


Lectures:
01- Airway Management (ppt)
Download links: Rapidshare| Sendspace | 4shared
03-Pre-Op Assessment (ppt)-senior's lecture '08
Download links: Rapidshare| Sendspace | 4shared
04-Care of Critically Ill Patient (ppt) -not the original lecture ppt
Download links: Rapidshare| Sendspace | 4shared

Related CPG's
  • Recommendations for Safety Standards and Monitoring during Anaesthesia and Recovery
  • Guidelines on Preoperative Fasting (Revised 2008)
  • MMC Guidelines: Brain Death (Contributor: Stella)
Downloads available at the download section (sidebar)
Folder: Triad --> Anes --> CPG

CPG: Schizophrenia

Diagnosed by ~YM~ 0 referrals
Schizophrenia, a subjective psychiatric disorder. Perhaps you have it, perhaps you don't. But in the medicine world, Schizophrenia is a term used to describe a major psychiatric disorder that
alters an individual’s perception, thought, affect and behaviour.

In a systematic review (SR) of the incidence of schizophrenia, the average incidence rate was 15.2 per 100,000. The number isn't small with 25 million population, one may expect a thousands to be afflicted, and maybe more of the unreported cases. The incidence was noted higher in males, urban and migrant population. So, what can we do to understand on its management?

(Alternative: Click on image to download)
The latest clinical practice guidelines for Management of Schizophrenia in Adults (May 2009) is out. You can head to the downloads section (Sidebar) to get it.
Folder: 0402 - Psychiatry --> CPG --> Schizophrenia.pdf

SSM Materials

Diagnosed by ~YM~ 0 referrals
The Special Study Module is a must-do project for every 4th year medical student in UKMMC. We do understand that statistics is a major headache for all of us. Therefore, Dr Azmi has happily distributed his lecture notes on how to calculate your own sample size. Hopefully this would make sure everyone knows how to do it. :P
*Special thanks to Sze Wern for helping to pass this to me.

And anything else related with SSM will be updated into this post in the future.


Download Link: Rapidshare | 4Shared | Sendspace
(Also available in the downloads section at the sidebar)


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