Standard Operating Procedures for Medical Assistants in Primary Healthcare

Diagnosed by ~YM~ On Oct 25th 2009

Standard Operating Procedure is the latest guidelines by Malaysia MOH for primary health caregivers. Encompasing general conditions from various fields such as ENT, Psychiatry, Obstetrics, Skin conditions, Infection and even general malaise, this guideline hope to educate the public as well in early detection, prevention of illness and promotion of health. Special thanks to Miss Ojie for her efforts in searching for this guideline and contribution.

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.

Paediatric Short case

Diagnosed by Jeffrey


These are some tips for my colleagues who will be taking their Paeds short case in 1 week time.

Paediatric short case will be conducted in the PPUKM paediatric department, which includes the wards, the NICU, the PHDU and PICU. Each student will have 2 cases under 2 different lecturers.

Common cases are : Thalassaemia, Respiratory cases, Cardio cases, Floppy baby, Developmental assessment, Nephrotic syndrome, Neonatal assessment ****(experience may differ)


The examiner will give you a short history, e.g. "This is a 3 year old girl with fever and cough for 3 days". You must know than what to look for in the general examination! If you are told the girl present with fever and cough, don't go talking about Osler nodes, leuconychia etc, which does not lead to the symptoms you are told! Be aware of what you are saying and suggesting.

Remember, WASH your hands before touching the baby. This is extremely important in Paeds.

One of the most popular question that leaves most of us dumbfounded is "Do a general examination". Therefore please practice this. For those who have no idea what you're suppose to look for general examination, all you have to do is ask, not the examiner, but your supervisor or friends now.

My supervisor's advice to me :Stay calm, don't panic, speak clearly and be systematic, think carefully before you say anything. This is important because in the stress of facing a full Prof, whatever we said will not pass through our gray matter, and we end up presenting rubbish to the Prof.

Paediatrics is not all about developmental assessment. Don't get so obsessed with it. I mean, don't just practice DA and forget the rest. Paeds are NEVER small adults.


Neonatal assessment is one exam question that makes us happy. We can say all sort of things like mongolian blue spots, milia, ebstein pearls, erythema toxicum, Harlequin color changes etc. But then,if we don't know why we look for all that, and why is it important to look for them, what's the use? The point is, don't look just for the sake of taking exam. Please know the importance of these skin changes in the neonate.


Good luck to all Paeds! Short case is never easy, do not take for granted that when you've studied all the books under the sun, you will pass. Your technique and application is important as well. All the best!!:)

3 Response to "Paediatric Short case"

  1. ~YM~ Said,

    erm... the author is jeffrey la..go thank him. Thank me no use cos I havent even enter peds... :P

     

  2. This post has been removed by the author.

     

  3. ping ling~ Said,

    oopss sorry jeffrey :")
    Thanks ya!!
    YM, ya i just remembered that also..hehe paiseh~

     

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