Since there's no paper for the hematology/infection workshop, I've compiled everything into a Words document. This includes the questions as well as the pictures. For the answers part, you'll have to do it on your own. Below is the link to download it.

Hemato Infxn Workshop 1.0

Further revision of the papers would be done if possible.

These are question patterns that might come out in short case for Medicine (From what i gathered from previous batch)

Get your brains running, try to think what findings can be expected in each case.

1) This patient is a 45 year old man complaining of recurrent episodes of syncope. Please examine the neck.

2)(A grossly obese patient with plethora lying on the bed) Look at this patient and conduct the relevant investigations.

3) (Patient on wheelchair with tremor) This patient have dementia and tremor. Conduct an examination to confirm the diagnosis.

4)(patient with tapered nose and stretched skin) Please examine the relevant systems.

5)(patient with partial ptosis) Please examine the eye.

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Begin with inspection of the soles of the foot for presence of ulcers, look at nail for signs of brittlity, between the toes for fungal infections. Proceed to the dorsal surface of the foot, noting whether or not the foot is pale.

Proceed to the calf note for diabetic dermopathy e.g. necrobiosis lipoidica diabeticorum, hyperpigmentation, signs of cellulitis, loss of hair and shiny skin. At the knee, look for deformities of the knee joint such as charcot joints. Up at the thigh, look for signs of quadriceps femoris muscle wasting which is a result of diabetic amyotrophy. Also look for insulin injection sites.

Palpate the foot for temperature noting the part that feels cold. Feel the pulses. If dorsalis pedis absent, proceed with capillary refilling time. Palpate the knees for charcot joints. Palpate for lipodystrophy in the injection sites. Always ask patient for tenderness b4 palpating.

Next, examine the sensory perception. Using an orange stick, prick the plantar surface at 4 points. Go upward until patient can feel. NEVER prick an ulcer. No need to test soft sensation. When u r presenting, present in " Sensation is lost up to mid calf". No need for dermatomes because diabetic neuropathy affect any vulnerable nerve endings. Sometimes, in a same dermatome, there will be 1 part which can sense and 1 part which cannot.

Do proprioception and say that u would like to test vibration if a tuning fork is present.

Test for the strength of the quadriceps femoris and proximal muscles.

Next, elicit the reflexes in particular the ankle jerk. Ankle jerk will be absent in advanced diabetes.

Complete the examination by examining the upper limb, including nail candidiasis. Say that u would check for postural hypotension which is due to autonomic neuropathy in diabetes.



IF you notice any difference between my method and the lecturer, PLEASE follow the lecturer. This acts as a guide to all in medicine so that none will stare blankly when asked to examine a diabetic lower limb. All the best, Merry Christmas and Happy wonderful 2009!

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Alas, the information regarding the elective posting for UKM Medical Undergrad 3rd and 4th year is out! You can click on the title of this post to be redirected to the UKM webpage where this is all uploaded. From there, you can have the soft copies of the guidelines, venue and application form in either PDF or Microsoft document format.

Special thanks to PERSIAP for the valuable information released on the site, so credits must be given to them as well.

Update: The elective posting form is not available as UKMMC server is down. Kindly refer to the Academic dept for a copy of the forms.

A well-known cardiologist has just passed away and an elaborate funeral was given in memory of him. Of course, many of his colleagues came to attend the funeral, along with the cardiologist's family members, relatives and friends from non-medical field. Behind the casket of the deceased cardiologist, there stood a huge heart covered in roses, daisies and dandelions. Following the eulogy, the heart opened, and the casket rolled inside. Thus, the heart closed, sealing off the doctor in the beautiful heart for eternal.

At that point of time, a mourner burst into laughter as puzzled onlookers gazed at him.

With an apologetic expression, he answered to their bewilderment, "I'm sorry, but I was just thinking of my own funeral... I'm a gynecologist."

And of course, the proctologist who was present, FAINTED.

to all my friends going for Medicine shortcase on wetnessday....Just relax and hope for the best!Everybody will do fine. Why do i say that? Greet the patient and ask for permission to examine, you got 2 marks out of 12 already. Just conduct the examination step by step and you got 4 marks. Now, that's 6 out of 12, pass already: )
During discussion, even if you are making up stories, do not look as if you dont know. Look at the examiner in the eyes.
Good luck!!:)

p/s:
To yewyew, hooihooi, alex and gang, i'm sure you all will score one! Just be confident :)

By Rita Rubin, USA TODAY
To improve patient safety, medical residents should get at least five hours of sleep after working 16 hours, concludes a report today. Since 2003, the Accreditation Council for Graduate Medical Education (ACGME), which oversees residency programs, has required that residents work no more than 80 hours a week, averaged over four weeks, and no more than 30 hours straight. Previously, residents often worked 100 hours or more weekly.

Concerned that cutting workweeks below 80 hours would shortchange residents' training, the new report's authors focused on increasing sleep, but some observers say that's not enough.

The report was written by an expert committee convened by the Institute of Medicine at the request of Congress and the Agency for Healthcare Research and Quality. The IOM is part of the National Academies of Science, which advises the federal government on science and technology.



Long work hours "is deeply ingrained in the medical training culture," Carolyn Clancy, director of the research agency, said at a news conference. "We believe it teaches them dedication, stamina and responsibility."

Despite the ACGME limits, "30 hours is pretty much the minimum" that residents work at a stretch, says Jenny Blair, a New Haven, Conn., emergency medicine doctor who's written about residents' fatigue.

But, says Michael Johns, IOM committee chair and chancellor of Atlanta's Emory University, "the science clearly shows that fatigue increases the chances of errors." His panel advises that:

•Residents get five days off a month — one more than the ACGME requires — so they can catch up on sleep.
•Moonlighting in any hospital be counted as part of the 80-hour weekly limit.
•Residents work no more than four straight night shifts and get 48 hours off after three or four.
•Hospitals provide a ride for residents too tired to drive home safely.

Ensuring that residents sleep isn't enough to improve patient safety, Johns emphasizes. The report also recommends limiting their patient loads, relieving them of tasks that don't add to their education and increasing supervision by experienced doctors.

Several people at the news conference said shifts should end at 16 hours, not continue after five hours of "protected sleep." Surveys suggest that half of residents don't take full advantage of chances to sleep at the hospital, and most don't turn off their pagers when they do sleep, Harvard sleep researcher Charles Czeisler said.

And Peter Lurie, deputy director of the Public Citizen Health Research Group, a Washington, D.C.-based consumer advocacy group, said the "protected sleep" requirement will be even trickier to enforce than the current ACGME work limits.

***

So, what do you think? With Malaysia's also practising "more than 100 working hours a week" regime, isn't it going to be endangering the patients as well? And they blame it on the lack of passion of medical students for the 5 cases of mental illnesses among housemen every month.

Here's some short cases exercise done by Prof Izham Cheong from Dept of Medicine UKM. I got it from Malaysian Medical Resources, and credits ought to be given to them too. Enjoy!

Short Case Exercise I

Short Case Exercise II

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This is one of the "not so well known" differential diagnosis encountered for abdominal pain.
Why am i putting this here? because in my internal medicine long case, the examiner asked me about scrub typhus in long case. Now in surgery, imagine my horror(or humor) when the examiner again ask me about scrub typhus,in long case also!!! So, i think it must be very common in Malaysia,although i have never seen 1 in HUKM before!

The link below is a reliable source. But remember, although it is stated that scrub typhus is common in China, africa etc, it is extremely common in Malaysia!!! If not, what for 2 different lecturers from 2 different departments ask me about it?

emedicine

This is another link to Scrub Typhus, although no mention of abdominal pain as a presenting symptom is given.

Scrub Typhus

My advice: If you get an abdominal pain for long or short case, and cannot think of any differntial, just say scrub typhus!!Lecturers will be impressed hahaha

p/s: a question here,just out of curiosity. Why people like to put their status as "BUSY" on MSN Messenger? If u r busy,don't go online, or appear offline and nobody will bother u. For me, putting a "BUSY" status is like trying to tell the whole world what a busy person you are. If you are that "BUSY", why would you go online? What do u think?

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Neuro must knows
Cerebral circulation, the circle of willis and its tributaries, basilar artery and areas supplied by it,and dont forget the venous drainage
The Motor and Sensory Homunculus
General outline of motor and sensory function of the cortex(no need detail)


Pathology
Cerebrovascular accident(including Transient ischaemic attack)-->manifestation and localising signs up to management
How to differentiate ischaemic and hemorrhagic stroke, and their managements
Meningitis-->how to differentiate viral and bacterial etiology from CSF specimen, common etiologic agent,treatment, complication
Brain absess--> what is ring enhanced lesion on CT, what is the cause
Peripheral neuropathy--> at least noe some other causes besides diabetes mellitus
Facial nerve palsy--> Common cause like Bell's, ramsay hunt, Parotid carcinoma etc
Tic Douloreoux
Horner's
Types of nystagmus, some causes of the different types of nystagmus
Cerebellar signs
and of course, drugs and their side effects

In short, you must be able to localise the symptoms from the clinical manifestation, which is why neuroanatomy is important

Some miscellaneous neuro cases in previous short case is multiple sclerosis,myasthenia gravis and Guillane Barre syndrome...lets hope it wont happen again haha

for this few "atypical" disease, i think we only need to know the clinical manifestation and diagnostic feature, and of course, the level of nerve involved. for example, GB syndrome is characterised by areflexia, MG by progressive ptosis and weakness, MS by the lesion being disseminated in time and space etc



But if got time do read more on these...its quite interesting..

As for stroke, everything must be fingertip. Sure come out one...so common..Go catch one stroke patient in ward and examine him or her....practice more.

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We are proud to announce that we have a guest author with us today for sharing her knowledge with us. So here's someting for us to ponder about.

Kids – they’re a bundle of joy. But if you’re not careful, they could end up turning you into bundles of lard. It’s hard to maintain a fitness routine with kids around, but for both your sake and theirs, you must try. Why theirs, you may ask; well, once they see you set an example, they’re going to take to working out or getting involved in some sport while still at school, a habit that sets a good precedence when they become adults. With childhood obesity on the rise and contributing to a variety of diseases like diabetes and heart attacks, it’s time you taught your kids the value of regular exercise, even as you start walking on the road to good health. If you’re out of ideas as to how to exercise when your kids are around, read on for a few pointers:

• Nap times: Instead of sitting down in front of the television for some R and R, pull out your stationary bike or treadmill and watch your favorite program as your feet do their thing. Get at least half an hour of aerobic exercise each day to keep you feeling energetic and healthy all through your life.

• Weight lifting: This works best when your kids are toddlers – just put them in a backpack and take a walk in the park. Your child gets a healthy dose of fresh air and you get a weighty work out – when you walk with a load on your back, you’re bound to burn more calories.

• Play times: For older kids who don’t nap, get out into the open with them. Take a Frisbee or a ball to the park and start a rollicking and rambunctious game with them. You’ll find yourself out of breath at first, but as the game progresses, you’ll discover that you’re bonding with your kids, enjoying yourself and getting fit in the bargain too – three for the price of one.

• Sports and games: Teach your child a sport, and take it up yourself too. You’re never too young to learn to hold a tennis racket or a baseball bat. Softball, soccer, football, and swimming – they’re all good ideas to get your child into sports and keep you going on the road to fitness.

• Housework and gardening: Get your kids to help with the chores around the house – vacuuming, gardening, cleaning or other activities burn calories and also teach your kids the value of offering a helping hand at home.

• Stealing time: All you need is 10 minutes – when your kids are watching their favorite television program, you could finish those squats or lunges that work to give you toned thighs and glutes.

It’s not that hard to sneak in a workout when you have kids - all you need is the will and you’re automatically shown the way.

This article is contributed by Sarah Scrafford, who regularly writes on the topic of EKG Certification. She invites your questions, comments and freelancing job inquiries at her email address: sarah.scrafford25@gmail.com.

Yesterday a friend asked me,"why is there lucid interval in epidural hematoma?

The answer lies in the anatomy and the blood vessels involve.

My explaination:
Epidural hematoma occurs when blood accumulate in the interface between the dura matter and the skull.
It usually involve the middle meningeal artery which is located in the interface.
When this artery rupture due to trauma or what not, blood will start oozing out. Being arterial, the blood pressure of course will be higher than those of venous origin
Immediately after trauma, patient(or should i say victim) is unconcious due to the impact of the trauma. He then regain conciousness and complain of nothing.
In his head, the middle meningeal artery have ruptured. However, since the blood coming from it is accumulating between the dura matter and the skull, which are rigid structures, the hematoma takes time to form.
The period between when the patient regain conciousness and when hematoma become big enough to cause symptoms is called the Lucid interval.

Patient may present with many abnormalities prior to 2nd loss of conciousness due to the hematoma, such as oculomotor nerve palsy. It depends on where the hematoma form.

Compare with subdural hematoma which is due to rupture of the bridging veins. Try to explain why no lucid interval in subdural hematoma.

Summary: Lucid interval happen in epidural hemorrhage because although blood is from a high pressure vessel(an artery), it accumulates in a tight space, thus takes time to accumulate enough to cause symptoms.

If you have any other explaination which you know off, read somewhere etc, please let me know ok. :)

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Cardiology
Presentation of cardiac pathology
Angina-types
Angina-MI difference
STEMI and NSTEMI and how to differentiate them
Complications of MI
Principle of management of MI and Angina
CCF-at least know the 3 most common cause i.e. MI,dilated cardiomyopathy and systemic hypertension, others such as congenital heart disease, valvular heart disease and cor pulmonale is additional
Types of CCF
Effect of CCF on CXR and ECG
Complications of CCF
Heart block-ECG changes(may be asked in long case)

Atrial Fibrillation-causes, effect and management. For causes, i use the mnemonic I SMART CHAP, there are other mnemonics such as CVS HaRUS CePat etc...use whichever 1 convenient

I=inflammatory condition such as pericarditis and pleuritis

S=sick sinus syndrome, in old people where there is idiopathic fibrosis of the sinoatrial node
M=Medications such as verapamil, levothyrosine
A=atherosclerosis of the vessels leading to ischaemia
R=Rheumatic heart disease
T=thyrotoxicosis

C=congenital heart disease
H=systemic hypertension
A=alcohol
P=pulmonary causes e.g. pulmonary embolism and pneumonia

Infective endocarditis- Memorise the Duke criteria inside out,aetiologic agent and appropriate antibiotics is extremely important.many neglect this

Rheumatic heart disease-The bacteria involve, involve what valve, what is the extracardiac features(Duckett Jones criteria)
Dont forget the drugs used to treat cardiac disorders.

Whatever not in the list doesn mean not important a...maybe i forget to write only..

I think this is enough to cope for now kua.....respi, neuro and gastro and others next time tell la..

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Many of our colleagues have asked me about the format of long and short case in Internal Medicine. These is what i can say regarding short and long case

Short case

1. Each students will be assigned to a station with 2 cases. 10 minutes for each cases.
2. Cases depends on your luck. You may get 1 CVS and 1 GIT, 1 Respi and 1 GIT, 1 Neuro and 1 Miscellaneous etc. Miscelaneoues here means Rheumato and Endocrine mostly.
3. Each case is manned by 1 lecturer, meaning there are 2 lecturers in each station. READ the QUESTIONS properly, and Follow instruction. Some question may sound like dis,"Look at the patient and do the relevant examination," In this case, use your logic. E.g. dont la go do respi exam on a Cushing patient!
4. Examination, do as fast and as complete as possible, ideal time will be 8 minutes. Start practicing now. Respi will take longer but usually the examiner will tell you to examine the front or the back only. Don't pandai pandai go examine 1 side only without instruction.
5. Tips during presentation: Practice and more practice. Present to ur friends, although not perfect but still ok is ok. Look into the examiners eye, dont look at the patient. Look confident even though you don't know anything. Just crap something out. If not, you will only get marks for PPD, that is 1 mark for smiling :)
6. Good examiner will guide you through the exam. If, for example, when u say a murmur is a mitral regurge, and the examiner ask you "Are you sure? Is it not, mitral stenosis?" you better agree with them, after reauscultation, and say its mitral stenosis, although u hear nothing! Because according to my supervisor, examiners cannot tipu tipu 3rd year students! They can tipu registrars only.
7. During respi examination, if when you percussing, the examiner go near u and tried to listen to the sound, the diagnosis can only be pneumothorax and pleural effusion! How to differentiate? If you hear resonant, pneumothorax, if dull(don't care stony dull or water dull or dunno wat dull) its pleural effusion. Don't stick to this though. Remember law number 6.
   

Long Case

1. Just like the one in surgery posting except this time, it is bedside and you perform Hx and PhyEx in front of everybody!
2. Practice. Hx is given around 5 minutes, after which the examiner may ask you to present and summarize, and give Diff Dx based on the History. That's y differential diagnosis for common symptom such as lethargy, cough, dyspnea, chest pain,headache is so important.
3. Then the lecturer will ask you which system to examine(If he is cruel, he will ask you why, if not, proceed).examine follow the schematic, Tally version. Don;t do weird weird things and expect to get extra mark.
4. After that, you must come to a provisional diagnosis. If no findings, just say that based on unremarkable physical exam, no differential can be excluded yet
5. Proceed to Investigation. Know what investigation to do and what is your expected outcome and what are you looking for. If you stuck, just say FBC, LFT and say you need to assess the general condition for management of the patient.(depends on case)
6. Management just go memorise the CPG la....Dosage, e.g 300mg aspirin loading dose and 75 mg subsequently for treatment of ischaemic stroke, if you can answer, will give examiner a good impression.
7. Have to warn u all that some of the patients picked by the lecturer have no problem at all. Their problem is only ionic imbalance like hyponatraemia or uncontrolled diabetes. Keep this in mind
   

Thats all.

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Updated, 12th March 2010 - 2nd edition of the WHO Malaria Treatment Guidelines.
http://www.who.int/malaria/publications/atoz/9789241547925/en/index.html

Like malaysian CPG..use this as the guideline if asked.

Update: The pdf file had been uploaded to C-box at the sidebar.
Kindly proceed to Medicine --> Relevant CPG --> WHO_MalariaTreatmentGuidelines06

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Something to ponder but not to be cling on.

Knowledge=power--1
Time=money--2

We know that Power=Work/time--3
substitute 1 and 2 into 3
we get knowledge=work/money

so money = work/knowledge

you see, as knowledge approaches infinity, money approach 0.

So, dun study la....faster go work...study study no money one : )

Joking la...study smart!:D

In addition to the pile of questions your friends have left you with, here's another good set of questions of the MRCP standard you can try doing.

All India Medical Pre PG Entrance

There's a Harrison Internal Medicine review Questions that i don't manage to buy last time. If you can get it, its good. Its cheap, only about rm 57. 40 people share 1 la...rm14 only :)

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I've observed that so far nobody have written anything about JKM posting. For the benefit of our friends who is in and who will go for JKM posting, i will write something. Want to read about medicine, go to my blog la at intmed3. i lazy to write here hehe.

Several facts about Medicine and Society posting:
1) It is quite fun :)

2) Tg Karang is a town in the District of Kuala Selangor, which is around 1 hour and a half away from HUKM

3) The students will be divided into 2 big groups of 30 students each, one group will be posted around at kuala selangor and another to Sabak bernam, which is around 1 hour away from where you stay. (Teluk Intan is only 40km away from Sabak Bernam)

4)In the group of 30, students will be further placed in group of 10 each. Means there will be 3 small group. The small group will be posted to Pejabat Kesihatan daerah, Hospital Daerah and Klinik Kesihatan for field posting.

5)Here comes the confusing part: The members of each small group must write a report on 1 unit in the place they are posted to in the 1st week. For example, if your group is posted to PKD(Pejabat kesihatan daerah, NOT polycystic kidney disease) in the first week, each person in the group must select a unit in the PKD (e.g. BAKAS,KMM,KMMam) and write a report about it.

6) Be serious, dont play play, and observe whatever you do in the field posting.It is important as most of the questions in the exam, including OSCE, is from the field posting. Remember all the akta (such as akta pemusnahan serangga pembawa penyakit 1975 and NADOPOD 2004) and what it does, what unit enforces it etc.

7)During the survey week, finish your part as soon as possible. After that you can play all you like.

8)All assignments should be completed as soon as possible. Do not procrastinate. There's lots of time to play.(anyway, there;s nothing to play in Tg karang besides eating)

JKM is indeed a honeymoon posting compared to OnG and Medicine. But do read the first and second year lectures when you are free. Questions do come out!

The questions in the exam i took is simple(serious!). Be prepared for a harder set of questions this sem...

Any queries regarding JKM and Medicine, ask those who have been through it last sem(including me). Similarly we will not hesitate to get your advice for OnG and surgery :) Good luck and enjoy seafood and life in Tg Karang :)

P/S: anyone want recommendation on good food in Tg karang can contact yi hui hahaha..

(28th Sept 2008)
At last, I've found the ultimate auscultation software by McGraw Hill!!

The software is:

Mastering Auscultation:

An Audio Tour to Cardiac Diagnosis

by Dr. Anthony Don Michael

It's quite a big file actually, around a whooping 90MB, so I guess you'll have to bear with the long download speed.

And I might be happy to chuck it to anyone who needs it, but that'll depend on my mood, since I wouldn't want everyone to come barging at my door 24/7. Maybe I'll price it at RM 5 or 10 per copy(CD) so that it'll deter you guys from disturbing my peaceful life. I'd enough experience with that. Lol!

So here's the download link, and enjoy!

Selamat Hari Raya Puasa!

4shared
(No other mirror since this file is too big)

(7th Sept 2008)
It's been quite a task for medical students to hear different heart sounds, so I reckoned that heart sounds are best heart through software. Unfortunately, there may be varying quality on the web and the difference could not be appreciated by me who had not even heard the real thing yet.

So, I'd googled out this software and hope that medical students who had been to the medicine posting would be able to tell me how is the quality of the software for the aid of the rest. Thanks!

Cardiac Auscultation Software (Sendspace)
Mirror: 4shared

P.S. I'll be looking for better ones when I have the free time.

Here's the section for O&G Downloads. It's not much, but hope it'll help.
*Most of the materials can also be downloaded from the sidebar download section in this site.

Introduction:

• O&G Introduction - by YM
• O&G : Places You should Know - by YM

Resources:

1. O & G Case Write-up Template - YM (2008)
   Download Link: (4shared)
2. Short Case Write Up Template (as of Oct 2010)
   Download Links: Box.net | Mediafire
3. Obstetrics History Taking Template - YM (Suggestion)
   Download Link: (4shared)
4. Partogram Write Up+ Partogram Chart + Individual attendance - YM (2008)
   Download Link: (4shared)
5. UKMMC Partogram 2010 - YM
   Download Link: Box.net
   

Lectures:

1. Reproductive Physiology Lecture - Dr Amelia
   Download Link: Mediafire (Updated 22nd June 2011)
2. Bleeding in Pregnancy - A/P Dr Paul
   Download Link: Mediafire (Updated 22nd June 2011)
3. O&G Lectures Compilation: (As stated below)
   Download Link: Mediafire (Updated 22nd June 2011)
   
   • Clerking O&G Case (by Prof Zainul)
   • Contraception (by Prof Paul)
   • Hyperemesis Gravidarum
   • Ectopic Pregnancy
   • Cephalopelvic Disproportion (by Prof Paul)
   • Instrumental Deliveries (By Dr Uma)
   • Pre- and Post-Operative Mx in O&G (By Dr Amelia)
   • Bleeding in Early Pregnancy (By dr Raja Nor Farahiyah)
   • Antepartum Hemorrhage (by Prof Shuhaila)
   • Post-partum Hemorrhage

Tutorials:
Gestational Diabetes, A/P Dr Nor Azlin
Download Link: (4shared)

Workshop Materials:
Episiotomy Workshop Manuals-1st August 2008

Recommended Reads:

• Short Case: UV Prolapse (Medik UKM)
• Counselling: Pap Smear
  
• Counselling: Trial of Scar - Hanisah (Medik UKM) 
• Counselling: Couple with Unexplained Infertility - Hanisah (Medik UKM)
• Manual Removal of Placenta - Hanisah (Medik UKM) 
• Consent for Dilatation and Curettage 

E-book: Procedures in Obstetrics and Gynaecology Textbook-by Stephen Jeffrey

File Size: ~ 6.6MB     Format: PDF

Download Links: Box.net | Mediafire

Recommended by: Yap Su Yan

 

Surgical Tools from Medical PBL has been updated!! You can get the latest copy here.

Due to popular demand, I am uploading the files which I had obtained back when I was in my 1st posting, of the past year questions 2007/2008. I believe there may be various sources out there, so verification of this source may not be reliable. Therefore, use at your own risk. This version is not the complete set of questions, probably due to lack of manpower/ womanpower to memorize it.
Here, I would like to encourage fellow students to at least try memorizing the questions for the students in the other posting. If this is possible, then we would also benefit if the other postings did the same for us. Wish all of us luck!!

Click on the link below to download:
Past Year Questions 2007/2008 MS Year 3
Mirror: (4shared)

Source: Kai Quan
Uploader: YM

I've received a note (an e-mail actually) from Chin Kimg regarding the short case exams that was done by the first posting of the 3rd year MS 2008/2009. She's more than willing to compile and gather the cases to share with us, especially those who are taking this coming short case exam. Hope it'll be of help to those currently in medicine posting. All the best!!!

And specials thanks to Chin Kimg too!!

So, here's what she has wrote:

***

3rd Year Short Cases

These are some of the short cases that we get.
we were divided into ten stations with 2 cases in each stations.
1) AR and TR
2) hepatomegaly + Jaundice
3) CCF
4) Guillain Barre Syndrome
5) TB (mantoux test > 20mm induration)
6) CVA - upper limb weakness
7) AR
8) Horner's syndrome
9) Lymphoma
10) Unilateral Ptosis due to surgical 3rd cranial nerve palsy. The patient is chinese uncle from ward 1, the pupil is dilated with reduced constriction to light) According to the doc, the diagnosis is PCOM aneurysm.
11) Ascites and hepatomegaly
12)PSM
13) Lower limb numbness
14) Mitral stenosis
15) TR
16) Diabetic neuropathy

Cases that we expected but didn't come out were SLE, RA, Scleroderma, Cushing's etc. Dr rashidi said COAD is more for fifth year-spot diagnosis.

We got dr Teh, Dr Ting, Dr Petrick, Prof Norlaila, Dr Sheikh, Prof Tan Hui Jian and a few more as examiners. Most of our supervisors like Dr Masliza, Dr Andrea were not there. No signs of Prof Raymond or Datin.

That 's all. Hope that'll help.
Good luck and all the best!!!!!!!!

Kimg

***

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Being a late night ghost, I'm here to share a few nightmares which would scare the hell out of most students if these ever happened to you. So, dare you read these?

1. Horrifying truth

• Part 1
• Part 2
• Part 3
• Part 4
  

2. Think East Malaysia is a lucrative place for high salary?

3. Promotion denied


I'm not sure what really happened then, but if that had really happened to anyone of us, I'm sure we'll be freaked out. :P

1. D. The patient should be admitted for intravenous antibiotics and surgical consultation
   
   
2. Diagnosis: Retropharyngeal abscess
   
   
3. On physical examination, one might see bulging of the posterior pharyngeal wall, although given the age of the involved patients and the likely difficulty of the examination, this may not be obvious. Involved organisms are most commonly group A Streptococcus, Staphylococcus aureus, and the anaerobes that occupy the oral cavity.
   
   "Tracheal rock sign" elicits pain while gently moving the larynx and trachea from side to side. These patients prefer to lie supine with their necks extended, maximizing their airway patency. Sitting up or flexing their necks worsens their respiratory distress.
   
   
4. Radiographic evaluation of children with the above complaints mandates differentiation of RPA from other etiologies including:
   
   • epiglottitis
   • foreign body aspiration
   • meningitis
     
   
   Computerized tomography (CT) scanning with contrast is frequently used to further characterize the nature of the swelling and is more sensitive in evaluating the difference between cellulitis and true abscess.

Source: Med Case Reports

Draft 2 (Unchanged from Draft 1)
*Click on image to enlarge*

The timetable is out. Please refer to the academic office notice board for year 3. I've uploaded a timetable here in pdf format, and may subject to typo errors. So, please verify the timetable and do inform me if there's any mistakes for the benefit of the rest. Thank You!!


End Sem Exam Timetable for Semester 1 2008/2009

Sendspace | 4Shared

Here's some uploads for the O&G posting peeps. Remember the episiotomy workshop we had? I found the same knot tying manual as well as a similar wound closure manual, both from Ethicon.

So, you can download it here and proudly declare that you own the soft copy of it.

Ethicon Knot Tying and Wound Closure Manuals (Sendspace)

Mirror: (4shared)

SUKEM season is just around the corner, with the hostel colleges of UKM trading blood, sweat and tears in vying for the champion of honor.

Perhaps it is time for us to prove our worth in SUKEM and show the scums uni-mates from other colleges that we are always far more superior. Just kidding anyway, scrap that off the records. It's just a matter of hatred friendship bonding time. So, why not try winning some medals for KTDI, instead for KTSN who treated us poorly in the past. Time to reap the rewards for your talent, my friend. Send your details to the person in charge stated on the poster below.

Me? I would love to enter the chess team, but I don't think there's enough people to form a team anyway. Plus, I'll be busy doing deliveries. Lol!!

Source: KTDI Wordpress