Exactly 2 more weeks I gonna face my Professional 3 exam. Feelings of anxiety and uncertainty begin filling my heart. So much to study, so much to clinical examination to practice. I really dunno how this 2 weeks is gonna be, what the outcome. I wish I could just turn back time and start all over again, but tats of course impossible.
We can try our best to achieve anything but, we cant guarantee anything in life.
With this I put my all my hope and trust in God. Whatever the outcome of this Pro 3, I will still praise Him.
“Do not be anxious about anything, but I everything, by prayer and petition, with thanksgiving, present your request to God.” Philippians 4:6
March 28, 2009
Faithfulness Forever
August 5, 2008
Paediatric Short Case
Today I had my Paediatric Posting short case exam. I got a case of a child with severe cyanosis, and polycythamic. Clinical findings was fingers and toes clubbing, peripheral cyanosis, red conjunctiva suggestive of polycythaemia. On auscultation of the chest, I only found loud P2. There was no murmur, and no signs of heart failure. My initial diagnosis was pulmonary atresia, that was a bad step! I shouldnt have said that, the doctor asked me questions on pulmonary atresia and I couldnt answer. The she go on asking me questions on cyanotic heart diseases which I manage to answer some. But finally I came to a diagnosis of complex cyanotic heart disease.
Tomorrow I gonna have my MEQ exam at 4pm at Paediatric department. My supervisor wants to see me at 2pm tomorrow, I wonder is he gonna ‘hantam’ me as he usually does. This posting has really been stressful for me. With me being the group leader, so much responsibilities, sometimes when I make little mistakes, I got terrible ‘hantaming’ by the lecturers.
Just recently I almost quarrel with one of my groupmates over some clinical session. We wanted that particular lecturer cuz he haven taught us before during posting, but this guy insisted on having him instead. When I insisted on having that lecturer, he show me a sour face. Then after tat I decided to give in, I let him have that lecturer. That particular night, I was so frustrated and irritated. But now I decided to put this behind me, and look forward. Anyway I already to accept everyone in my group regardless of who they are. I have to keep on reminding myself, tat Im a christian, and should learn to be gracious to ppl.
Today i played badminton with a 1st yr medic gal. She is a thin and tall sweet gal from nurani. We knew each other for bout a month and I enjoy her company. Many time we met and talk, but rumours about us are spreading like hot goreng pisang! Many ppl are asking her wat is her relation with me. Fortunately she edi has a bf, otherwise ppl will be thinking that Im dating her. Gossips bout me in campus is not something uncommon. But im not worried, one day they get tired, they wil stop gossiping edi.
Tomorrow got CF, I wonder whether shud I go o not? Really feel malas wanna go…
June 4, 2008
Acute Asthma
I just finished my clinical exam with Prof. today. Got an acute asthma case. Couldn’t decide whether my patient’s acute asthma is mild, moderate or severe.
This is how we classify acute asthma as mild, moderate or severe in Malaysia.
|
|
Mild (admission unlikely) |
Moderate (may need admission) |
Severe (admission needed) |
|
Altered consciousness |
No |
No |
Yes |
|
Physical exhaustion |
No |
No |
Yes |
|
Talks in |
Sentences |
Phrases |
Words |
|
Pulsus paradoxus |
Not palpable |
May be palpable |
Palpable |
|
Central cyanosis |
Absent |
Absent |
Present |
|
Rhonchi |
Present |
Present |
Silent chest |
|
Use of accessory muscle |
Absent |
Moderate |
Marked |
|
Sternal retraction |
Absent |
Moderate |
Marked |
|
Initial PEF |
> 60% |
40-60% |
< 40% |
|
SaO2 |
> 93% |
91-93% |
<90% |
I think I really got a nice bashing this time around. Feel kinda depressed now…
Tomorrow will be MCQ. Hope things gets better…
May 13, 2008
Post-clinical Exam
I just finished my clinical exam at 4.00pm today. I got a febrile fits case, but the presentation doesn’t seems to be febrile fit. Beside fit, patient has blue spells, shortness of breath, pale. On examination, I found patient to have prolonged expiratory phase. My history and examination doesn’t tally at all. Bad la…
At least the patient was cooperative, although he was only 5 months. I did presented my case to doctor and was asked a number of questions which I couldn’t answer most of them. Dunno how?
Hopefully tomorrow MCQ will be much better. I just can’t wait to go back this thursday. Really cannot tahan staying in this campus…
