Posted by FaDhLi on Friday, November 26, 2010
this is just updated information from medscape.
before you practice this update information, you should clarify it with lecturer, especially anaesthetist.
read the info below.
Posted by FaDhLi on Thursday, November 04, 2010
upper motor neuron and lower motor neuron
compare both.
read below.
Posted by FaDhLi on Thursday, November 04, 2010
DEFINITION FEVER
elevation of body temperature that exceeds the normal daily variation and occurs in conjunction with an increase in the hypothalamic set point—for example, from 37C to 39C (shift of the set point from “normothermic” to febrile levels)
CHILLS
a sensation of coldness
RIGORS
exaggerated shivering
how all of these related?
fever comes with abnormally high body temperature, but why the patient can has chills and rigors (or shivering)?
read more below
Posted by medik-ukm on Wednesday, November 03, 2010
heart rate
respiratory rate
blood pressure
temperature
pain score
i'm not very sure whether pain score is still the vital sign, but in 2008, KKM add in the 5th vital sign which is PAIN SCORE.
Posted by medik-ukm on Friday, October 22, 2010
Question
Why you cannot give dextrose to hyperemesis gravidarum patient?
Answer
Dextrose containing solutions should be avoided as they increase the body’s requirements for thiamine and thus increase the chance of precipitating Wernicke encephalopathy in a woman who is already thiamine deficient
thanks to Izzati Rani
===============================
additional information from wong yee ming
Dextrose infusion can always be considered if the patient is too hypoglycemic and could not tolerate orally. All we need is to supplement them with thiamine (IV thiamine can be given), preferably before dextrose infusion, although it's just to appease the myth that thiamine should be given before dextrose infusion. It's all based on clinical judgment, and no clear cut answer.
Posted by medik-ukm on Tuesday, October 19, 2010
[5 x (height in centimetre)] - 400
however, in exam, please mentioned that you will compare the result with PEF chart.
thanks to hanim
Posted by medik-ukm on Monday, October 18, 2010
|||suggested steps for informed consent for colonoscopy|||
ONE
Introduce; build rapport; greet
TWO
Explain what the patient have; possible diagnosis, based on the trigger given
THREE
Explain what is colonoscopy
FOUR
Indication for colonoscopy
PR Bleed
unexplained alter bowel habit
family history of cancer
IBD
FIVE
Procedure of colonoscopy
Bowel prep (explain how to bowel prep)
Register on the date
change cloth
Enema
LA / GA bring partner to ensure safety after the procedure because patient may still be in sedative state
Position left lateral
Insert per rectal
Insert air may cause abdominal discomfort, flatulence
Insert camera
Biopsy may be taken depending on findings
SIX
Possible findings during colonoscopy
bleeding
mass
ulcer
inflammation
SEVEN
Complication of colonoscopy
Bleeding
Perforation
Pain
EIGHT
Benefit
Diagnostic
Therapeutic
NINE
Let patient ask
TEN
If patient refuse, give alternative (patient has right to refuse; DONT FORCE)
alternative --> barium enema
