Saturday, February 5, 2011

OBG : END Posting for 6th term !!!

Yeay..Hurray.!!! Alhamdulillah....
OBG posting telah tamat...
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.
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Semasa sesi viva dan case presentation..

kami unit 2 dikehendaki untuk membentangkan dua kes..

Satu kes gynaecology, satu kes Obstetrik...

So, dapat pulak lecturer yg super nice..*sengeh*

Sebab takyah tension sangat kena prepare depan cegu yg GARANG...hihih...



So, nak tau ape soalan yang saya kena jawap?

Gynae case..

Saya dapat patient yang datang dengan chief complaint of lower abdominal pain on left side,pricky type of pain,non radiating, intermittent pain , localised to left iliac fossa since 2 month.

Sir : What is menorhagia ? 
Me :  *confidently* Sir, increased duration and amount of bleeding with regular cycle.
Sir : Okay, in your mind, what do the patient have associating with lower abdominal pain which is localised on one side? 
Me : Sir, its ovarian cyst, tubal pregnancy....*silence*
Sir : *angguk2*..Okayh, what is metrorhagia? what is intermitttent bleeding?
Me : Damm!! Aku tak terbaca pula definition kecik2 nih..Adey aii...Tulah,skip lagik bile study...Cegu dah kate dah, don't do selective study. tulah, tidooo jerk tau...
Sir : what is polymenorhea and oligomenorhea..
Me : Polymenorhea is increased in episodes of bleeding which have less than 21 days. Oligomenorhea is reduced mensrtuation period which have less than 41 days cycle..


OBG case

Chief complaint : She came with pain abdomen at 36th week and was admitted for safe confinement.

Sir : Name the condition she's having..
Me : erm...ermm...
Sir : okayh, Name conditions that can cause menorhagia..
Me : placenta previa, abrupture placenta,endometrial hyperplasia,pelvic inflammatory disease, bleeding disordes, thyroid diseases, contraceptions like IUCD..
Sir: Define placenta previa...and abrupture placenta..
Me : Placenta previa is abnormal implantation of placenta near the lower segment of uterus.. Abrupture placenta is premature separation of placenta causing bleeding.
sir : Name the symptoms of fibroid mass..(sambil tunjuk sebelah tgn,jari diturun bila dpt jawap)
me : erm..Abdominal distention, menorhagia, decreased micturation, fatigue,anemia..errr.errr..(fuhh, tgal satu jarik tk turun..tak igt ape ntah jawapn sir kasik..)
Sir : Okayh,what is the problem in this patient suffering from pain during 36th week..
Me : * kedip-kedip* I have no clue..
Sir : okay, what is abortion ? Tell me typed of abortion...
Me : Sambil buat high five tu, satu-satu jari dia trunkan..Okay, Missed abortion, complete,incomplete,septic,threatened abortion..
Sir : * muka puas hati* Okay, what is the period of viability ?
Me : 28 weeks sir.
Sir : So, she's having pain at 36 week.  Does she have a threatened abortion.
Me : Ermm..Yes ?
Sir : *geleng-geleng*. Then, what is term pregnancy ?
Me : Pregnancy of more than 37 weeks.
Sir : so?
Me  : * yes?* 
Sir : She is having pain right now. What do we call if pregnancy occur before 37 weeks?
Me : preterm, sir..
Sir : So, if she is having before 37 weeks, means what?
Me : err..err..
Sir : she's having preterm labour. That why she is having the pain right now..
Me : owhhh..
Sir : Can you name other conditions where mothers get painful abdomen?
Me : Uterine mass,placenta previa,abrupture placenta, err..err..*stuck*
Sir : okayh, you can go...

Pastu, terus lah aku keluar dari bilik examintion room. 

saya bagi diri sendiri 7/10


p/s : Kesimpulan, sila rajen bertanya apa yang cegu suke tanya untuk viva. Ribuan terima kasih kepada kak nora and Kak Ayu kerna sudi menumpangkan bayu kat rumah untuk study. Walaupun banyak borak dari study, tapi berbaloi jugak dpat sleep over kat rumah korang. (*v*)

3 comments:

hazimah said...

lalala. final year nanti dia tanya clinical problems. btw, abruptio&placenta previa is not the cause of menorrhagia. cuba cek balik maksud menorrhagia *wink* (okay fav question jugak tu!)

CikSembang said...

salam kenal..
nak berkenalan nak tau dunia medic ni..
thx

BaYu said...

cik sembang: sila-sila...

kak zimah : tapi, tulah yg pelik tu..menorhagia tu ikut definition yg cegu bagi...kalau ikut buku,mmg nmpk sgt ktrg nih juniors lagik..mende pun tk tau..

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