notamedik

Author: notamedik

  • Intestinal Obstruction

    Intestinal Obstruction

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    Bowel obstruction, also known as intestinal obstruction, is a mechanical or functional obstruction of the intestines which prevents the normal movement of the products of digestion. Either the small bowel or large bowel may be affected Symptoms 4 Cardinal Signs of IO: Other hx: – Symptoms of GIT bleed, infection, – Previous surgeries, – Underlying GIT disorders, – Risk factors for ischaemic bowel: atherosclerotic RH, heart…

  • Metformin – recap

    Metformin – recap

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    We encounter metformin almost every day in practice — in patients’ medication list / we prescribe to patients / we withhold for patients. It is very important to understand the medications that we are giving, so that we do no harm to patients. 1️⃣ Mechanism of action 2️⃣ Therapeutic effects / Benefits 3️⃣ Side effects…

  • Septic Workup

    Septic Workup

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    22yo male came with high grade fever for 2 days, a/w productive cough, septic looking. “HO tolong ambik septic workup utk patient ni”, korang pun be like, nak ambik apa ni…. Blood Ix Tube FBC Purple CRP Yellow Aerobe C&S Blood culture bottle Anaerobe C&S Blood culture bottle Sputum C&S Sterile container Urine C&S Sterile…

  • PE Profile

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    Dekat O&G kalau boss suruh ambik blood for Pre Eclampsia atau PE Profile, tapi korang xtahu berdosa tau. Ix Tube FBC purple RP + LFT yellow Uric acid yellow AST yellow Urine FEME urine container For Malaysian Hospital settings

  • Anemic Workup

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    Patient came with anemic ssx, lethargic, shortness of breath. Pastu boss pun suruh “dik, ambik anemic workup utk patient ni”, pastu korang sebagai HO yang baru masuk keje pun be like? Yang mana eh? Ix Tube Full Blood Count (FBC) purple Iron + TIBC yellow Ferritin yellow Full Blood Picture(FBP) purple B12 + Folate yellow…

  • Ubat Biasa kat Surgical Department

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    Antara tugas HO ialah order ubat, kalau tak order tunggu je la akak2 SN bising nnti. “Dr dh order ubat ke”, “Order sekarang Dr, akak nk ambik kat farmasi ni”. Pastu masa round mesti MO atau SP akan tanya, ubat dh indent ke? Awal2 mungkin agak overwhelming la nk ingt dose and frequency, tapi lama2…

  • Nexus Criteria Mnemonic

    Nexus Criteria Mnemonic

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    NEXUS (National Emergency X-Radiography Utilization Study) is a set of validated criteria used to decide which trauma patients do not require cervical spine imaging. Trauma patients who do not require cervical spine imaging require all of the following: The NEXUS criteria have a sensitivity of 99.6% for ruling out cervical spine injury in the original study…

  • Advanced Trauma Life Support (ATLS) 10th edition

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    Credits : https://www.facebook.com/afiq.fahimy/posts/2085465794893839?_rdc=1&_rdr

  • Tips HO Sebelum Refer Peri MO

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    Antara benda yang HO paling kureng sekali bila nak carry out active plan ialah referral. Sebab kena tahu case betul2 and kena marah tu benda biasa🥰. Antara Tips dan Adab Kalau Nak Refer Case : Goodluck pada Houseman ya. Moga lepas ni refer dengan lebih baik 🤞. Credits : facebook.com/hanif.arshad.3/posts/3386251151393136?_rdc=1&_rdr

  • Template To Refer Paeds for Neonatal Jaundice

    Template To Refer Paeds for Neonatal Jaundice

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    Ingat lagi dulu-dulu masa jaga postnatal ward kat O&G, kadang-kadang baby kuning, mesti kena ambik TSB and refer paeds. Boleh try pakai template ni. Currently, he is ___ hours of life?☞ Usually within 72 hours, counted in hours☞ If >72 hours, mention in day what of life Admitted for neonatal jaundice/NNJ☞ Straight to the point…