notamedik

Category: Blog

  • Eradication Therapy for H. Pylori

    —

    by

    notamedik
    in

    Kalau lepas OGDS, Helicobacter Pylori test dia positive, kita kena order set of meds for eradication therapy. Ataupun dipanggil Urease Test. Rapid urease test, also known as the CLO test, is a rapid diagnostic test for diagnosis of Helicobacter pylori. The basis of the test is the ability of H. pylori to secrete the urease…

  • Systemic Inflammatory Response Syndrome(SIRS)

    Systemic Inflammatory Response Syndrome(SIRS)

    —

    by

    notamedik
    in

    SIRS criteria Any 2 out of 4 of the criteria are met : However, remember that almost all septic patients have SIRS, but not all SIRS patients are septic. qSofa Criteria The qSOFA score (also known as quickSOFA) is a bedside prompt that may identify patients with suspected infection who are at greater risk for a…

  • Daflon Regime Malaysian Hospital

    —

    by

    notamedik
    in

    Siapa dh lepas posting Surgery tapi tak tahu Daflon regime, berdosa tau. Kita guna utk patient Haemorrhoids biasanya. Order T Daflon II/II TDS for 4 days, thenII/II BD for 3 days, thenII/II OD for 6 weeks.

  • Cara Refer Hernia To Surgical Team

    Cara Refer Hernia To Surgical Team

    —

    by

    notamedik
    in

    Dik, patient ni ada hernia la, nnti refer surgical. HO be like, baik bos🫡. Tapi nak citer apa ni? History Smoker?Occupation? History of frequent lifting heavy things in the past?Chronic cough?Constipation?Straining on urination?Other lower urinary tract symptomsHistory of abdominal surgery in the past?Family history of inguinal hernia? Any symptoms suggestive of intestinal obstruction? (vomiting, abdominal…

  • Classification Of Shock

    —

    by

    notamedik
    in

    Definition : inadequate tissue and organ perfusion to meet metabolic demands leading toeventual global cellular hypoxia. Hypotension: SBP < 90mmH or MAP <60mmHg or reduction in SBP >30mmHg from baseline Pathophysiology of Shocki. MAP ∝ CO x SVRii. CO = SV x HRiii. SV ∝ preload, afterload and myocardial contractilityiv. → MAP ∝ HR, preload,…

  • Minor, Moderate, Severe Head Injury

    —

    by

    notamedik
    in

    Management for Head Injury Assessment : 3 important parameters: ABCs, GCS, pupil size Minor head injury (GCS >13) Indications for admission: 1. Persistent headache and/or vomiting2. CSF leak3. Neurological deficit4. Skull fracture5. History of loss of consciousness6. Amnesia – In ward: NBM, IV drip (no dextrose saline!), no sedation, monitor GCS – If pt deteriorates…

  • Intracranial Haemorrhage

    —

    by

    notamedik
    in

    AIM : prevention of secondary brain injury (from hypotension, hypoxemia, increased ICP etc.) since neuronal death is irreversible. Concussion Physiological dysfunction without anatomical or radiological abnormality (physiological dysfunction is the first step towards cell death, but is reversible if no further insult occurs)Usually recovers in 2-3 hours Contusion Small haematoma <1cm Intracranial Haemorrhage Extradural Haemorrhage…