Sunday, November 9, 2008

Nagging

Yes, I declare week 4 of our Paediatric posting as the Nagging week.Where ever we go, we are sure to be nagged by our own professors and specialists etc.. I'm starting to get irritated by them.To that Dr H ,we understand when you have to cover 2 wards and therefore will have no time to do bedside teaching with us.We do not want to hear your nagging about your sad little life.We understand you and we are not dumb.Just say it.fullstop.no nagging plz! :p

Interesting cases throughout the week

1.Status epilepticus
- a boy in the ICU showing signs of upper motor neurone lesion such as hypertonia and hyperreflexia.

2.Complex febrile convulsion - seizure unresolved by rectal diazepam and midazolam.Patient
eventually had to be intubated.All happened right in front of my very own eyes

3.Pyrexia of unknown origin

4.Another case of Kawasaki's disease - I'm starting to think that this disease is not rare after all.The child has all of the diagnostic criteria

5.Rheumatic fever
- we went to the cardiac high dependency unit to see the boy.He has 3/5 of the major criteria in the revised Jones criteria of Rheumatic fever

6. Arteriovenous malformation

7. Haemolytic-Uraemic syndrome

Tomorrow ( as in Sunday morning at 7 am), I have a bedside teaching with Dr Musa Nordin the Neonatologist in Damansara Specialist Hospital.God knows what case is he going to give us tomorrow.No complicated case please!

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