Monday, April 20, 2009

IM first day

Hmm today is the first day of internal medicine.My first impression: Wowww there is a lot of things to be revised man.Most of the theories have been taught during pre clinical years.

Clerked my first patient.It was a 49year old Malay gentleman from Putrajaya.Guess what is he having? Stroke! So young and yet dah dapat stroke.My impression was that this guy ada left ischaemic stroke with right hemiparesis.A known hyptertensive patient who is non compliant to drugs.He also have hyperlipidaemia.I havent seen his investigation result such as CT scan of the brain.But clinically I think he had an ischaemic stroke of the middle cerebal artery.
In IM,the challenging part would be to take a thorough history and also a thorough physical examination.A bit blur sebab dah tak masuk hospital selama 2 bulan after public health posting.I had to sit down at a corner first, trying to revise back my theory.I did Neurological examination both for motor and sensory functions for both upper and lower limb.Not forgetting the cranial nerve examination since this patient ada facial paralysis.CVS examination terlupa buat.Arghh...

Each of us are in-charge of one cubicle in that ward.There will be 4 patients at one particular time in a cubicle.Each of us must know everything about those 4 patients.Tomorrow will be our first case presentation.Prof Latif will randomly pick any patient in any cubicle that he like.I didnt clerk all the patient in my cubicle because tak sempat.Hmm ntah la, the possibility to be bombed is high tomorrow.Hahaha...

1 comment:

Fahri Shiddiq Jr said...

nabil.......first day dah macam ni..7th week mesti cam dah pakar gile,..huhu...u really inspire me bang BIL!!