..towards the end..

sekejap saja masa berlalu

dah nak abis pun Sem 3

tinggal lagi 2 minggu je dah nak final exam

cuak??takut??gelisah??

dah bersedia ke??

atau nota masih bertimbun tak terbaca??

tepuk dada tanya diri sendiri

semalam (Jumaat-23 Okt)
kelas CSL terakhir aku

kitaorg saje buat hari tue

sebabnya

1. Dr agak bz dengan meeting dan OT

2. Kitaorg nak abiskan kelas minggu nie juga

nielah kelas CSL yang the best

Dr memang tekankan betul2 ttg significant

for every PE and how to give running commentary

lets revise on PE for Respiratory system

1. General appearance :

alert, concious or not, body-build, face, scar at praecordium, chest deformities, any lesion

2. Nail & hand :

clubbing, staining, capillary refill, palmar erythema, peripheral cyanosis, anemic, muscle wasting, flapping tremor, pulse rate (volume, rhythm, count), respiratory rate*

3. Face :

jaundice, anemic, central cyanosis, any evidence of Horner,s Syndrome (consticted pupil, partial ptosis, loss of sweating)

4. Mouth :

oral hygiene, dental caries and hydrational status

5. Trachea :

any deviation or centrally located

question below may be ask during OSCE

eg : tracheal displacement towards the side of lung lesion - collapse, fibrosis, pneumonectomy

tracheal displacement opposite the side of lung lesion - massive pleural effusion, tension pneumothorax

6. Chest :

anteriorly - chest expansion (normal /not), vocal fremitus(normal/not), percussion (dullness/resonance) , auscultation ( equal air entry or bilaterally/normal vesicular breath sounds/crepitation/added sounds) , vocal resonance (normal/not)

posteriorly - check for cervical lymph nodes, others same like anteriorly

7. Others:

check for sacral edema and edema on legs

Berakhirnya kelas CSL,

bermakna inilah kali terakhir bersama-sama dengan PBL 14..

below the photos of us during lunch at Johnny's Restaurant