👨‍⚕️👩‍⚕️ As medical #student/graduate, you must;

👉🏻 #understand the pathophysiology of NNJ & neurological sequelae of bilirubin toxicity

👉🏻 #remember by heart the signs & symptoms (SSx) of ABE (acute bilirubin encephalopathy)


😷 #Application of knowledge into daily work as HO;

👉🏻 you #must look for SSx of ABE when reviewing any baby with severe NNJ (rapidly increasing TSB, under intensive phototherapy)


Hope this #shortNote is helpful ❤️


📚 Get your physical copy of Paeds #Protocol here; https://www.medicorp.store/ ➕ free E-Bookwith hyperlink


🖥️📲 Learn more on NNJ, ABE & BIND score tru Medicorp #online courses; https://medicorp.onpay.my/order/form/3in1combo


👨‍⚕️👩‍⚕️ Practice how to do #rounds on NNJ patients with MOs at 👶 Neonatology #ward_simulation; https://medicorp.onpay.my/order/form/ward_simulation

Partogram #shortNotes 🤰

Progress of labour comprises of 2 components;

1️⃣ cervical effacement & dilatation through serial vaginal examination ✌🏻


2️⃣ descend of presenting part through per abdominal examination 🙌🏻, specifically the 4th step of Leopold maneuver,

& station of presenting part through serial vaginal examination ✌🏻


🤰 🤰 🤰 🤰

Learn about #partogram for FREE https://medicorp-class.teachable.com (find Welcoming session > Obstetric)


🖥️📲 Learn more on #labour management & complication from O&G specialist & lecturer https://medicorp.onpay.my/order/form/3in1combo


👨‍⚕️👩‍⚕️ Practice how to do LR #rounds on with MOs at 🤰Obstetric ward simulation by Medicorp ❤️

See their sheer joy & confidence after Clinical Skills #Workshop 😇

Both of them fly over from Sabah to Selayang to learn & practice - we glad they find the workshop beneficial ❤️


Now we have prolonged the workshop to allow more practice, & add in more procedures; 1️⃣7️⃣ ➕ 3️⃣ procedures in just 1 day 💪🏻

Improved Clinical Skills #workshop;

✅ multiple #attemps allowed ✋🏻🤚🏻

✅ small group practice, with experienced #facilitators

✅ much attractive #gift pack 🎁; 14 physical items worth RM 169 for each participant

✅ you can come again FOC as facilitator (T&C applies)


More info on the workshop here;

https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop

Approach to 🌡️ fever for in-patients

1️⃣st - Make sure patient is stable; rule out septic shock

2️⃣ Know the case ie the reason of admission eg underlying infection

3️⃣ Identify source of fever;

👉🏻 #ask ie do systemic review;
- chest : cough, new onset sob,
- UTI : increase in frequencyof urination, dysuria
- catheter related infection : pain, swelling & redness at site of insertion


👉🏻 #examine
- general : septic looking? dehydration?
- V/S : temperature pattern, BP, PR - is the tachycardia proportionate to the fever?
- catheter and branula site: signs of inflammation; redness, tenderness, swelling. Any cloudy urine in CBD
- auscultate for crepitations
- abdomen; any tenderness


4️⃣ #Investigation 🌡️

- if no obvious cause of fever - do septic #workup (FBC, CRP, blood culture) & optional chest x ray, sputum & urine C+S


5️⃣ #Management 💊

- symptomatic treatment; T. PCM 1g STAT & TDS, tepid sponging

- depends on cause of fever
Eg thrombophlebitis - change branula

- emperical intravenous #antibiotic depending on most probable cause of fever

‼️Cases in which fever is considered medical #emergencies (attend stat & discuss with MO!)

- neutropenic sepsis
- maternal pyrexia

#shortNotes

Further reading on approach to fever for in-patients;


1️⃣ Quick guide on how to attend common #active complaints in ward, by Dr Hanif Arshad;

https://m.facebook.com/story.php?story_fbid=3579301512088098&id=100000248545939&mibextid=CDWPTG


2️⃣ Approach to #sepsis & septic shock by Dr Hanif Arshad too;

https://m.facebook.com/story.php?story_fbid=5003974699620765&id=100000248545939&mibextid=CDWPTG

📚 Get physical copy of Hanif’s notes - compilation of #shortNotes for HO; https://www.medicorp.store/ sorry selit iklan, tapi buku ni memang bagus baca sebelum HO & masa HO nanti 👍


3⃣ Revision on pathophysiology & differential diagnosis of fever (quite lengthy video, but totally worth it - better watch now sebelum takde masa nak revise waktu tagging nanti 😅);

https://youtu.be/-0WUOK7FYWY

#FAQs HOship - on presenting cases 🤔

My answer for above question

FAQs; On summarizing patient details for presentation - what to include?

This is one of many case discussion during Mentorship revision😎

Erm hi, when is the next batch of HOs coming in yea ?
Tolongggg, masuk cepat please, separuh mati rasa ni 🫤