Moments from #Medicorp's Clinical Skills #workshop;

✅ S/E - speculum examination

✅ V/E - vaginal examination ✌️

(how to assess cervical os dilatation & effacement, membrane intact/absent,

station, position of the head & all document findings)
.

✂️ Conducting SVD with #episiotomy,

delivery of placenta via CCT (controlled cord traction)

We also include #simulation of HO role at PAC & LR ‼️;

✅ CTG interpretation & management

✅ Presenting #partogram

✅ Refer MO about labour #dystocia

✅ doing LR t/in (transfer in) r/v (#review) & postnatal r/v
.

🛑 HO role in detecting & attending obstetric #emergencies ‼️;

Cord prolapse, FD, labour dystocia, SD, PPH 😷
.

Slides for  Episiotomy workshop ✅

More info on the #workshop;
https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop

Complete list of abbreviations used in Malaysian hospital

Hi Jamie, I’m passing over all the patients in subacute ward as I will be working ON (night shift) tomorrow
.

Bed 7; En. XXX,
🔼 Resolving APO secondary to non compliance to ROF, with underlying CCF, 3VD, HPT, Obesity with OSA

Issue; difficult venous access (take care of the branula ok 😭), awaiting for Cardio to review on Monday. KIV discharge if otherwise well, need to take ENT TCA
.

Bed 9; En XXX,
🔼 DF with warning signs (vomiting) in critical phase.

Issue; monitor Sx & oral intake, ensure I/O +ve balance. KIV t/o dengue ward once more stable
.

Bed 10; En XXX,
🔼 CAP to complete 3/7 IV Augmentin CM. Discharge if no active complaint, no TCA
.

Bed 11; En XXX,
🔼 CKD, undecided for RRT.

Issue; difficult blood taking, make sure daily blood samples not hemolysed. KIV transfuse 1 pint WB if Hb < 8 (today 8.5)
.

Bed 12; En XXX,
🔼 RVD +ve with IE

Issue; difficult venous access (take care of the branula ok 😭)

Due repeat 2/52ly blood cultures CM (aerobic, anaerobic, fungal, mycobacteria) good luck 🤣 Blood form ready in BHT ❤️

Dont fill up the empty beds ya XOXO


[biasanya lagi pendek kalau pass over via WA, ni saya type proper sket so that you all can understand all the cases]

[for my previous hosp, medical subacute cubicles usually have 12-18 beds 😅, ni saya bg contoh sikit je lah]

Any unfamiliar #abbreviations? Ask in comment k 😉

Abbreviation (in order of appearance in the question & case note)

PAC = patient assessment center
OT = operation theatre
EMLSCS = emergency low section ceasarean section
FD = fetal distress
LR = labour room

POA = Period of Amenorrhea
EDD = Estimated date of delivery
LNMP = Last/Latest Normal Menstrual Period
SOD = Sure of date
OCP = Oral contraceptives pills
BF = Breast Feed

FM = Fetal Movement
SSx = Signs & Symptoms
° = nil/no/absence of
UTI = Urinary tract infection

Pb = Problem list
LCB = Last child birth
ANC = antenatal check up / hx
KK = klinik kesihatan
BG = blood group
MGTT = modified glucose tolerance test
VDRL = veneral disease research lab
HIV = human immunodeficiency virus
NR = non reactive

S/C = singleton, cephalic presentation
Placenta U/S = placenta at upper segment of the uterus

Gynae Hx = gynae history

12 age or menarche

(4-6) Days of each menses,
30 days regular memses cycle

SVD = spontaneous vaginal delivery
NKMI = No known medical illness
EUA = examination/exploration under anaesthesia
⬇️ spinal = under spinal anaesthesia

O/E = on examination
⬇️RA = under room air
DRNM = dual rhythm no murmur
A/E = air entry

PA = per abdominal examination
Ut = uterus
S/C = singleton, cephalic

VE = Vaginal Examination
S/E = speculum examination
HVS = high vaginal swab

VVNAD = vulva/vagina no abnormalities detected
Cx = cervix
St = station
Vx = vertex
CL = clear liquor

CTG = cardiotocograph

Moments from Medicorp's Clinical Skills #workshop;

V/E (vaginal examination) vs Bishop score, & how to assess;

✅ position of cervix

✅ station of presenting part
.

More info for the workshop here; https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop


Let me know in the #comment if you find the videos helpful, will share more InsyaAllah 😇

Ada terbaca thread seorang MO oncall mengadu HO dia datang pukul 9 pagi dan seterusnya MIA.

First, mungkin itu cara dia nak vent out stress yang sedang dialami - tambah pula tengah oncall kan. Ya, dia semestinya tau perkara macam ni kena report dekat supervisor HO.

Second, tempoh HO ni sepatutnya dimanfaatkan sepenuhnya sebagai persediaan untuk menjadi MO kelak. Bukan setakat malu kalau tak kompeten nanti, malah membahayakan nyawa orang lain.

Ingatlah, semakin kita dewasa, kita akan ada anak-anak sendiri, malah ibubapa dan saudara mara kita akan semakin tua, adakah kita nak biar diri yang tak kompeten untuk merawat?

- diri sendiri pun tidaklah pandai sangat, tapi sangat respek superiors yang banyak membimbing semasa HO dulu. Segan kadang-kadang diorang datang awal review patient, untuk kebaikan pesakit dan kemajuan diri sendiri juga.

#MOnoob #paedsMO #roadtopediatriciannoob

Hosp #review session & ⚡Flash HO induction ada recording ke tak?

Potassium correction in #hypokalemic patients 😷;

Must know formula & calculation for all HOs 👍🏻

This is one of common OFFTAG assesment question in Medical & Surgical posting‼️
.

Hypokalemic patients ni antara in ward #emergencies yg sangat common & HO kena tahu macam mana nak attend ya ‼️

Boleh tgk video saya explain step by step how to calculate potassium deficit & correction;

https://www.facebook.com/100000012518463/posts/2670180269659031/?d=n

Boleh tgk post ni jugak;

https://www.facebook.com/772067001/posts/10159302037202002/?d=n

Yg dah nak masuk HO, wajib tahu macam mana nak kita potassium deficit & correction ya!

Here’s example of #documentation when you attend to assess hypokalemic patient in the ward ‼️
.

Take note that every time you attend to patient, you need to assess patient completely like doing a #round/review.
.

And when you want to document ie make an entry in the case file, you need to document completely as well - follow the 4D + SOAP format as what we learnt during ⚡ Flash & Advance HO

P/s any unfamiliar abbreviation? Ask in comment 🤗

✅ conduct SVD 👶

✅ perform episiotomy

✅ delivery of placenta via CCT

@ #Medicorp's Clinical Skills Workshop today 😘