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 😘

Any fresh medical grads here? 🤔

Medicorp is giving away ✨5 FREE seats ✨ for Blood Taking & Branula insertion 💉 🩸 workshop this Wednesday, 19th February at 10am - 2pm
.

To redeem these free seats (worth RM 189 each),

✅ Make sure you can attend the physical workshop at given date & time

✅ Contact Dr Iliana via WhatsApp* at this number; +60167117780; mention your name, university, graduation date & why you wish to join the workshop FOC

✅ you are required to give verbal & written review on the workshop after attending the session
.

*Winners will be chosen based on;
- how fast you WA Dr Iliana
- most reasonable reason to join the session


✨✨✨💉💉💉🩸✨✨✨

All 5 FREE seats are taken, congratulations all winners for your prompt action 👏🏻👏🏻👏🏻

People say "Cheese!"

We say "V/E 6 cm" 🫢😆
.

Clinical Skills workshop again,
& again, alhamdulillah9 😍
.

We keep small group for each session so everyone can practice multiple times.

Manikin pun banyak so mmg tak perlu tunggu turn lama InsyaAllah.
.

Waktu lunch, tea & dinner break boleh #practice lagi.

Sebelum balik pun boleh practice lagi.

Silalah practice sampai #lebam sebelum you need to do it on real patients soon 😷
.

I realized nowadays most medical grads - regardless which uni - memang tak pernah buat V/E 😅

So they are clueless what to assess.

Let's learn & practice 17 procedures in 1 day at #Medicorp Clinical Skills Workshop 💪🏻

Kenapa HO kena #hafal normal value?

Cause the reference range is only available in the computer system & if you get the printed copy as below ‼️

But as a HO, we will usually copy the result into flow chart or patient BHT - so when you review case/ie see the BHT alone - you won’t know whether the result is normal or NOT, unless you remember the normal value ie the reference range ⚠️
.

Ini list lab values yg HO wajib tahu sebelum start #tagging dalam wad 👇🏻 👇🏻 👇🏻 👇🏻 👇🏻

Must know #normal values for HOs;

🔼 [FBC - Full Blood Count 🩸 ]

WBC - white blood cell
Hb - Hemoglobin
HCT - haematocrit
PLT - platelet

🔽 [RP - renal profile]
Aka [BUSE - blood urea serum electrolytes]

Urea, Creat, Na+, K+

🔽 [LFT - liver function test]

Alb - albumin
Bil - bilirubin
ALP - alkaline phosphatase
ALT - alanine transaminase