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

Nak lagi mudah?

Dapatkan pocket book Nebulizer ni,

senang kecik je boleh simpan dlm poket & rujuk bila2 nak double confirmkan;

✅ Ejaan nama ubat

✅ Berapa dose ubat yg tepat bila nak prescribe

✅ Normal values/range

✅ Special test yg kita jarang2 perform on patients
.

Murah je RM 14.90 😁, boleh order di sini;

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

Setiap pembelian akan dapat FREE Common Drugs & Diseases list ni worth RM 10.90

InsyaAllah bermanfaat utk tahu;

✅ Apa common diseases yg HO perlu clerk, review & manage di Medical dept

✅ ubat2 yg biasa kita guna ie prescribe at Malaysian hosp.

So sebelum HO ni, boleh siap2 baca & revise mechanism of action & indication of all these common drugs 😉

Nanti nk OFFTAG, biasa MO akan tanya randomly common drugs punya dosage ‼️
.

Order je apa2 buku di link ni,
https://medicorp.onpay.my/order/form/bookstore

Nnt akan dapat Common diseases & Drug list ni for 🆓🥰

Shortlist of common disease & #emergencies you need to as HO;


👉🏻 All posting (esp medicine, surgical & ortho)

- hypertensive urgency & emergency
- hyper & hypoglycaemia
- hyper & hypokalaemia
- fluid resuscitation in unstable/patient with shock


💉💊 medicine; AEBA (asthma), COPD, dengue, ACS


✂️ surgery; acute abdomen (appendicitis, choledocholithiasis, PGU),  sepsis, UGIB, LGIB


🦴🦴 ortho; open fracture, DFU, fat embolism, compartment sindrom


🤰 O&G; intarpartum management & complications (1st, 2nd & 3rd phase of labour), GDM, PIH


👧🏻👦🏻 gen paeds; AEBA, dengue, AGE, febrile fit


👶👶🏼 neonatology; NNJ, neonatal sepsis, IDM & hypoglycaemia, respiratory distress in newborn


#Reference; 📚any book you already have, yang penting baca 😂

Nak lagi mudah?

Let's learn directly with the experts - MOs & specialist 😎🌟
.

Everything HO need to know about common #emergencies in the ward;

to detect & manage accordingly before you can inform & discuss further with the oncall MO ‼️
.

Only RM 39 for 4 months access to #online ABG 💉 🩸 & Medical Emergencies course ✅
.

(But so far we never stop anyone's access after 4 months 🫢;

so basically you'll get #unlimited access as long as our online platform are available ✅)


Enroll NOW for the online course;

https://medicorp.onpay.my/order/form/3in1combo

Common Investigation List/Work up

✅ Anaemia Work up
Iron
TIBC
Ferritin
Folate
FBP
LDH
Coombs Test
TFT
SOBT

✅ CTD (connective tissue disease) screening
ANA
Extractable nuclear antigen (ENA)
Anti ds DNA
ANCA
C3/C4
CRP
Rheumatod factor RF

✅ Septic Work up
(Look for source of infection)
FBC, ESR, CRP
Blood C&S
UFEME, Urine C&S
Sputum C&S
CXR

✅ Young Hypertension Work up
Serum Random Cortisol
TFT
UFEME
24hours urine cortisol
24hours urine VMA ( label comment : urine cathecholamine)
US KUB Doppler TRO renal artery stenosis

✅ Atypical pneumonia cytology
Mycoplasma
Legionella
Chlamydia

✅ TB Work up
CXR
Mantoux test
AFB sputum x 3
Mycobacterium C&S
ESR

✅ Infectious screening
HepB sAg
Hep C
HIV antibody

✅ Fasting Blood
FSL
FBS
HbA1c

‼️ Local hospital protocol/practice may varies ‼️

Common Investigation List/Work up (continuation)

✅ CSF Work up (after LP)
Biochem
C&S
Bacterial antigen test
AFB
MTB C&S
Viral PCR
Cytology
Cryptococcal antigen
RBS
FEME

✅ Hep B confirmed 1st work up
HbeAg
HbeAb
HBV viral load
AFP
USG HBS

✅ Hep C confirmed first work up
HCV viral load
HCV genotype
AFP
TFT
USG hbs

✅ PTB confirmed 1st work up
HIV
FBS , LFT , refer eye

✅ Stroke work up
ECHO
USG carotid Doppler
FBS
FSL

✅ Peritoneal work up (post peritoneal tapping)

Peritoneal –pH ,Albumin , protein
Peritoneal C&S
Peritoneal cytology
Peritoneal AFB
Peritoneal MTB C&S
Serum LFT
SAAG

✅ Pleural tap work up
FEME
LDH
C&S
AFB
MTB
CytologySerum LDH , LFT , glucose
.

‼️ Local hospital protocol/practice may varies ‼️

Any unfamiliar abbreviations? Ask in comment 😉

Good evening Dr!

I'm XXX here going to join Hosp XXXX next week.

Sorry to be disturbing you at this hour, we are having a orientation with blood bank, pharmacy dept and radiology as well next week.

Is there any essential questions or a list of things that I must know from them that I should ask them before I start tagging?

Thank you dr

👆🏻 👆🏻 👆🏻 👆🏻 👆🏻 👆🏻 👆🏻 👆🏻

📢 Attention to all HOs included in 1st intake Bil 1/2025 ‼️;

What to expect during your Hosp orientation soon ✅

Salam Dr,

another question may I know if it is better to choose emergency or kesihatan premier (ie posting at KK - Klinik Kesihatan) for my last posting and what are the benefits?

As my hospital has already asked for us to choose 😅

👆🏻 👆🏻 👆🏻 👆🏻 👆🏻 👆🏻 👆🏻 👆🏻


Guide to choose your elective postings as HO; KK or ED? 🤔

⬆️⬆️⬆️⬆️ example of case presentation for above case; Closed Lt NOF, Garden 4 # (fracture)

Take note how I;

Understand
Select
Summariz/Simplify
Adjust the important points