Audio
ππ»more guide on difficult venous access ie blood taking ππ©Έ (I was in anaest posting, not ED sorry)
For working HOs, please aim to be branulogist (our informal term for expert in branula insertionπ ) at 3rd posting, or after your Medical posting πͺπ»
For working HOs, please aim to be branulogist (our informal term for expert in branula insertionπ ) at 3rd posting, or after your Medical posting πͺπ»
Pahang Obstetrics Manual & Labour Room Protocol.pdf
28.2 MB
Share Pahang Obstetrics Manual & Labour Room Protocol.pdf
Forwarded from Nota Perubatan
"Doktor, ini chest X ray post intubation patient katil 2 tadi"
What to look for in post intubation CXR?
- To look for complication, especially pneumothorax
- To confirm placement of endotracheal tube
The position of tip of ETT should be 5-7 cm above the carina in the neutral position of neck. When the carina is not visible, the tip of the ET tube should lie over the second to fourth thoracic vertebrae (T2-T4) or at the level of medial ends of the clavicles as carina is located between T5 and T7.
Further reading:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173625
https://www.radiologymasterclass.co.uk/tutorials/chest/chest_tubes/chest_xray_et_tubes_anatomy#top_2nd_img
#ED
@nota_perubatan
What to look for in post intubation CXR?
- To look for complication, especially pneumothorax
- To confirm placement of endotracheal tube
The position of tip of ETT should be 5-7 cm above the carina in the neutral position of neck. When the carina is not visible, the tip of the ET tube should lie over the second to fourth thoracic vertebrae (T2-T4) or at the level of medial ends of the clavicles as carina is located between T5 and T7.
Further reading:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173625
https://www.radiologymasterclass.co.uk/tutorials/chest/chest_tubes/chest_xray_et_tubes_anatomy#top_2nd_img
#ED
@nota_perubatan
Forwarded from Dr Iliana9
Intubation CSW version.pdf
1.2 MB
7Ps for #Intubation.
Kalau korang nak intubate patient, biasanya MO akan tanya fasal 7Ps ni.
Kalau tak tahu, melepaslah peluang nak intubate patient sebab kita tak tahu details about that procedures π
Nak belajar lebih lanjut tentang #intubation & post intubation care?
Jom praktis sama-sama di Clinical Skills #Workshop Medicorp; 17+3 procedures in 1 day β€οΈ
Kalau korang nak intubate patient, biasanya MO akan tanya fasal 7Ps ni.
Kalau tak tahu, melepaslah peluang nak intubate patient sebab kita tak tahu details about that procedures π
Nak belajar lebih lanjut tentang #intubation & post intubation care?
Jom praktis sama-sama di Clinical Skills #Workshop Medicorp; 17+3 procedures in 1 day β€οΈ
Forwarded from Dr Iliana9
Episiotomy workshop.pdf
7.7 MB
Slides for Episiotomy workshop β
More info on this #workshop;
https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop
More info on this #workshop;
https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop
Media is too big
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"Dr patient collapsed, on going CPR" - HO
"Ok I'm coming - please prepare for #intubation!" - MO
.
What to prepare for intubation?
Remember MALES;
M ππ» mask ie BVM
A ππ» airway adjuncts; OPA etc
L ππ» laryngoscope
E ππ» ETT (correct size & type)
S ππ» stylet, syringe, stethoscope π©Ί
.
Learn more #procedure for HO with Medicorp's Clinical Skills Guidebook;
.
Or get this book for π when you register for Clinical Skills #workshop;
https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop
"Ok I'm coming - please prepare for #intubation!" - MO
.
What to prepare for intubation?
Remember MALES;
M ππ» mask ie BVM
A ππ» airway adjuncts; OPA etc
L ππ» laryngoscope
E ππ» ETT (correct size & type)
S ππ» stylet, syringe, stethoscope π©Ί
.
Learn more #procedure for HO with Medicorp's Clinical Skills Guidebook;
.
Or get this book for π when you register for Clinical Skills #workshop;
https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop
Media is too big
VIEW IN TELEGRAM
More QR codes for #procedure demonstration included in Medicorp's Clinical Skills Guidebook,
Get your copy here https://medicorp.onpay.my/order/form/bookstore β
Get your copy here https://medicorp.onpay.my/order/form/bookstore β
Forwarded from Nota Perubatan
A 30-year-old woman presents with weight loss, heat intolerance, palpitations, and tremors. On examination, her thyroid gland is diffusely enlarged, and a bruit is heard over the gland. What is the most likely diagnosis?
Anonymous Quiz
8%
Hashimoto's Thyroiditis
27%
Toxic Multinodular Goiter
63%
Graves' Disease
2%
Subacute Thyroiditis
Shortlist of common disease & #emergencies you need to as HO;
ππ» All posting (esp medicine, surgical & ortho)
- hypertensive urgency & emergency
- hyper & hypoglycaemia
- hyper & hypokalaemia
- fluid resuscitation in unstable/patient with shock
ππ medicine; AEBA (asthma), COPD, dengue, ACS
βοΈ surgery; acute abdomen (appendicitis, choledocholithiasis, PGU), sepsis, UGIB, LGIB
π¦΄π¦΄ ortho; open fracture, DFU, fat embolism, compartment sindrom
π€° O&G; intarpartum management & complications (1st, 2nd & 3rd phase of labour), GDM, PIH
π§π»π¦π» gen paeds; AEBA, dengue, AGE, febrile fit
πΆπΆπΌ neonatology; NNJ, neonatal sepsis, IDM & hypoglycaemia, respiratory distress in newborn
#Reference; πany book you already have, yang penting baca π
ππ» All posting (esp medicine, surgical & ortho)
- hypertensive urgency & emergency
- hyper & hypoglycaemia
- hyper & hypokalaemia
- fluid resuscitation in unstable/patient with shock
ππ medicine; AEBA (asthma), COPD, dengue, ACS
βοΈ surgery; acute abdomen (appendicitis, choledocholithiasis, PGU), sepsis, UGIB, LGIB
π¦΄π¦΄ ortho; open fracture, DFU, fat embolism, compartment sindrom
π€° O&G; intarpartum management & complications (1st, 2nd & 3rd phase of labour), GDM, PIH
π§π»π¦π» gen paeds; AEBA, dengue, AGE, febrile fit
πΆπΆπΌ neonatology; NNJ, neonatal sepsis, IDM & hypoglycaemia, respiratory distress in newborn
#Reference; πany book you already have, yang penting baca π
Let's revise some important topics at SCN (special care nursery) ie #Neonates posting β
Media is too big
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β
How to #describe/introduce a newborn in your #review documentation & when #presenting the case?
.
β What to describe about common issues at SCN;
- NNJ
- feeding
.
β What to describe about common issues at SCN;
- NNJ
- feeding
Dr Iliana9
β
How to #describe/introduce a newborn in your #review documentation & when #presenting the case? . β
What to describe about common issues at SCN; - NNJ - feeding
These details is part of your #review;
β Demographic #details & background history
β #Duration/day of illness
β #Diagnosis & problem list
β Demographic #details & background history
β #Duration/day of illness
β #Diagnosis & problem list
Dr Iliana9
Presenting #severe NNJ case during ward rounds ππ» #neonatology #ward_simulation
They are discussing this case. The HO is presenting AM review for this particular newborn β
Forwarded from Alia Akmal
2nd intake just finished their PTM. Zon Utara (Perlis, Kedah, Pulau Pinang & Perak) did PTM at Ipoh Perak, Zon Selatan (Melaka, Johor, Negeri Sembilan) did at Melaka. Zon Pantai Timur (Kelantan, Pahang & Terengganu) did at Kelantan....
How to do proper referral to Paeds team?
https://www.facebook.com/617826448/posts/10159919115711449/?d=n
Dr Alia Nadhirah (ex-Peads MO) is kind enough to guide you on how to do proper #referral to Paediatric team for standby during deliveryππ»
.
Dr Alia is the writer of;
β Aliaβs Illustrated notes on P/E,
β NICU essentials,
β NNJ & TFI workbook,
and the latest Paediatric Crash Card π
.
She's also one of the speaker for Medicorp's General Paediatric & Neonatal online course πΆπ»π§π»
https://www.facebook.com/617826448/posts/10159919115711449/?d=n
Dr Alia Nadhirah (ex-Peads MO) is kind enough to guide you on how to do proper #referral to Paediatric team for standby during deliveryππ»
.
Dr Alia is the writer of;
β Aliaβs Illustrated notes on P/E,
β NICU essentials,
β NNJ & TFI workbook,
and the latest Paediatric Crash Card π
.
She's also one of the speaker for Medicorp's General Paediatric & Neonatal online course πΆπ»π§π»
Would the kind seniors share us the #common diseases & emergencies that we need to familiarize before start #Tagging soon? ππ»
.
ππ» #Medical
1)ACS; covered in ECG #online course
2) HPT urgencies π, emergencies
3) DKA, uncontrolled DM, hypoglycaemia
4) Hyper & hypokalaemia
5) Approach to SOB
(these topics available in Med. #emergencies online courseππ»)
6) AKI, CKD, ESRF (Free modules available on these at https://medicorp-class.teachable.com, under Excellent Dr series)
7) TIA, CVA π§
.
ππ» #O&G π€°
1) PPROM/PROM
2) reduce FM
3) labour #management & complications (ARM, CTG, labour & shoulder dystocia, PPH)
4) GDM, PIH; dx, management, #complication - IE/ PE
5) IOL vs augmentation of labour
(All above topics will be explained in details by O&G #specialist in β€οΈMedicorp Obstetric online course
6) Ectopic pregnancy, miscarriage
.
ππ» #SURGICAL
1) ICB / intraab trauma
2) hernia
3) abscess
4) pancreatitis, cholecy
5) breast abcess/CA
6) appendicitis, PGU
7) UGIB, LGIB
ππ» #ORTHOPEDIC π¦΄
1) DFU, NF
2) MVA , open #
3) ortho #emergencies βΌοΈ; joint dislocation, compartment syndrome, FES, cauda equina
4) tib /fib #, NOF, IT#
5) distal end radius #, OA
(All these, plus trauma Xray #interpretation & wound description; will be explained by on Ortho surgeon in β€οΈMedicorp Ortho online course)
ππ» #PAEDIATRIC
1) NNJ, IDM, respi distress in newborn, neonatal sepsis
2) asthma, pneumonia, Bronchiolitis
3) DF
4) AGE; including fluid resuscitation, maintenance & deficit IVD calculation & potassium correction
5) febrile/afebrile fit
(All above topics, including #case_discussion- will be explained in details by few paediatricians & MO in #Neonatology & Gen. Paeds online course)
.
ππ» #Medical
1)ACS; covered in ECG #online course
2) HPT urgencies π, emergencies
3) DKA, uncontrolled DM, hypoglycaemia
4) Hyper & hypokalaemia
5) Approach to SOB
(these topics available in Med. #emergencies online courseππ»)
6) AKI, CKD, ESRF (Free modules available on these at https://medicorp-class.teachable.com, under Excellent Dr series)
7) TIA, CVA π§
.
ππ» #O&G π€°
1) PPROM/PROM
2) reduce FM
3) labour #management & complications (ARM, CTG, labour & shoulder dystocia, PPH)
4) GDM, PIH; dx, management, #complication - IE/ PE
5) IOL vs augmentation of labour
(All above topics will be explained in details by O&G #specialist in β€οΈMedicorp Obstetric online course
6) Ectopic pregnancy, miscarriage
.
ππ» #SURGICAL
1) ICB / intraab trauma
2) hernia
3) abscess
4) pancreatitis, cholecy
5) breast abcess/CA
6) appendicitis, PGU
7) UGIB, LGIB
ππ» #ORTHOPEDIC π¦΄
1) DFU, NF
2) MVA , open #
3) ortho #emergencies βΌοΈ; joint dislocation, compartment syndrome, FES, cauda equina
4) tib /fib #, NOF, IT#
5) distal end radius #, OA
(All these, plus trauma Xray #interpretation & wound description; will be explained by on Ortho surgeon in β€οΈMedicorp Ortho online course)
ππ» #PAEDIATRIC
1) NNJ, IDM, respi distress in newborn, neonatal sepsis
2) asthma, pneumonia, Bronchiolitis
3) DF
4) AGE; including fluid resuscitation, maintenance & deficit IVD calculation & potassium correction
5) febrile/afebrile fit
(All above topics, including #case_discussion- will be explained in details by few paediatricians & MO in #Neonatology & Gen. Paeds online course)
Teachable
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