Dr Iliana9
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πŸ‘†πŸ»more guide on difficult venous access ie blood taking πŸ’‰πŸ©Έ (I was in anaest posting, not ED sorry)


For working HOs, please aim to be branulogist (our informal term for expert in branula insertionπŸ˜‚ ) at 3rd posting, or after your Medical posting πŸ’ͺ🏻
Pahang Obstetrics Manual & Labour Room Protocol.pdf
28.2 MB
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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
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 πŸ˜…



Nak belajar lebih lanjut tentang #intubation & post intubation care?

Jom praktis sama-sama di Clinical Skills #Workshop Medicorp; 17+3 procedures in 1 day ❀️
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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 πŸ‘‰πŸ» mask ie BVM

A πŸ‘‰πŸ» airway adjuncts; OPA etc

L πŸ‘‰πŸ» laryngoscope

E πŸ‘‰πŸ» ETT (correct size & type)

S πŸ‘‰πŸ» stylet, syringe, stethoscope 🩺
.

Learn more #procedure for HO with Medicorp's Clinical Skills Guidebook;
.

Or get this book for πŸ†“ when you register for Clinical Skills #workshop;

https://medicorp.onpay.my/order/form/clinicalskillsuturing_workshop
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More QR codes for #procedure demonstration included in Medicorp's Clinical Skills Guidebook,

Get your copy here https://medicorp.onpay.my/order/form/bookstore βœ…
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;


πŸ‘‰πŸ» All posting (esp medicine, surgical & ortho)

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


πŸ’‰πŸ’Š medicine; AEBA (asthma), COPD, dengue, ACS


βœ‚οΈ 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


πŸ‘§πŸ»πŸ‘¦πŸ» gen paeds; AEBA, dengue, AGE, febrile fit


πŸ‘ΆπŸ‘ΆπŸΌ neonatology; NNJ, neonatal sepsis, IDM & hypoglycaemia, respiratory distress in newborn


#Reference; πŸ“šany book you already have, yang penting baca πŸ˜‚
Let's revise some important topics at SCN (special care nursery) ie #Neonates posting βœ…
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Neonatal #jaundice ie NNJ;

‼️ when to discharge / start single or double #photo therapy / prepare for ET (exchange transfusion)❓
βœ… How to #describe/introduce a newborn in your #review documentation & when #presenting the case?
.

βœ… What to describe about common issues at SCN;

- NNJ
- feeding
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Presenting #severe NNJ case during ward rounds πŸ‘πŸ»

#neonatology
#ward_simulation
Dr Iliana9
Presenting #severe NNJ case during ward rounds πŸ‘πŸ» #neonatology #ward_simulation
They are discussing this case. The HO is presenting AM review for this particular newborn βœ…
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....
Indication for referral to Paediatric team ie admission to SCN (special care nursery) or NICU πŸ‘ΆπŸ»
.

These referral are responsibility of HOs at LR (labour room) or L&D OT (labour & delivery operation theatre),

when you are at O&G postingπŸ€°πŸ»πŸ‘©πŸ»β€πŸΌ
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 deliveryπŸ‘πŸ»
.

Dr Alia is the writer of;

βœ… Alia’s Illustrated notes on P/E,
βœ… NICU essentials,
βœ… NNJ & TFI workbook,

and the latest Paediatric Crash Card πŸ˜‡
.

She's also one of the speaker for Medicorp's General Paediatric & Neonatal online course πŸ‘ΆπŸ»πŸ‘§πŸ»
Would the kind seniors share us the #common diseases & emergencies that we need to familiarize before start #Tagging soon? πŸ™πŸ»
.

πŸ‘‰πŸ» #Medical

1)ACS; covered in ECG #online course

2) HPT urgencies πŸ’Š, emergencies
3) DKA, uncontrolled DM, hypoglycaemia
4) Hyper & hypokalaemia
5) Approach to SOB
(these topics available in Med. #emergencies online courseπŸ‘πŸ»)

6) AKI, CKD, ESRF (Free modules available on these at https://medicorp-class.teachable.com, under Excellent Dr series)

7) TIA, CVA 🧠
.

πŸ‘‰πŸ» #O&G 🀰

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 ❀️Medicorp Obstetric online course

6) Ectopic pregnancy, miscarriage
.

πŸ‘‰πŸ» #SURGICAL

1) ICB / intraab trauma
2) hernia
3) abscess
4) pancreatitis, cholecy
5) breast abcess/CA
6) appendicitis, PGU
7) UGIB, LGIB


πŸ‘‰πŸ» #ORTHOPEDIC 🦴

1) DFU, NF
2) MVA , open #

3) ortho #emergencies ‼️; 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 ❀️Medicorp Ortho online course)


πŸ‘‰πŸ» #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)
Obs Case 1 for Advance HO