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KICKSTART!
10th BATCH MBBS UITM
A)
1. PCM susah gila! Baik mati dari masuk posting PCM! Rileks guys,
jangan cuak. Trust me, its not as bad as the mitos you heard.
2. But I did die a little while in this posting.
3. Primary care acts as the FIRST CONTACT and principal care of
continuing care for patients. So basically, korang akan duduk kat KK je
sepanjang posting ni (zzzZZzz)
B)
WHAT TO DO IN PCM? :
1. You guys will be divided into 3 groups and setiap minggu each group
akan rotate between 3 respective clinics :
KK Taman Ehsan
KK Sungai Buloh
CTC Selayang (PCSC)
Dr yang ada dalam kotak hitam je yang ada time kteorg. Dont you worry
cuz all the doctors are angel (cewahh) Tapi since semua dr perempuan
soooo.... cerewet sikitlah hekkk.
3. The LOGBOOK
Outpatient diary
MCH clinic
Palliative care
Korang kena dtg klinik awal and cari patient for this session.
Basically, it involves a group of 4. So nanti 1 person from that
group akan consult a real patient depan doktor. Nanti dr akan
observe and komen. (Setiap sorang sekali je)
You guys will be expected to : consult the patient, perform physical
examination (kena amik manual BP), manage the patient (including
prescribing medications). P/S : tak perlu present balik case kat
dr. Just consult je. So better jaga eye contact with patient
instead of writing their details in a paper.
-Dr Punitha
b. Follow up for
DISCUSSION
C/C : chest pain (atypical presentations, when
explore further, patient was under stress due to work
and her children)
PE : CVS examination
DDX?
How would you manage the patient?
Relaxation techniques (have some me time, go
to spa, go for a holiday, massage, take a day
off work)
Any drug needed? (rasanya takde prescribe)
ECG
Other investigations?
Need to ask patient for any active complaint + ask
HPT, DM
and
dyslipidemia
(to review
blood result)
-Dr Punitha
-
c. Tension
headache
- Dr Suraya
-
d. Vertigo
- Dr Hasidah
e. TRO ovarian
cyst/chronic
appendicitis
-Dr Nafiza
C)
Bruh, everything under the sun bruh. Seriously, you guys hv to know
EVERYTHING, all the disease existing in this world. Nanti masuk klinik
ni, ada new case. Masuk clinic ni, new case. And some of the doctors
expected you guys to be able to answer their questions about that disease.
Medicine, ortho, surgery, paediatric, A&E, neuro, dermato, semua kena
tau. Gudluck!
Khatamkan semua CPG if possible (which is impossible but you ken
duit!)
Hypertension, DM and dyslipidemia kena master inside out. Ini
pokok segala PCM. Management semua kena umph!
For MCH, baca balik how to take o&g history. EDD, USS and olls,
you still remember? (i didnt and i still dont hehe)
Taktau nak ckp disease apa yg common sbb mcm2 boleh dapat.
Haaa, buku Murtaghs ni wajib ada setiap sorang. Takyah share, kemut sikit.
Boleh grab dekat library selayang tingkat dua the second rak bahagian hujung.
Murtagh ni bapa primary care. So korang bacalah semua case dalam ni. Red
flags sign & symptom for every disease kena tau. Tu yg penting dr nak dgr kita
tanya patient waktu consultation.
D)
Exam (OSCE)
For PCM, you have OSCE for EOP exam.
You have 15 min to consult, formulate a diagnosis, explain the
diagnosis, explain the investigation and provide management to the
patient (aka the primer)
Tak payah buat PE sebab dah diberi dalam soalan. (belajar baca
ECG cuz you might be the chosen one treng treng)
Its best if you buy the OSCE book by Dr Farnaza and Dr Nafiza
kat kedai buku CTC. Buku ni ada bg cth soalan2 OSCE.
10 %
5.2
0.9
High
High
BP : 128/80 mmHg
You are expected to :
1. Explore his further history
2. Explore his Idea, Concern and Expectations
3. Formulate a diagnosis and explain to the patient
4. Manage him accordingly