- vasomotor response to cold stress
- lacy pattern - cobblestone
- seen in trisomy 21, trisomy 18
Wednesday, June 2, 2010
Cutis marmorata~
Erythema Toxicum~
- small papules / pustules
- NOT in 1st day of life
- if scraped - fulls with eosinophil
- DDx: SSSS (stapylococcal scalded skin syndrome)
- How to differentiate? SSSS - if scraped, full with neutrophil, infant looks very ill, Nikolsky sign (gentle stroking of the skin causes the skin to separate at the epidermis)
Mongolian Spot~
- Usually at presacral area
- Ddx: bruise
- How to differentiate? Bruise - fade into surrounding skin, Mongolian spot - obvious different colour
Wednesday, February 17, 2010
A land called paradise...
I wanna live in a land called paradise
I wanna go to the valley of the King
I wanna live in a land called paradise
Wanna see the birds fly and I wanna hear the angels
Sing the praises of my Lord so far above
As I move poetically with the struggle I fall in love
I look to the left I look to the right and all I gaze upon
Reveals the source of flowers rainbows and the dew at dawn
Some see before and some see in and some see after
I let my sight pierce the chains and see the master
(Chorus)
I wanna live in a land called paradise
I wanna go to the Valley of the King
I wanna live in a land called paradise
Wanna see the birds fly and I wanna hear the angels sing
So many times in my life I ask myself the question
What got me brought me into all this mess I’m swimming in
But pain is not and neither harm in the pool of bliss
So slap me with your hand or kiss me with your softest kiss
Tell me that you love me or that you don’t like me now
Tell me you invite me or that you don’t want me around
I won’t cry over a world that can’t change my life
I’ll put my money on what lies ahead in paradise
(Chorus)
I wanna live in a land called paradise
I wanna go to the Valley of the King
I wanna live in a land called paradise
Wanna see the birds fly and I wanna hear the angels sing
I try to do right and love my wife and trade and pray and talk
I can be anywhere doing anything and I’m mindful of God
I’m pleased in good and happy in harm and now I realize that I already live in a land called paradise
(Chorus)
I wanna live in a land called paradise
I wanna go to the valley of the king
I wanna live in a land called paradise
Wanna see the birds fly and I wanna hear the angels
I wanna live in a land called paradise
I wanna go to the valley of the king
I wanna live in a land called paradise
Wanna see the birds fly and I wanna hear the angels sing
Tuesday, December 22, 2009
Child...
If someone doesn't know me well, they thought that I'm a serious person, but actually I'm not at all. I always love to laugh. There was a time i underwent depression but now I'm happy with my life. I'm improving in terms of my health too.
I always love to look at children. They're just a wonderful creatures that Allah creates to make us happy. They will look at this world from different angle. Currently. I'm doing my GP posting. There are always a cute baby and children who came to clinic.
I notice there is aquarium in the doctor's room. There is also a small fish pond outside the room.
One child came and ask the doctor, "Doctor, why you put the big fish and big tortoise outside and you put the small fish and small tortoise here?"
The doctor reply, "When this small fish and tortoise growth bigger, i will put them outside. For now, i need to take care about them as there are still small".
I have been in the clinic for few days but i don't ever notice about the small fish or big fish. I also don't ever notice that there is tortoise too.
Child are so cute. I am looking forward to become a pediatrician one day. I am planning, Allah is also planning and Allah is the best planner after all.
One more thing about child is that they never complain like adult:) Ok, just put this beautiful nasheed here.
I always love to look at children. They're just a wonderful creatures that Allah creates to make us happy. They will look at this world from different angle. Currently. I'm doing my GP posting. There are always a cute baby and children who came to clinic.
I notice there is aquarium in the doctor's room. There is also a small fish pond outside the room.
One child came and ask the doctor, "Doctor, why you put the big fish and big tortoise outside and you put the small fish and small tortoise here?"
The doctor reply, "When this small fish and tortoise growth bigger, i will put them outside. For now, i need to take care about them as there are still small".
I have been in the clinic for few days but i don't ever notice about the small fish or big fish. I also don't ever notice that there is tortoise too.
Child are so cute. I am looking forward to become a pediatrician one day. I am planning, Allah is also planning and Allah is the best planner after all.
One more thing about child is that they never complain like adult:) Ok, just put this beautiful nasheed here.
Friday, December 18, 2009
Changeless...
Before class, Dr L asks us one question. What is changeless? We need to think about that and come with answer at the end of the class.
There are lots of answers for that question.
God is changeless.
Time is changeless.
I said that destiny is changeless.
Want to know the answer? The question is subjective actually. You can say whatever things that you want.
According to Dr L – Change is changeless.
Whatever change that happen in this second can never change. So change is changeless.
Sometimes in life there are lots of things that are so difficult to contemplate.
There are lots of things that were difficult for me to understand.
Why I met someone?
Why things happened?
Should I still be hoping for a miracle?
What my dream was all about?
Then I start to reflect on destiny.
Destiny is Allah's perfect knowledge of all events past or future, as if a single moment. This expresses the absolute sovereignty of Allah over all beings and events. People can be aware of a certain event when they experience it. But Allah knows all events prior to their occurrence. For Allah, past, present and future are all the same. They are all within the knowledge of Allah since He is the One Who creates them.
The keys of the Unseen are in His possession. No one knows them but Him. He knows everything in the land and sea. No leaf falls without His knowing it. There is no seed in the darkness of the earth, and nothing moist or dry which is not in a Clear Book.(Surat al-An'am 59)
There are lots of answers for that question.
God is changeless.
Time is changeless.
I said that destiny is changeless.
Want to know the answer? The question is subjective actually. You can say whatever things that you want.
According to Dr L – Change is changeless.
Whatever change that happen in this second can never change. So change is changeless.
Sometimes in life there are lots of things that are so difficult to contemplate.
There are lots of things that were difficult for me to understand.
Why I met someone?
Why things happened?
Should I still be hoping for a miracle?
What my dream was all about?
Then I start to reflect on destiny.
Destiny is Allah's perfect knowledge of all events past or future, as if a single moment. This expresses the absolute sovereignty of Allah over all beings and events. People can be aware of a certain event when they experience it. But Allah knows all events prior to their occurrence. For Allah, past, present and future are all the same. They are all within the knowledge of Allah since He is the One Who creates them.
The keys of the Unseen are in His possession. No one knows them but Him. He knows everything in the land and sea. No leaf falls without His knowing it. There is no seed in the darkness of the earth, and nothing moist or dry which is not in a Clear Book.(Surat al-An'am 59)
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