Picture shown pneumatosis intestinalis in necrotizing enterocolitis. - Symptoms: Related to introduction of feeds, bloody stool, lethargic.
- Treatment: Resect necrotic bowel
Thursday, June 25, 2009
Necrotizing enterocolitis~
Hirschprung~
Fail to pass meconium in the first 24-48 h of life.- Also known as congenital aganglionic megacolon.
- Barium enema: dilated megacolon
- Gold standard: Biopsy (absence of ganglion cell)
- Treatment: Surgical
Duodenal Atresia~
This is 'double bubble' sign in duodenal atresia.- Patient came with bilious vomiting with every feed.
- Associated with Down Syndrome (Trisomy 21).
Blueberry muffin lesion~
Blueberry muffin baby is a term used to describe the characteristic distributed purpura due to extramedullary hematopoiesis found in infants.It was originally considered characteristic of rubella, but is now considered to be potentially associated with many other conditions,such as cytomegalovirus.
It derives its name from the superficial similarity to a blueberry muffin.
Patient have hepatosplenomegaly.
Always remember Rubella!
Wednesday, June 17, 2009
Stalker...
There is no one who prefer to read this blog previously. But suddenly there is a lot of stalker here. Why? Can i ask you that question?
Monday, June 15, 2009
Instinct...
One thing that Allah grant me is that i have instinct to know whether someone that i met is good or bad.
Last Friday, i went to one mosque to ask for the Imam there permission to use the mosque as my batch want to have tazkirah session the next day. When i met that Imam, i felt uneasy about him. He don't even lower his gaze and not focusing the matter that i brought.
He keep on asking whether i am from Penang? Mix? Arab? I felt so annoyed with all those question. For me, he should not focusing on me but on the matter of the Ummah. I am not beautiful but i agree with what had been written by Sis Rytha. I still try to be good as i want his help. After that i went to usrah. At 12 midnight, he is messaging me asking whether i already take enough rest or not and continuing message to ask about the program. It was really annoying when a man messaging you at the middle of the night moreover he is someone that you expect to be terribly pious.
Actually after the program, my batch will be having a dinner. I have 2 clothes that suitable for the events but thinking about the Imam, i decided to wear all black. When i met him on Saturday, he was still not lowering his gaze. I felt that i just want to kill him straight away. I tried my best to tolerate until after the program. But the next day, he ask me permission to know me and keep on giving all the nonsense message. I showed my mom all the messages and she said that she want to slap the Imam.
You might want to laugh to read all these, but if you can think deeply, actually it was really sad when you think that you're not safe even at the mosque. It was so embarrassing.
I know that i don't have enough strength to get married. I am terribly busy. I failed to manage my own times. I am running here and there. But sometimes i felt that i want to get married to makes my life free from fitnah. I wan't to do dakwah and no one is disturbing me anymore. But it was terribly difficult to find someone that can accept me as what i am and really understand my love for dakwah is more than anything else in this world.
Once in my life time, i had met the right person but Allah plans the best for us. Allah has plan the best for him. Allah knows best.
I always remember the story in Islam about Ummu Salamah. Her husband died. After his husband death,Umm Salamah remembered the prayer her husband had quoted on his deathbed from the Prophet and began repeating it, "O Lord, with you I leave this my plight for consideration . . ." But she could not bring herself to continue . . . "O Lord give me something good from it", because she kept asking herself, "Who could be better than Abu Salamah?" In her mind, no one else can replace Abu Salamah. Abu Salamah is among the first one that went for hijrah. But it did not take long before she completed the supplication.
Do you want to know what Allah has plan for her? She was then married to Rasulullah SAW. Allah answered the prayer of Umm Salamah and gave her better than Abu Salamah. From that day on she was no longer the mother of Salamah alone but became the mother of all believers, Umm al-Mu'mineen. This story will always touch my heart.
I prayed to Allah to replace what is gone from me with something better. Allah must had plan something better for me even if it is not in dunya, it will be in akhirat.
Last Friday, i went to one mosque to ask for the Imam there permission to use the mosque as my batch want to have tazkirah session the next day. When i met that Imam, i felt uneasy about him. He don't even lower his gaze and not focusing the matter that i brought.
He keep on asking whether i am from Penang? Mix? Arab? I felt so annoyed with all those question. For me, he should not focusing on me but on the matter of the Ummah. I am not beautiful but i agree with what had been written by Sis Rytha. I still try to be good as i want his help. After that i went to usrah. At 12 midnight, he is messaging me asking whether i already take enough rest or not and continuing message to ask about the program. It was really annoying when a man messaging you at the middle of the night moreover he is someone that you expect to be terribly pious.
Actually after the program, my batch will be having a dinner. I have 2 clothes that suitable for the events but thinking about the Imam, i decided to wear all black. When i met him on Saturday, he was still not lowering his gaze. I felt that i just want to kill him straight away. I tried my best to tolerate until after the program. But the next day, he ask me permission to know me and keep on giving all the nonsense message. I showed my mom all the messages and she said that she want to slap the Imam.
You might want to laugh to read all these, but if you can think deeply, actually it was really sad when you think that you're not safe even at the mosque. It was so embarrassing.
I know that i don't have enough strength to get married. I am terribly busy. I failed to manage my own times. I am running here and there. But sometimes i felt that i want to get married to makes my life free from fitnah. I wan't to do dakwah and no one is disturbing me anymore. But it was terribly difficult to find someone that can accept me as what i am and really understand my love for dakwah is more than anything else in this world.
Once in my life time, i had met the right person but Allah plans the best for us. Allah has plan the best for him. Allah knows best.
I always remember the story in Islam about Ummu Salamah. Her husband died. After his husband death,Umm Salamah remembered the prayer her husband had quoted on his deathbed from the Prophet and began repeating it, "O Lord, with you I leave this my plight for consideration . . ." But she could not bring herself to continue . . . "O Lord give me something good from it", because she kept asking herself, "Who could be better than Abu Salamah?" In her mind, no one else can replace Abu Salamah. Abu Salamah is among the first one that went for hijrah. But it did not take long before she completed the supplication.
Do you want to know what Allah has plan for her? She was then married to Rasulullah SAW. Allah answered the prayer of Umm Salamah and gave her better than Abu Salamah. From that day on she was no longer the mother of Salamah alone but became the mother of all believers, Umm al-Mu'mineen. This story will always touch my heart.
I prayed to Allah to replace what is gone from me with something better. Allah must had plan something better for me even if it is not in dunya, it will be in akhirat.
My Perception - Internal Medicine~
William Arthur Ward once said, “The mediocre teacher tells. The good teacher explains. The superior teacher demonstrates. The great teacher inspires”.
If someone going to ask me, what is the great thing about internal medicine; I will definitely say that is because there are too many great teachers here. Dr Shuhaila, Dr Rafizi, Prof Latiff, Prof Rashid, and others have been inspiring me all the times. For example about Dr Shuhaila, she organize a class even on Sunday for us to do a mock long case exam. At that time, she was just coming back from Sabah. And every week, Dr Shuhaila and Dr Rafizi will do a class for us on Saturday from 8 am until 2 pm at least. On weekdays, Dr Rafizi will come almost every day. Where can I find such a great dedicated lecturers?
I always ask Allah to give me knowledge so that I can teach others same as the way my lecturers teach me. It is really inspired to look at them. I really want to be like them. There are only two types of person that I can be jealous to. The first one is the one that have the knowledge and he teaches others. The second one is the one that have wealth and he used it for Islam. Both of the qualities can be seen in my lecturers.
I hate the feeling when I go to hospital and no one really cares about medical student. I hope that I don’t become like that. I want to teach my junior even though at that time I am only a houseman. Ward round has been so boring for me in Putrajaya. Everyone is damn serious with their works. Can’t hospital become a better place for everyone?
I really hope that there is a continuation of study circle in Putrajaya so that we have a motivation. Sometimes we’re repeating the same day everyday. Go hospital and clerk the patient. We’re human and we tend to be bored. It will be great when we receive a booster at least once a week.
I think my enjoyment of clinical years is basically because I understand the learning process. I am not studying for the sake of exam like when I was in my pre-clinical years. I think I am just surviving in my pre-clinical years. The feeling of thirsty about the knowledge really comes in clinical years.
I agree with Dr Shuhaila that there should be a concept of mentor mentee in clinical years. Everyone should have their own mentor so that the mentor can really help them if they’re weak in certain area.
I love my small group for Internal Medicine. They have been helping me so much in terms of my study. I felt for the first time, SCL has been done. If we’re bored, we will do a discussion about our patient. All of us will really discuss about the patient especially every Tuesday in Terendak as Prof Rashid will come the next day =)
In this small piece of perception, I would like to ask forgiveness from all of my lecturers for every single mistake that I do that hurt you. Thanks a lot for such a wonderful experience.
If someone going to ask me, what is the great thing about internal medicine; I will definitely say that is because there are too many great teachers here. Dr Shuhaila, Dr Rafizi, Prof Latiff, Prof Rashid, and others have been inspiring me all the times. For example about Dr Shuhaila, she organize a class even on Sunday for us to do a mock long case exam. At that time, she was just coming back from Sabah. And every week, Dr Shuhaila and Dr Rafizi will do a class for us on Saturday from 8 am until 2 pm at least. On weekdays, Dr Rafizi will come almost every day. Where can I find such a great dedicated lecturers?
I always ask Allah to give me knowledge so that I can teach others same as the way my lecturers teach me. It is really inspired to look at them. I really want to be like them. There are only two types of person that I can be jealous to. The first one is the one that have the knowledge and he teaches others. The second one is the one that have wealth and he used it for Islam. Both of the qualities can be seen in my lecturers.
I hate the feeling when I go to hospital and no one really cares about medical student. I hope that I don’t become like that. I want to teach my junior even though at that time I am only a houseman. Ward round has been so boring for me in Putrajaya. Everyone is damn serious with their works. Can’t hospital become a better place for everyone?
I really hope that there is a continuation of study circle in Putrajaya so that we have a motivation. Sometimes we’re repeating the same day everyday. Go hospital and clerk the patient. We’re human and we tend to be bored. It will be great when we receive a booster at least once a week.
I think my enjoyment of clinical years is basically because I understand the learning process. I am not studying for the sake of exam like when I was in my pre-clinical years. I think I am just surviving in my pre-clinical years. The feeling of thirsty about the knowledge really comes in clinical years.
I agree with Dr Shuhaila that there should be a concept of mentor mentee in clinical years. Everyone should have their own mentor so that the mentor can really help them if they’re weak in certain area.
I love my small group for Internal Medicine. They have been helping me so much in terms of my study. I felt for the first time, SCL has been done. If we’re bored, we will do a discussion about our patient. All of us will really discuss about the patient especially every Tuesday in Terendak as Prof Rashid will come the next day =)
In this small piece of perception, I would like to ask forgiveness from all of my lecturers for every single mistake that I do that hurt you. Thanks a lot for such a wonderful experience.
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