Rain...

Sometimes you already know the theory part of Islam. For example, you already knows that Allah won't see the product, but look at your effort. But then, when somebody does not appreciate your work, you became so sad.

You already knows that Allah only plan something that is best for you. But when things doesn't follow your desire, you felt so sad.

That's why you will be always facing test in life so that you became more stronger and open to challenges in life.

Have you ever seen the rains?

It is He Who sendeth the winds like heralds of glad tidings, going before His mercy: when they have carried the heavy-laden clouds, We drive them to a land that is dead, make rain to descend thereon, and produce every kind of harvest therewith: thus shall We raise up the dead: perchance ye may remember. (Surah Al Aa'raf: 57)

The verse was so beautiful right? There will be sunshine after every rain.

Why?

Wallahi it was the most painful thing that ever happen to me..

I already faced so many things in life, but that was the things that i regretted most...

Why all these things happened to me?

How lucky i was if i am not alive to see all these....

Ya rabb, please give me strength to face all these...

Hypertension~

5 risk factor for hypertension

1) Hypertension
2) Cigarette smoking
3) Physical inactivity
4) Diabetes Mellitus
5) Dyslipidaemia

5 fundoscopic changes in severe hypertension

1) Hemorrhages
2) Exudates
3) Papilloedema
4) Arteriolar narrowing
5) Swollen optic nerve

5 causes of secondary hypertension

1) Sleep apnoea
2) Acromegaly
3) Coarctation of aorta
4) Chronic kidney disease
5) Thyroid or parathyroid disease

5 classes of antihypertensive medication

1) ACE inhibitors
2) Angiotensin Receptor Blockers
3) Beta-blockers
4) Calcium Channel Blockers
5) Diuretics

5 features of malignant hypertension

1) Numbness of the arms, legs, face or other areas
2) Changes in mental status – confusion, decreased alertness
3) Seizure
4) Shortness of breath
5) Blurred vision

5 investigations in primary hypertension with reason

1) ECG – left ventricular hypertrophy ( target organ damage)
2) Fasting blood sugar – diabetes (risk factor)
3) Renal function test – chronic kidney disease ( target organ damage)
4) Lipid profile – Dyslipidaemia (risk factor)
5) Chest X ray – heart failure ( target organ damage)

List 2 medication that is preferred in

1) Hypertension + diabetes – ACEi & ARB
2) Hypertension + ischemic heart disease – ACEi & Beta-blockers
3) Hypertension + congestive heart failure – diuretic & ACEi
4) Hypertension + chronic renal failure – ACEi & ARB
5) Hypertension + hypertensive crisis – CCB & Beta-blockers

5 complications of hypertension

1) Left ventricular hypertrophy
2) Angina or myocardial infarction
3) Heart failure
4) Chronic kidney disease
5) Stroke/ transient ischemic attack

5 pathophysiological changes that increase blood pressure

5 advices to patient with hypertension on discharge

1) If you are overweight, try to lose weight
2) Reduce salt intake
3) Exercise regularly
4) Moderate alcohol intake
5) Stop smoking

5 common side effect of hypertension and which class it associated with

1) Diuretics – hypokalemia
2) Beta-blockers – erectile dysfunction
3) Calcium channel blocker – ankle oedema
4) ACEi - cough
5) Alpha-1-adrenergic blockers – postural hypotension

5 drugs to prevent recurrent stroke

1) ACEi
2) Diuretic
3) ARB
4) Warfarin
5) Aspirin

5 different types of cerebrovascular accident

1) Subarachnoid hemorrhage
2) Subdural hemorrhage
3) Intraparenchymal hemorrhage
4) Epidural hemorrhage
5) Ischemic stroke

5 signs of overdose antihypertensive

1) Bradycardia
2) Hypotension
3) Altered mental status
4) Seizures
5) Angioedema (ACEi)

Nursemaid's elbow~

• sudden traction
• radial head sublaxation
  

Osgood-Schlatter disease~

• tibial tubercle apophyseal traction injury
• rupture of the growth plate at the tibial tuberosity
• tibial tubercle hurt
• caused by overuse

Baker's cyst~

• popliteal cyst
• non-pulsatile swelling
• posterior aspect of the knee
• Ddx - lipoma, aneurysm, neuroma & rarely tumor

Pes planus~

• flat feet