Saturday, February 6, 2010

Pathology: Kot2 la berguna..

dear friends..ni list kne study for patho..tak tau la lengkap ke x..klu xlengkap,btau eh..klu terlebih pon btau!!! xpasal2 ade yg jadi prof umur muda2 ni sbb stdy lebih..hoho..jzk..(tp xde la tersusun sgt list ni..main wat je)

1) Lymphadenopathy
2) Hodgkin's lymphoma
3) Non-Hodgkin's lymphoma
4) Splenomegaly
5) Increase intracranial pressure
6) Intracranial & extracranial haemorrhages
7) Hydrocephalus
8) CVD - ischemic encephalopathy, infarcts
9) CNS infection
10) Intracranial tumors

And ni plak contoh problem yg saya kutip dalam buku cases collection yg saya ada..(diagnosis sy tulis kat ruangan comment ye..suspen sket..haha..tau je korg da bleh diagnose sbnrnye *wink*)

1) A 9-year-old girl is evaluated for headaches and clumsiness with walking (ataxia) over the last month. A CT scan reveals a midline, partially cystic cerebellar mass. The tumor is removed surgically, microscopic examination shows elongated bipolar astrocytes with fibrillary processes and Rosenthal fibers.

2) A 38-year-old man presents to his general practitioner (GP) complaining of a painless lump on the right side of his neck. This has been present for about 2 months and seems to be enlarging. He has had no recent throat infections. He has been feeling generally unwell and has loss about 5kg in weight. The patient has also developed drenching night sweats. Simultaneously he has noticed severe generalized itching. He has had no significant past medical history.

3) A 24-year-old man presents to an emergency department complaining of a severe headache. The headache started 24 hour previously and has rapidly become more intense. He describes the headache as generalized in his head. He has vomitted twice and appears to be developing drowsiness & confusion. He finds bright lights uncomfortable. There is no significant previous medical history or history of allergy. On examination, he looks flushed and unwell. His temperature is 39.2 degree celcius (mcmana nak wat 'degree' kat blog ni?xpandai..sape pandai. ajar ye..huhu) He has stiffness on passive flexion of his neck.
  • CSF protein: 1.4g/L (normal = <0.4g/l)
  • CSF glucose: 0.8mmol/L (normal = >70% plasma glucose) *plasma glucose = 4-6mmol/L

p/s: (tazkirah dr seorang ukhti) jgn lupa solat taubat kawan2..kejayaan sbnr adlh pabila Allah mengampunkan dosa kita (tadabbur al-Fath:1-3)~ K, all d best!

6 comments:

dr enoll said...

diagnosis:

1) pilocytic astrocytoma
2) lymphoma
3) bacterial meningitis

ubat_hati said...

jazakillah nol..bgoz2..jdkan carpet ni carpet xm..he3..

p/s:yg no 2 tu klu nk lg specific hodgkin's lymphoma [HL] kut..cz ade state weigth loss ngn night sweat..a.k.a systemic manifestations..cz NHL xde symptoms ni..

jom pakat2 tajdid niat..blaja lillah..insyaALLAH ok..

dr enoll said...

aah...enol pon rs cmtu ubat_hati (mula2 dah tertaip nama awk..seb baik perasan..hahaha)..

tp lam buku tu diagnose xde plak stated..enol ni ade mslh kurang konpiden pade diri..hahaha..so tulis jela...hahaha

=)

ubat_hati said...

haha..xpe..ape yg penting..KERJASAMA..
yala kwn2..jom bce buku..

dimulakan dgn ape anak2??

dimulakan dgn bismillah..disudahi dgn alhamdulillah..begutilah sehari dlm hidup kita..[alamak lupa lirik..]

slamat maju jaya..

iddy said...

tenkiuw enoll..
hehe,,

dr enoll said...

korg study ke 'extracranial haemorrhage' yg enol tulis kat dlm list tu? hahahahaha~~~

mnede extracranial hge...sbnrnye nk ckp intracranial & intracerebral hge..kwang3..

klu extracranial hge tu..mcm lam cite hindustan..gadoh2..berdarah kat kepale..hahahahaha~