PCL 11- AN EARLY ARRIVAL

LAST PCL: AN EARLY ARRIVAL

Name: Rohani

Age: 30 years old

Gender: Woman

Status: Married, children - Anisa (3), Kamal (5), G3P2

Occupation: Farmer (paddy)

Pregnant – 30 weeks

SYMPTOMS:

- Increased urinary frequency

- Back ache

- Lower abdominal cramp

CC: Abdominal cramps

When- about half hour, now more frequent

Quality- Increased

PAST HISTORY

- Carcinoma in situ

ON EXAMINATION

- Dilation cervix (2 cm)

DIFFERENTIAL DIAGNOSIS

- PREMATURE LABOUR

- UTI in pregnancy – LUKMAN

LEARNING ISSUES

1. Growth and Development of Fetus (Syukriah & Kieron)

2. Physiology of Pregnancy & Labour (Sam & Nicole)

a. What happen if preterm occur at each trimester?

b. Sign and Symptoms of labour

3. Causes & risk factor for preterm labour – (Rose & Deepak)

4. Complications of preterm labor - baby (Lukman)

5. Management of preterm labor (Fui Fui)

6. Psychosocial issue (Shamendri & Viran)

a. Family, possible loss of child

b. Access to health care, money, distance, transport, long term care, support for wife, bonding with child.

7. Health care delivery (maternal and child health), logistic (what if anything goes wrong) in Rural Area (David)

Some info

hey sam i think this might help you with your investigations and the differentiating between BPH and prostate cancer..
http://www.cancer.gov/cancertopics/factsheet/Detection/PSA
you might have already found it but if u ddnt here u go =)

PCL: Waterworks

PCL 10: Water Works
Name: Marzuki Mohammad
Age: 60
Occupation: train driver
Status: married
CC: Can’t micturate properly, incomplete VOIDING
Increase frequency of urine. Increase urgency


DDx: (do point for point against)
1. Urinary Tract Infection (Lukman*)
a. Lower and upper urinary tract symptoms
2. Bladder CALCULI (Shamendri)
3. Prostate Cancer (Syukriah)
4. Bladder Carcinoma (Fui Chen)
FYI
- Posterior Urethra valve (Everyone, especially Lukman*)
Learning Issue
BPH
- Anatomy (David Soon)
- Definition and Epidemiology (Nicole)
- Pathophysiology and Sign and symptoms (srilanka Male)
- Risk factors (Deesingh)
- Investigation(SAM)
o How to differentiate between Malignant and Benign tumours.
o Specificity and Sensitivity of PSA
- Treatment and management (Rose)
- Complication and Psychosocial (Kieron)*

• * Means disregarded