SHARIFAH’S NIGHT OUT

Demography: Female, married, 58 yo, housewife, 3 grown up children (2 d 1 s), slightly overweight (BMI=25)
CC: Epigastric pain
Over indulgence, nausea
HPI: When- on and off, worse last four days, frequent on few days ago, severe pain
Where-Middle
Quality- radiated to R side of the chest (tenderness), severe
Quantity-on off, 3-7
Better-No
Worse-Lie down, food
Associated symptoms-fever, feel like vomiting
Belief-heart attack
Fam Hx: father cholecystectomy, parents died due to old age,
Past Med Hx:
Diet: always kenduri
Social smoker- 3-4 cigarettes/day
Medication: No
Allergy: No
Travel: to Kelantan
O&G: 10 years post menopausal
Investigation: FBC, Urinalysis normal, liver function, cholesterol level (raised 5-10%), ultrasound, endoscopy, ECG normal, cardiac enzyme, 37.2oc, HR 80/min, BP 140/90, RR 12, ESR slightly raised, bilirubin borderline, alkaline phosphotase raised mildly, blood glucose normal, amylase normal
Murphy’s sign-a bit painful
Differential Diagnosis:
1. Cholecystitis
2. Hepatitis
3. Pancreatitis
4. Gastritis
5. Gastroesophageal reflux
6. Stomach cancer
7. MI

Learning issues
1) Overview of the anatomy of the GIT (Sam, Nic)
2) Pathophysio of chole, hep and GERD. Signs & symptoms. What are these 3 things? (Shamzi-GERD, Kieron- Chole, Luk-Hep)
3) Treatment and management (Syukriah- Chole, David- Hep, Deepak- GERD)
4) Investigations (Rosy- Chole, FC-GERD, Vir-Hep) *PCL is a bit different nowadays, we have to cover all 3 diseases, so just check out on which one you’re doing!

PCL Week 1 Sem 4: Why am I overweight?
Bio: Sushila, Indian, mid 20s, female, accountant, smoker, overweight.
CC: Constant lethargy & fatigue.
Associated symptoms: -
Lifestyle: Constant dieter, smoker, leads a sedentary lifestyle, stressed? Low confidence & esteem.
Family history: Overweight, culture

Issues
1. Overweight & Obesity – Definition & Epidemiology (How common? Classifications?) (Lukman)
2. Differential: Hypothyroidism, Cushing’s (steroid consumption) (Shamzi)
3. BMI & Waist Circumference, Hip-waist ratio, indicators of overweight and obesity (Asians etc.) (Deepak)
4. Risk factors for overweight & obesity. (David)
5. Complications for overweight & obesity. (Viran)
6. Treatment and Management: Lifestyle change, diet change, Medication & surgery (CPG for obesity, www.ifnotdieting.com) (Nicole & Kieron)
7. Diets – Different types, Normal calorie allowance (Syukriah)
8. Recommended weight loss (per week), Maintenance, (Fui Fui)
9. How society perceives the overweight (and what is an ideal physique)? The patient (Sam & Rose)

FINAL PCL

PCL 13: Anne’s Holiday (woohoo!)
Patient details:
Name: Anne
Age: 42 or above
Occupation: Nurse (requires standing for long hours in the surgical ward)
Smoker: Yes
Concerns: Overweight, long hours in air
Chief Complaint: Pain in left leg, walking eventually became a problem
Quality: Annoying, excruciating pain, so painful you can even put your leg on the floor
Associated symptoms: Swelling in the left leg
Lifestyle: Lack of physical exercise
Differential Diagnosis:
• DVT
• Compartment syndrome (no trauma)
• Varicose veins
• Elephantitis
• Sickle cell anemia
Learning issues:
1) Types of blood disorders (Syukriah & Sam)
a. Inherited
b. Non-inherited
2) Epidemiology & Definition of DVT (Kieron)
3) Pathophysiology of DVT (Sham & David)
a. Encourage patients to walk after surgery (previously not encouraged)
4) Causes & Risk factors (smoker, previous surgery) leading to DVT (Nic)
a. Economy class syndrome? (What is it?)
5) Signs & symptoms of DVT (FC)
6) Diagnosis & Investigations (Deep)
7) Prevention, Management & Treatment (Viran & Rosie)
8) Prognosis & complications (Lukman)
That’s ALL for this Semester! 

Week 13 Anatomy Practical

Task Delegation
Guys, your task for this week! ~Jia you~
1.1 and 1.2 Kieron

1.3 Sam

2.0 Lukman

3.0 Deepak

4.0 Shamendri

5.0 (1.5 &1.6) Syukriah

5.0 (1.7) Nicole

6.0 Fui Chen

7.0 Rose

8.0 (1.15&1.16) David

8.0(1.17) Viran

PRACTICAL NECK II: ANTERIOR REGION OF NECK

2.1-2.2 SYUKRIAH

2.3 -3.1 NICOLE

3.2 - 3.3.3 FUI CHEN

3.4- 4.1 ROSE

4.2 KIERON

4.3 VIRAN

5.1 SAM

5.2 DAVID

6.1-6.2 DEEPAK

6.3 LUKMAN

6.4-6.5 SHAMENDRI

PCL topics

Learning IssuEEEEEEEESSSSSSS
Define types of veganism (David Soon)
- What can you suffer from?
- Can vegan cause anemia? O.o
What is anemia? (Deepak)
- How do you define it and classification
- What is the cause of iron deficiency in a male
Signs and symptoms (lookman)
Causes and risk factors of anaemia(Rose, viran)
- Can iron deficiency cause menstrual problems? Or the other way round?
Pathophysiology of anaemia (SAM)
- O2 transport
- Why is she tired and lethargic
Diagnosis and investigation (kieron, shami)
- Blood test, what is expected to be seeeeeeeeeeeeeen
Management, treatment and complication (fui chien, nicole)
- Diet
o Sources of iron
Psychosocial (syukriah)

Practical Task Delegation Week 11

Topics for Practical week 11.

1.0 Nose and paranasal sinuses

1.1- 1.2.3.1- Sam

1.2.4- 1.5- Deepak

2 Pharynx and Palate
2.1- 2.4.1- Rose

2.5- 2.8.1- Fui Chen

3.0 Larynx
3.1- 3.3.2- Lukman

3.4- 3.6.1- Viran

4.0 Mouth and Tongue
4.1- 4.3.1 Shamendri

4.3.2- 4.5.1- Kieron


5.0 Surface and clinical anatomy


5.1- 5.2.1- David

5.3- 5.4.1- Nicole