| 11:20p |
Today's medicine long case was a burnt day
CASE 1: IHD
case of elderly guy
presented with SOB
past hx of stroke, DM, HTN and hypercholesterol
should be a straight forward case
but a combination of nerves and tiredness, i actually forgot to ask for a hx of smoking
the profs even ask me for a list of risk factors, and i can even classify them, and still forgot bt smoking
they had to tell me just before i leave, and i asked the patient -- 100 pack yrs
GOD
didn't go into management, would be glad if they pass me on this case
grilled me on ecg and chest x-ray reading
CASE 2: Asthma
young 12 yr old boy
come in for URTI symptoms
past hx of asthma
straight forward case again
went into hx of asthma, and once again, forgetting some details
think the pressure makes u function at like 30% efficiency
discussion was ok, should be a pass
though i didn't go into "broad" categories
on retrospect, it's amazing the nerves u have during exams
the mind goes blank
ur normal systemic approach vanishes
questions u normally wun miss in the ward, just goes haywire
just hope my worries are unfounded, and dat all will be OK |