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Monday, March 19th, 2007

    Time Event
    1:57a
    another scenario in OSCE

    d-- can patient stay in general ward?
    m-- yes sir, i'll put her on o2
    d-- but isn't her bp a bit low?
    m-- erm... yes sir, and given her pulse rate, it's likely she is in shock. i'll like to transfer her to the icu
    d-- wat do you think are the likely causes?
    m-- *blurr* dat'll depend on the investigations
    d-- wat inx do u have?
    m-- abg sir. her pco2 is normal but her po2 is low sir
    d-- wat do you think are the possible causes?
    m-- infection sir
    d-- wat treatment would u like to start her on?
    m-- antibiotics sir
    d-- how abt pulmonary embolism?
    m-- yes sir, it's possible, i'll like to do a spiral ct
    d-- but she's pregnant?
    m-- d-dimer sir
    d-- isn't it non specific?
    m-- examine her calves sir
    d-- would u like to anticoagulate her?
    m-- yes sir....

    RING RING

    sigh
    12:42p
    another OSCE nightmare

    Insulin station
    1. grab the wrong syringe
    2. nv suck to see if got blood
    3. nv pinch
    4. nv check patient's name
    8:38p
    IHD nightmare

    realised dat i didn't
    1. give a problem list
    2. offer differential diagnosis

    sian la
    tml is short case, and i'm still missing steps from my physical examination
    very very sian
    =(

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