Saturday, November 21, 2009

Shit..!!wut the hell happen wit me...!!!

Posted by Dr.KesHi

After pangandaran, we (hanif, helmi , amir & myself) going 2 Jakarta..Ancol & 2 be more specific, we going to Dufan (Dunia fantasi)..Dufan are like Genting Highland... We go, after juz a day rest from tired enjoy at pangandaran... But, in this trip, include also Faroh & Nani... How they involve? he3. We didn't expect that juz 4 of us go.. so I tried to find who can go.. so, the 1st person i think is amal..Why amal??bcoz during remed osce.. she heard about our plan.. so she said she want to join us..but unfortunately, amal didn't reply mcg (slept already).. so i think again, who can go.. I got nani & faroh.. So hepi they accept.. then, on 3.00 a.m we depart from Jatinangor

Around 7.30 a.m we arrived at Ancol..We get in through huge & stylo gateway ...then we reach Dufan..fooo..so tired driving.. why there are juz a little visitor ..then I ask the cleaner there.. She told me that..Dufan is open at 11.00 a.m..So, we just arrived too early..Dont noe wut to do, we all take some picture outside of Dufan..

In Ancol,there is Samudera, Dufan, Seaworld & Atlantis..But in this trip we juz wanna go to Dufan.. while waiting tyme reach 11.00 a.m, we get around Ancol.. then, when we already boring & sleepy, we juz park a car outside Dufan & sleep...

When I wake up at 10.30 a.m, there is alot of people already outside the Dufan..waiting the gate to open..So then, we all goes to counter ticket..Luckily, a couple gave us some paper..the paper is the discount..So each of us juz hv 2 pay 45k rupiah..without discount the fee is 100k..So lucky..

Wow..impressive.. i thought that Indonesia doesn't hv somthng like this..He3..but i'm wrong.. So many things can we play... 1stly we start with Halilintar (roller coaster)..Hmm..comment?? its juz ok.. then..i felt my stomachache.. forgot tell u that i hv diarrhea..then we all play some other game..then suddenly i had vomit..shit!! why in this tyme.. & i never been like this when play something like this..So shit..!!spoil my day... then i jus see my friends play..but after i feel my body quiet ok..i continue to play some games..

Thanx 2 Amir, Helmi, Hanif, Faroh & Nani to join this trip..So happy wit u all..

WK No.9: Diarrhea
Definition: abnormally frequent evacuation of watery feces
Symptoms:nausea, vomiting, abdominal pain, frequent watery stools & etc
Causes:
-virus
-bacteria & parasite- contaminated food or water can transmit bacteria & parasite to body
-medication- antibiotics can cause diarrhea
-etc

*thats all, 4 this tyme..to many things we know about diarrhea..so, i didn't able to wrote all thing..Sorry..



Thursday, November 19, 2009

Yoooohoooo...!!!

Posted by Dr.KesHi

ha3...
2nd tyme enjoy at pangandaran..but...
dis tyme more enjoying...
snorkelling...
surfing....

banana bot....

he3...
the most enjoy must be surfing la beb...
its my 1st tyme...
its hard 4 me at 1st...
but at the end..

i can stand & surf...
yooohoooo....!!
if i hv a chance to surf...
i will take it no matter wut...

but...
my skin not protected by lotion...
make it sunburn...
sunburn juz effect on the epidermis

WK No.8: Epider
mis
  • composed of keratinized stratified squamous epithelium
  • it contains 4 principal types of cells: Keratinocytes, melanocytes, Langerhans cells, & Merkel cells
  • there are 2 type of skin which is thin & thick
  • thin skin, the epidermis have 4 layers: stratum basale, stratum spinosum, stratum granulosum & stratum corneum
  • thick skin, the epidermis have 5 layers, same as thin but btwn granulosum & corneum there is startum lucidum
  • the diff. btwn the each stratum is the keratinasation of the cell in each layer

Saturday, November 14, 2009

HeLp..!!HeLp..!!!

Posted by Dr.KesHi

Aaahhh!!!
wut HappeN...!!!
sir!are u ok???

he3...
juz intro of BLS...

i really like this skill lab...
thnx 2 faiz, lokman & nik...
for teach me..
the proper way of BLS...


WK No.7: Basic Life Support
1.Shake, Shout, Call ambulance
2.reposition the patient on hard, flat surface
3.remove the shirt..
4.head tilt, chin lift
5.open the mouth with cross finger technique
6.look for chest movement, listen to breathing sound & feel the breathing..
7.if no, do ventilation 2x...
8.check pulse, if no, do chest compression (30x)
9.do cycle ventilation & chest compression for 5 cycle
10.end of 5 cycle, check pulse
11.if ok, do LLF
12.if still no breathing, do ventilation 12 tyme in 1 minute..

Thursday, November 12, 2009

EmOtiOn

Posted by Dr.KesHi

We are Doctor....
We hv 2 know patient feeling & emotion...
Don't juz say a word...

Patient want word's that can reduce their suffering...

Don't juz say a word...

Patient mostly hv labile mood..

this can make them hard to cure...


So....


think 1st...

How I know??
bcoz i'm also sometime sick..
when i'm sick...

i'm always seeking 4 something that can relieve from suffering..

i juz need some good words...


WK No.6: Limbic System

  • limbic means "margin" or "border"
  • its include a group of structures that lies btw cerebral cortex & hypothalamus
  • have 2 parts: cortical & subcortical
  • f(x): control of emotion, behaviour, drive & important to memory
  • structure that most influence the emotion is amygdala
  • amygdala involve in mood & concious response to event, whether negative or positive
  • main output of amygdala are to hypothalamus & brainstem autonomic centers
  • dats why its able to control autonomic system, so that can provoke such instant symphatetic response

Wednesday, November 11, 2009

Alhamdulillah...

Posted by Dr.KesHi

Yea...!!!
soca is over...
thnx god...
i got what i want but not really what i want
what i really want is i g
ot case DM
but i got Gra
ve's dzs...
n...
i really want to present infront of Dr.Kusman & Lashma..
but its ok...

i got Dr. Ike &
Vetriana...
i think it's my best soca..

but not the mark...

mark that i got for microb still the highest...


This is like what i did in soca
basic science & pathophysio

WK No.5: Grave's Disease
Definition: A state of excess thyroid hormone & it is not synonymous wit hyperthyroidism which excess thyroid f(x)
Epidemiology: Up to 2% in women
Etiology:
-autoimmune disease of unknown factor
-strong familial predisposition (genetic)
-environmental factor (infection& stress)
Sign&symptoms
Sign: tremor goiter, warm& moist skin, tachycardia,& muscle weakness
Symptom: heat intolerance &sweating, palpitation, fatigue & weight loss despite of increase appetite
Complication: thyroid storm
Treatment:
-carbimazole (inhibit enzyme thyroid peroxidase so that reduce the production of thyroid hormone)
-propanolol (to reduce the tachycardia & also inhibit conversion of T4-T3)
-etc

Monday, November 09, 2009

A day Left b4 SOCA...

Posted by Dr.KesHi

Waaa....!!!
5 more cases I didn't grab....
juz 11 cases I already master...
God..

please give cases dat I already master....

after dinner I call my mom....
KesHi:ma, this tuesday SOCA
Mom:Soca?it's xm that present a case infront of Dr..?
KesHi:Aah...huhu...so afraid....
Mom:its ok...u're my only children that have a confident & brave..no matter what infront u..
KesHi:but ma...that confident already fall down coz of last soc
a..i'm fail remember??
Mom:
its ok..juz relax...u had already study...so u can do it...
KesHi:ok...thnx...bye..

Hmmm...
i'm already study...
juz now i'm already had a pre-soca wit my study group...
I got cases DM type 2..
I think i did good...
juz a little bit had to do to make it perfect...

I think I now hv more confident than last soca...
i'm study much harder & smarter than b4...

in my room..it make me more easier to remeber

but...
i'm felt i hv palpitation, tremors, & upset of stomach...
i think its symptoms of anxiety...

WK No.4: Anxiety
Definition: Generalized pervasive fear
Type:
  • Anxiety disorder(condition in which anxiety dominates patient's life or is experienced in particular situation)
  • Normal anxiety(a diffuse, unpleasant, vague sense of apprehension, often accompanied by autonomic symptom)
Sign&symptom:
  • palpitation
  • diarrhea
  • tremors
  • frequent urinate
  • restlessness
  • etc
At lower level, anxiety warns of threat of bodily damage, pain, possible punishment & frustration of social or bodily needs
there are 3 major neurotransmitter associated wit anxiety: Norepinephrine, Serotonin, & GABA..