Welcome to this blog

Posted by mfk On 04 - 02 - 2009

Welcome to this blog. I hope that you will get something beneficial in this web the topic that i will post such as music, movie,medical references, meedical stuff, photography and etc. thank you for visiting this blog.

ECG -electrocardiogram

Posted by mfk On 04 - 02 - 2009

An electrocardiogram (ECG / EKG) is an electrical recording of the heart and is used in the investigation of heart disease.

10 Situasi Lelaki yang Harus Wanita Fahami

Posted by mfk On 03- 04 - 2009

Apakah situasi2 lelaki yag perempuan harus mengerti dan fahami? Ikuti maklumat lanjut mengenai perkara berkenaan dlm entry berkenaan

Delaying cataract

Posted by mfk On April - 3rd - 2009

What is cataract? How to delay it?

Medical Mnemonic - OnG PART 1

Posted by mfk On Nov - 5 - 2009

what is mnemonic? Definitions of mnemonic a device (such as a rhyme or acronym) used to aid recall of or relating to or involved the practice of aiding the memory; "mnemonic device" for this time being, let have a look at Obstetric Gynaecology Mnemonic

Showing posts with label medical. Show all posts
Showing posts with label medical. Show all posts


by :
Hussain Imam Hj Muhammad Ismail
Ng Hoong Phak
Terrence Thomas




Format: pdf
size: 5mb
download link: click here

original website: here


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Salam, 

Memang diakui, terlampau ramai doktor pelatih yang sedang berkhidmat di hospital-hospital kerajaan di seluruh negara sekarang. tak mahu menuding jari kepada mana-mana pihak, tetapi sesuatu jalan penyelesaian untuk tempoh jangka masa panjang harus difikirkan dan diwacanakan agar ia tidak menjadi semkain serius.

sebahagian dari akhbar yang mengungkap mengenai perkara itu.

Oleh S Anand Kumar
anand@bharian.com.my
2011/02/17

Hanya banyak belajar teori punca ramai doktor tidak cekap

KUALA LUMPUR: Pelajar Malaysia yang sedang mengikuti pengajian perubatan di beberapa universiti di luar negara mendedahkan mereka lebih banyak mempelajari teori, manakala latihan praktikal amat berkurangan.
Sebilangan besar komen yang diterima dalam Berita Harian Online (BH Online) berhubung isu doktor pelatih tidak cekap dan kompeten, berkata keadaan itu menyebabkan mereka tidak dapat menjalankan kemahiran klinikal secara sempurna.
“Kami tidak dibenarkan untuk menyentuh pesakit, sedangkan di Malaysia perkara itu menjadi satu keperluan untuk pelajar perubatan. Kami banyak belajar teori saja tetapi dari segi praktikal amat kurang.

“Tambahan pula Majlis Perubatan Malaysia (MMC) mewajibkan pelajar untuk melakukan praktikal mengikut negara masing-masing, maka tidak hairanlah mengapa timbul masalah ketika ‘housemanship’.

“Oleh itu, kami sangat berharap kerajaan dan MMC mengambil tindakan yang sewajarnya bagi membela nasib kami di perantauan ini,” katanya yang hanya mahu dikenali sebagai bakal doktor.

Seorang lagi pelajar yang memperkenalkan diri sebagai ‘pelajar perubatan Russia’, merayu kerajaan supaya tidak lagi menghantar pelajar tempatan ke negara itu kerana mendakwa mutu dan kualiti pembelajaran di negara itu amat rendah.
“Mereka hanya mementingkan wang... adalah tidak wajar salahkan kami seratus peratus sekiranya kami kurang cekap ketika menjalani ‘housemanship,” katanya.

Pelajar yang mahu dikenali sebagai studentmedic dalam komennya berkata, pemantauan pelajar perubatan tempatan di luar negara harus dilakukan secara berterusan dengan lebih tertumpu kepada latihan praktikal.

“Kami tidak dibenarkan membuat latihan amali di hospital di Malaysia dan pada masa sama, kami tidak dibenarkan menyentuh pesakit di negara pengajian kami atas alasan kami pelajar asing.

“Jadi bagaimana dengan hanya berbekalkan teori semata-mata tanpa praktikal sewajarnya dapat menjanjikan kemahiran klinikal yang sempurna,” katanya.

Sementara itu, seorang ibu dalam komennya mendakwa anaknya memaklumkan universiti tempatnya belajar di Russia agak ketinggalan berbanding kemajuan yang dicapai Malaysia.

Beliau mempersoalkan mengapa Majlis Amanah Rakyat (MARA) menghantar pelajar tajaannya ke negara berkenaan.

“Menurut anak saya Russia umpama 10 tahun kebelakang daripada Malaysia.

“Persoalannya mengapa pelajar yang cemerlang ini harus menerima latihan di negara yang standardnya amat rendah... saya berasa sangat simpati apabila anak saya menyuarakan kemungkinan penguasaan bahasa Inggeris mereka juga semakin berkurangan.

“Ini kerana terpaksa berkomunikasi dengan pensyarah yang tidak fasih bahasa Inggeris kerana mereka sangat bangga dengan bahasa ibunda mereka,” katanya.

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size :6.8 mb
Type : pdf format


Download : 4shared

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Format: 
Download Link: Rapidshare | 4shared

Publisher: Lippincott Williams & WilkinsNumber Of Pages: 1472 Publication Date: 2007-05-01ISBN / ASIN: 078177327X



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Format: CHM
Download Link: Rapidshare | 4shared

Publisher: McGraw-Hill MedicalNumber Of Pages: 1008Publication Date: 2007-08-05ISBN / ASIN: 0071460276Product Description:
The most concise, clinically relevant guide to common diseases and disorders of the head and neck region-updated and expanded! Conveniently organized by organ and anatomic region
Must-know medical and surgical management protocols, reinforced by a solid review of the basic underlying science Emphasis on radiology in otolaryngology.

Special “Essentials of Diagnosis” section for each disease and disorder that delivers key points at a glance. Over 500 state-of-the-art clinical photographs and line drawings. Ideal as a quick, ready-to-use clinical reviewer or as board review certification prep.



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Format: PDF
Download Link: 4shared
Publisher: Blackwell ScienceNumber Of Pages: 181Publication Date: 2002-06ISBN-10 / ASIN: 0632065060Product Description:
Sheffield Children's Hospital, UK. Updated pocket-sized quick reference discussing techniques, developments, instrumentation, and treatment protocol. Emphasizes common clinical disorders and includes acute and chronic sinusitis, conditions of the Hypopharynx, and tracheostomy. Color and halftone illustrations.



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Pre-hospital Care/First Responder

1. Information to relay to when making an emergency call (mnemonic: ETHANE)

E = Exact Location - The precise location of the incident

T = Type - The nature of the incident (trauma, non-trauma, heart atack, motor-vehicle accident), including how many vehicles, buildings etc. are involved

H = Hazards - Both present and potential (e.g., explosion, spillage of combustible materials, highly volatile hydrocarbons, chemicals, etc)

A = Access - Best route for emergency services to access the site, or obstructions and bottlenecks to avoid

N = Numbers - Numbers of Casualties, Dead and Uninjured on scene

E = Existing Emergency Services - Which services are already on scene, and which others are required - s0 as not to duplicate services, and for better utilization of services in other concurrently emergency happenings.

2. Focused History in Emergency Conditions/Trauma (mnemonic: SAMPLE)

S = signs and symptoms
A = allergies
M = medications
P = pertinent past medical history
L = last oral intake
E = events leading up to.

3. Things to look for in head-to-toe survey for trauma (mnemonic: DCAP - BTLS)

D = deformity
C = contusions
A
 = abrasions
P
 = punctures/penetrations

B
 = burns
T
 = tenderness
L
 = lacerations
S
 = swelling.


4. Signs to suspect fracture (mnemonic: DOTS)

D = Deformity
O = Open Wound
T = Tenderness
S = Swelling
Airway Management

1. The 7"P"s of Rapid Sequence Intubation

1st P = Preparation
- Prepare what?
- Prepare: Patient, Physician, Pharmacology, Proper set of Equipments
- Patient - well connected to monitors, position of table at physician's elbow when flexed 90 deg or umbilical level

- Physician - comfortable position, mask & gown-up

- Pharmacology - for induction LOAD+Scoline for paralyzing agent
(see 3rd P for description of LOAD)

- Equipments: mnemonic - MEALSSS
- M = Mask - well fitting snugly
- E = ETT (appropriate size + 1 size above and 1 size below); for children, ETT size = (age/4) + 4 or child's little finger (less accurate)
- A = Airway gadgets in case of difficult airway or failed airway, e.g. Oropharyngeal airways, surgical airways, Quicktrach, cricothyrodotomy set, LMAs
- L = Laryngoscope blade: Straight (in BM, "L"urus, therefore, Mi"L"ler), "C"urved = Ma"C"intosh; good light source
- S = Syringe to test and inflate cuff balloon of ETT
- S = Stylet
- S = Suction catheter, Yankauer catheter

2nd P = Preoxygenation
Why pre-ox?
Administer FiO2 of as near possible as to 100% for 3 minutes - for denitrogenation, washing out N2 and replace with O2, improve apneic period before desaturation happens to less than 90%

3rd P = Premedications
"LOAD" up patient; basically to reduce risk of "tight brain" and "tight lungs"

- L = Lignocaine - obtund gag reflexes, reduce risk of increased ICP
- O = Opioids - to blunt sympathetic responses
- A = Atropine - to reduce risk of bradycardia esp for children given scoline
- D = Defasciculating dose of competitive NMB - can reduce intensity of fasciculation due to scoline

4th P = Paralysis
About 45 s - 1 min for scoline; about 1 min for Rocuronioum (0.9 -1.0 mg/kg iv)
Placement/passing of ET tube

5th P = Pressure on cricoid cartilage (Protection)
Sellick maneuver - the way to do it, is BURP! on cricoid cartilage
B = Backward
U = Upward
R = Rightward
P = Pressure

Why cricoid cartilage? it is the only structure with complete ring (signet ring shaped) - to press on vertebral body of C6

6th P = Placement of ET tube
Proper laryngoscope exam to visualize glottic opening; remember the axiom: tongue is an enemy, epiglottis is a friend in laryngoscopy exam

7th P = Post -intubation care

"Confirm" tube is in:
C = Clinical exam - 5 points auscultation: Right upper & lower, left upper & lower, & epigastric region
C = Clinical by direct laryngoscopy
C = Chest X-ray
C= Carbon dioxide (End-tidal) detector
C = Condensation of Et tube from direct visualization

Keep warm, maintain BP, drugs infusions, etc


Ini ada koleksi peribadi yang berkaitan dengan OSCE samaada dari senior, sumber lain dan sebagainya.
Harap dapat membantu kepada rakan-rakan yang tiada contoh-contoh osce.
* Tidak boleh terlalu bergantung sepenuhnya kepada soalan-soalan2 dan gambar-gambar yang telah saya kumpul ini. Mungkin ada kekurangan, "Nobody Perfect and I'm Nobody". Mungkin ada sesiapa yg lain pun pun boleh berkongsi jugak..

OSCE Collection for Exam:
***password: widecoverage
minta maaf semua, tak perasan yang link ada yang bertukar2, nak cepat hari tue...
thnx shah bgtau...dah betulkan




Sumber Rujukan yang lain:
PRE-Test Collection
Lange Collection
At a glance Collection
Internal Medicine
Ophthalmology
Dermatology
A&E
O&G 
Paediatric
Surgery
Physical Examination




*doakan kejayaan saya ye...


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Clinical Ophthalmology: A Systematic Approach
Publisher:Butterworth-Heinemann | Pages:952 | 2007-05-04 | ISBN:0080449697 | PDF | 51.9 MB

CLINICAL OPHTHALMOLOGY has been a trusted reference through five editions for thousands of students and practitioners. Established as one of the world's leading ophthalmic resources it has now been updated for a new generation of readers with online materials including full text, downloadable images and self-assessment tools. These and many additional features ensure its continuing place as a leading textbook in its field.


Info
This exquisitely illustrated new edition of Sanna's atlas provides the reader with simple and efficient visual training in the evaluation and diagnosis of ear canal and middle ear pathology as seen through the otoscope. Differential diagnostic considerations are provided, and guidelines for establishing indications for surgery are given as well. Where appropriate, correlative CTs are provided; line drawings are used as well to identify structures seen in the otoscopic photographs.

A special chapter - unique to this book - concentrates on the post-surgical assessment of this area.

For the new edition, many new or improved otoscopic photographs have been added. Where appropriate, the pathology behind the otologic appearances have been provided in the form of color photographs from the operatrive situs.



2003
2nd edition
224 pp, 680 illustrations



Info
EMQs and MCQs for Medical Finals is a unique revision and study tool for Final Examination preparation. Practice questions cover a variety of key topics in both medicine and surgery, with the mixture of questions reflecting the general weighting in real exams. Comprehensive answer notes are provided for each question, explaining why a particular answer is correct and why others are not. Useful mnemonics and tips on remembering key facts help to consolidate learning.



ISBN: 978-1-4051-5707-0
336 pages
July 2007, Wiley-Blackwell


Info
This is a collection of clinical cases arranged by clinical area, emphasizing the key diagnostic features of clinical conditions as commonly presented in the short case part of the Final MB examination and the new OSCE-style exam called PACES (Practice Assessment of Clinical Examination Skills) for the MRCP examinations. Also included are likely instructions or commands expected from the examiner for each condition, and the key points which the candidate must tell the examiner.



It is a practical self-assesment text designed to help undergraduate and postgraduate candidates pass clinical examinations in general internal medicine

A wide range of clinical cases is features, each case following the same pattern:
  • the instruction to be expected from examiner
  • salient features, including history and guide to the specific examinations to be performed
  • concise diagnosis
  • question that examiner may ask with model answer
  • advance question with answer. If u can answer u are 1 step closer to pass MRCP



size : 45 mb
format : pdf

Practical paediatric

size : 63 mb
format : pdf




Nelson Essential of Paediatric Download

size : 25 mb


format : CHM





The at a Glance series is popular among medical students and junior doctors for its concise and simple approach and excellent illustrations. Each bite-sized chapter is covered in a double-page spread with colour summary diagrams on the left page and explanatory text on the right. Covering a wide range of topics, books in the at a Glanceseries are ideal as introductory subject texts or for revision purposes, and are useful throughout medical school and beyond.



Everything you need to know about Obstetrics and Gynaecology...at a Glance!
Following the familiar, easy-to-use at a Glance format, and now in full-colour, Obstetrics and Gynaecology at a Glance is an accessible introduction and revision text for medical students. Fully revised and updated to reflect changes to the content and assessment methods used by medical schools, this at a Glance provides a user-friendly overview of obstetrics and gynaecology to encapsulate all that the student needs to know.

Info
Anatomy at a Glance provides a concise and accessible introduction and revision aid to fundamental anatomy for medical and allied health students and sports science students. Following the easy-to-use at a Glance format, each topic is presented as a double-page spread with key facts accompanied by clear diagrams and illustrations encapsulating all that students need to know. 

Info:

This popular title in the at a Glance series is structured into seven sections which reflect the full range of paediatrics and the real-life presentation of children. With new material on childhood obesity, allergy and living with chronic illness, Paediatrics at a Glance reflects the changing face of modern paediatrics and now features:
  • Organisation by presenting symptom or problem, making the text highly relevant to clinical practice and problem-based learning 
  • Key points on history, examination and investigations listed with each presentation for rapid revision 
  • Expanded material on investigations, congenital abnormalities, newborn screening and immunisations 
  • Highly visual colour presentation and self-assessment case studies to make revision more rewarding

Paediatrics at a Glance is an ideal companion for anyone about to start a paediatric attachment or module and will appeal to medical students, junior doctors and GP trainees. In addition, the text will provide valuable insight for nursing students, physiotherapists and other health professionals.

Info


Following the familiar, easy-to-use at a Glance format, and now in full-colour, Surgery at a Glance is an accessible introduction and revision text for medical students. Fully revised and updated, this at a Glance provides a user-friendly overview of surgery to encapsulate all that the student needs to know.
This new edition of Surgery at a Glance:
  • Is presented in full colour format for ease of use
  • Focuses on the core principles and the important diseases appropriate to the current curriculum
  • Features extended coverage of anaesthesia and paediatric surgery
  • Divides the ‘Paediatric surgery’ chapter into two new chapters to feature infantile pyloric stenosis, intussusception and malrotation of the gut
  • Reflects the latest practice, e.g. new therapies for varicose veins resection
  • Includes more practical information in the Presentations section on specifically ward-based topics
Surgery at a Glance is an invaluable resource for all clinical medical students, junior doctors, and surgical nurses.




Info
ISBN: 978-0-632-06473-1
July 2005, Wiley-Blackwell

Ophthalmology at a Glance is a concise textbook written as part of the highly successful at a Glance series. The book follows the classic format of topics laid out in a double page spread, with clear diagrams illustrating the essential information and supporting the main text. This makes learning and understanding a topic more simple and effective.
Ophthalmology at a Glance is written to provide a straightforward and easy-to-use guide for the Ophthalmology course. The introduction includes an overview of the subject and it's sub-specialities, an outline of what exact knowledge and skills medical students need, and covers the social and occupational aspects of vision. History and Examination techniques are followed by the key detail on common problems and diseases. 
The book is divided into 13 sections covering:
  • Principles of ophthalmology 
  • Ophthalmic History and Examination 
  • Correction of Refractive errors 
  • Basic Eye Examination 
  • Acute ophthalmology 
  • Gradual loss of vision 
  • Paediatric ophthalmology 
  • Eyelid, lacrimal and orbit 
  • External eye disease 
  • Corneal, refractive and cataract surgery 
  • Glaucoma 
  • Vitreo-retinal 
  • Neuro-ophthalmology

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