Thursday, October 14, 2010

An Early Arrival

Rohani, 30, 2 past pregnancies in the past, currently 3rd pregnancy

Occupation=work in paddy field, strenous, under hot sun.

Cone biopsy in the past because of cervical carcinoma in situ. Increased frequency, T=38C

Urinalysis=positive for blood and UTI.

Membrane intact, 2cm dilated. 30th week of pregnancy.

Ddx=Pre-term labour, UTI?

Diagnosis=Pre-term labour.

Causes of preterm labour?
=multiple pregnancies, infection, drugs, stress, low SES(malnutrition etc), cone biopsy.




Definition, Causes, Epid :Kaarthik

Signs and Symptoms : Pik Yin

Normal physiology of labour : Huey Ting, Jun Beng


Causes of pre-term labour :Fuad



Management of pre-term labour, pre-term neonatal care(APGAR Score, normal scores for heart rate, Oxygen saturation, RR, Pa02) : Kee Hao, Mona

Prognosis of baby delivered 30/40
complications of baby(10 weeks early:respiratory, cranial haemorrhage, T regulation and mother
Breastfeeding complications, Respiratory Distress Syndrome : Prish, Shakir, Ewe Jin


Psychosocial and cultural issues
involving mother and preterm baby, family support : Rui Wan

Thursday, October 7, 2010

PCL 10 - Waterworks

Symptoms:
Nocturia
Urgency
Dribbling

Diff Dx:
Benign Prostatic Hyperplasia (most likely la ha.)
Prostate Cancer
Bladder Cancer

Learning Issues:
Definition for BPH, Prevalence, Incidence, Types (How common are these symptoms in the population) -Mona

Signs and Symptoms (IPSS - Internation prostate symptom score) - Prish

Anatomy of the Prostate, Pathophysio (What is BPH compared to prostate cancer?) - Fuad, Huey Ting

Causes - Ewe jin

Diagnosis and investigation (What are you likely to find through DRE?; Diagnostic accruacy of DRE ; Characteristics that indicate BPH or malignancy; What happens if the test is positive, negative, or inconclusive? ; investigation for BPH and prostate cancer; reliability of available tests; PSA; Biopsy complications) - Alex, Karthik, Jun Beng

Management (consider risk and benefits.) - Pik Yin

Prognosis and complications - Shakir

Psychosocial and cultural issues (Why was Marzuki embarrassed to admit his problem?) - Kee Hao