Nabil Azhar
@nabilazzharBut tomorrow, the sun will rise. And, as will I.
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Bismillah. Hari ini kita akan belajar basic interpretation for ECG. Basic ni wajib semua medical student kena tahu at least before terjun sebagai HO. I got it from my honorable lecturers, doctors & MEDICORP, so why not share the knowledge, right? Let's go.. #NotaNabil
Cases during my latest oncall: - Acute kidney injury with advanced CKD progression - Stroke, stroke, stroke, stroke - APO, APO, APO, APO - AEBA, AEBA, AEBA, AEBA - Diabetic emergencies (DKA, HHS) - Severe hyponatremia (Na 98) 🥺 - Fever of unknown origin, cover for Meliodosis
Alhamdulillah, 2 referral medical saja sepanjang malam. Wad pun no issues. Colleagues lain pun sedap lena semalaman. 1 admit wad. 1 lagi tibai ke gynae sebab post chemo under gynae onco. Wishing for everyday like this. If only la. 😂
Sweep the tongue to the left. 👅 Slowly (don't rush) advance the blade with your left hand until you see the tip of the epiglottis. 👀 Then, lift UP, UP & AWAY. ⬆️⬆️ Keep your elbows in ✅️ Keep your back straight ✅️ Rotate the wrist ❌️ Use teeth as fulcrum ❌️
Indication for Intubation ⚠️ The following are signs that a patient may require intubation, which is the process of inserting a respiratory tube into the respiratory tract and assisting their breathing with a ventilator machine. Sharing one of the important inputs from ALS.
Those who overclaim suka guna result begini claim Creatinine drop drpd 209 ➡️ 77. Kidney deteriorate in 2 ways, ACUTE or CHRONIC. Baseline Creatinine last year: 80 Upon this admission, rise up to 209. On proper hydration, renal improving. Does he need RM14k for reverse CKD?
The CT scan shows bleeding in the thalamus with intraventricular extension. The patient woke up unresponsive after throwing up. He's not been taking their blood pressure medication regularly. Thalamic bleeding is usually a result of poorly controlled long-standing hypertension.
One of the main focuses in Advanced Life Support (ALS) is the appropriate response protocol for patients who have lost consciousness. ALS is entirely different from Basic Life Support (BLS). However, if BLS is not performed first, the chances of mortality will be high.
Oncall Drs 👨⚕️ ➡️ 0800H-1700H Oncall started. Cover shift ward/clinic as usual, at the same time receive referral from outside/ED. ➡️ 1700H-0800H Cover alone, actively receive referral overnight. ➡️ 0800H-1700H Again, cover shift ward/clinic. For 24H, you get ~RM200
Pukul 4 pagi dapat call drpd wad: "Dr, ada patient bed 3 cakap nadi dia takda." Baik, kak. Saya terus ke sana. Eh. Patient cakap nadi dia takda? Eh? 😅 Call balik. Akak, patient cakap nadi dia takda??? "Oh, patient tu mengadu tapak BCF dia takda nadi." Aduh, kak. 🥲
When I'm in a rush: "Kindly do the needful. Thank you!" ❌️ When I'm in a good mood: "We would be grateful if you could attend this case and render him/her your expertise. Your management is much appreciated. Warm regards from us." ✅️
There are 2 kinds of renal injury. Acute and chronic one. In an acute (acute kidney injury), yes there is a chance. But, I had never seen anyone in chronic stage 4 already returns back to normal. It's either maintain, slow progress or become worsen approaching end stage.
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