just now, i watched satu rancangan kat Astro Ria..ia mamaparkan kisah 3 org pesakit yg memerlukan treatment(tx),bukan rancangan dokter2,tp rancangan ditaja oleh syarikat kecantikan..wee~ sume nye berbeza2,so, ada lah ditunjuk b4 and after the tx. sy tertarik nak komen sket, bukan komen pe pun..tp as a view from a medical student perspective,x byk pun nak share pe yg da blaja dulu (recall mimi!!)hehe..bukan pe,dulu time internal medicine posting, prof slalu ckp,nmpk je org ni present with sekian2, tros bg diagnosis..best kan?xkesah btol ke salah,but it's good to train ur brain berpusing2 tuk pk..so,i did it in this show..

The 1st  ptn has a very sensitive skin on her face. problem jugak dpt kulit muke yg putih ni,senang memerah.. rawatan yg diberikan oleh New York Skin Managemen  ialah Cooling Mask, ampoule, and mcm2 lagi..ala mcm buat facial kat spa tu..sian ptn A ni coz,dia xleh nak kua umah time panas2..asal panas je,abes merah muke,asal malu je,merah jugak,kalo nangia pe lagi kan..mmg agak teruk mke dia ...

my diagnosis : SLE..haha..sbb a very typical SLE ptn, must ve one of this criteria to diagnosis her as SLE ptn..there are 11 criteria, and mest fulfill 7 out of 11.. der,kene bukak buku kumar and clerk balik..lpe da 11 criteria tuh..ok,talking bout SLE,ive seen a ptn kat Kem Terandak..sedih sgt tgk akk tu..still young (yup,SLE attact girls btween 15-45 yo)..akk ni baru 23, ada 3 org anak.she was admitted bcz she has to do dialysis, 3 kali seminggu (der,itu plg kritikal k)..akk ni mmg xleh kua umah,abes merah muke dia..hidup dia,wa!!hanye dia sahaja yg tahu..SLE da bg complication kat dia..brain (seizure), heart (rosak valve), kidney (renal failure), muscle..tu dia complication SLE, sume ada kat akk ni..rambut dia pun da gugur banyak,tggal sket je, mcm org abes chemo plak..hem..

and yg paling sy x tahan, dia wat dialisis gne catheter (untuk connect dgn mesin dialisys tu, mst ada mende ni), can be tanam dekat tangan, or dekat leher..akk ni dia wat kat leher dulu,and mende tu terkena infection plak!!huk2...yup,anything yg masuk dlm badan kite can be easily infected..akk ni pun masuk ward sbb demam yg x kebah2..Ya Allah, berat sungguh dugaan tuk akk ni..tp sy tahu, dia mampu menggalas cabaran ni, bersama suami dgn anak2 3 org yg comel..


p/s : kene baca balik...quite common in Msia..




2nd case..B seorg malay student in Korea,balik je Msia,abes rambut gugur...ada botak sket kat atas pale..

my diagnosis? maybe dia stresss..hek3..dia pun ckp,stress study menyebabkan rambut dia gugur sket2..and maybe, i think,perubahan cuaca kot..der,bley ke cuaca menyebabkan rambut gugur?
so, dgn bantuan Yun Nam, dia wat treatment kat situ..org YN tu ckp,kelemumur dia byk tersumbat, and akar2 rambut byk rosak..huhu..pas 3 bulan,rambut dia kembali marak, and dia kembali bersemangat nak jumpe org,carik teman wanita..(tu dia yg ckp)..and skrg dia lebih berkeyakinan setelah  ada rambut balik..

p/s : org lelaki pun pentingkan rambut jgak rpenye..hem..


3rd case, a malay lady gain weight ( from 50++  to 62 kg in a few month)..she didn't really take food..tp badan dia naik mcm,sume org pon tegor r..dia malu..ok,so,  London Weight Managment pun interview dia and suh dia try..in 3 month after the tx, she lose 12 kg in 3 month!!weweitt..LWM ckp,her metabolisme lankin kurg plus she' rarely going out and do some exercise..der..

nape dia x jmp doc eh?excessive weight gain in a short time is a symptom rite?
my diagnosis : cushing's syndrome boleh..hypothyroid boleh..diabetes boleh (cbe cek sugar level and HBA1C,mana la tau dia diabetic)..kan2??PCOS pon bley..


talking bout Cushing, ive seen this twice,in the ward..sorg mak cik,n sorang abg baru kawen...very typical Cushing syndrome..moon face,buffalo hump...slalunye diabetic ptn prone to get this syndrome..bear in mind, cushing syndrome and disease are 2 different condition..dia attact kat 2 organ yg lain..
well,nak tau mende ni, order blood test for cortisol..cortisol hyper tggi,konpem r tu Cushing..


nak tau lebih lanjut, leh bukak mende ni..menarikzzzz...info sal cushing..


k la.till here..penat dah