saya bercadang nak buat kompilasi input drp wad round Dr has. So kawan2 yang tau, leh je edit post ni dan tambah je input yang ada..
Ni drp kami yang ikut wad round malam on call.
Warning sign of dengue :
- Abdominal pain or tenderness
- Persistent vomiting
- Clinical fluid accumulation (pleural effusion/ascites)
- Mucosal bleed
- Restlessness or lethargy
- Liver enlargement > 2 cm
- Laboratory: Increase in HCT concurrent with rapid decrease in platelet.
Hep B
- HBsAg (surface antigen) is present from 1-6 months after exposure
- HBsAg persist for more 6 months indicates carrier status
- HBcAg indicates past infection
- HBeAg (e antigen) is present 1 1/2 - 3 months indicates highly infective state.
medical group
1 comments:
tambah ckit ye
polycythemia
1) Absolute
a) primary - polycythemia rubra vera
b) secondary - compensatory
- hypoxia - coad
- increased erythropoietin - lung ca
2) Relative - plasma volume contraction
i.e. dehydration
Hepatosplenomegaly
+ palpable lymph node
1) lymphoproliferative
a) multiple myeloma
b) lymphoma
+ anemia
2) myeloproliferative
a) aml
b) cml
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