Tiêu đề GARIS PANDUAN MENJAWAB LONG CASE SHORT CASE ✅

GARIS PANDUAN MENJAWAB LONG CASE & SHORT CASE PROJECT X 1. Details for documentation a. Final diagnosis/Problem list b. Lecturer c. No giliran 2. Classify according to (Make sure all answers relevent to Malaysia setting) a. Topic b. Batch c. Question (Common question) with reasoning d. Extra question and answer with reasoning e. Problem list of the patient/Comorbid of particular case 3. Knowledge part (Make sure all answers relevent to Malaysia setting) a. History taking & PE i. All posting – Prof Wan Pauzi script + Prof Anas 3 mountain ii. O&G – Dr Malini script b. Management i. All posting – Prof Anas algorithm (4 boxes technique) c. General investigation & management for the topic and short notes for the problem list. d. Chronology of Management / Availability in general about the main topic of the case i. In Primary setting (KK/GP) ii. District Hospital iii. General Hospital iv. Subsequent follow up e. Investigation and management of all problem list of the patient specifically with reasoning. If case is not complete, can just put general algorithm for investigation and management i. At ED ii. At ward iii. Pre op/Before treatment iv. Intra op/During treatment v. Post op /After discharge/After treatment vi. Subsequent follow up vii. Acute concern / Acute Complaint viii. Chronic concern / Chronic complications f. Important things to know for that particular topic (Based on questions ask and common clinical practice) g. Comment on important things not to miss h. Add any other significant things for long case and short case 4. Make sure all answers relevent to Malaysia Hospital setting. State where it is available. a. Example : HIFU got in HPUNISZA. Not available in HSNZ. 5. Add any picture related to Physical Examination finding. Example : Angular stomatitis 6. Please attach any complete CWU or BST script for the particular case if you have any (Can take from CBD also) a. Make sure revise it and edit it to make suitable for Pro II 7. Tolong edit bagi kemas eh supaya semua orang senang guna untuk ulangkaji. 8. Ada apa apa tak faham tanya je Akmal. Ada apa apa problem bagitahu je aku. Kalau aku boleh tolong, aku tolong. 9. Silakan improvise secukup rasa. Jangan lupa letak reference
CLASSIFY KAN SETIAP CASE MENGIKUT KESESUAIAN. DOCUMENT BAWAH NI SEBAGAI RUJUKAN STRUCTURE. AISHAH NAJIHAH (Short Case Murmur & Prosthetic Valve) Contoh : 1. VSD 2. Prosthethic Valve 3. Mitral regurgitation Structure : 1. Approach to murmur a. Classify type of murmur b. Description of murmur 2. VSD a. History taking b. Physical Examination c. Investigation d. Management e. Common questions & answer for the topic/cumulative case f. Case g. Specific questions for the case h. Other important things 2. Prosthetic Valve a. History taking b. Physical Examination c. Investigation d. Management e. Common questions & answer for the topic/cumulative case f. Case g. Specific questions for the case h. Other important things 3. Mitral regurgitation a. History taking b. Physical Examination c. Investigation d. Management e. Common questions & answer for the topic/cumulative case f. Case g. Specific questions for the case h. Other important things *Buat mengikut kesesuaian. Improviselah secukup rasa
EXAMPLE TOPIC : ASTHMA LONG CASE & SHORT CASE HISTORY TAKING 1. 4C a. Complain b. Course (Natural History - If cannot found in book, write based on common case seen) c. Cause d. Complications 2. Systemic Review a. Exclude complications b. Exclude other diagnosis 3. Past Medical History a. Chronic Disease i. Complaint ii. Current control or status iii. Complications of disease and treatment iv. Compliance 4. Past Surgical History a. Active Complaint b. Current control or status c. Complications of disease and surgery d. Compliance to Dr recommendations 5. Social History a. Acute i. Distance from home ii. Who take care of the patient iii. Knowledge of the disease b. Chronic i. Distance from home for multiple visit ii. Who take care of the patient and ensure compliance iii. How the disease affects patient lifestyle iv. Bantuan kewangan dari mana mana jabatan PHYSICAL EXAMINATION 1. Growth a. Physical b. Mental c. Developmental 2. Nutritional Status 3. Sign of acute illness 4. Sign of chronic illness 5. Skin Colour 6. Peripheral attachment 7. Focus examination anticipated findings specific for the case a. Attach a video link for any related special test / special examination 8. GENERAL INVESTIGATION CHRONOLOGICALLY (FROM GP/KK TO GENERAL HOSPITAL) 1. Investigation to prove Provisional Diagnosis 2. Investigation to rule out Differential Diagnosis 3. Investigation to monitor progress (Baseline investigation) a. Repeat baseline to monitor progress
GENERAL MANAGEMENT CHRONOLOGICALLY (FROM GP/KK TO GENERAL HOSPITAL) 1. Optimize Lifestyle changes 2. Optimize medical treatment 3. Offer surgery 4. Palliative FOCUS TREATMENT 1. Correct diagnosis 2. Correct staging 3. Prescribe treatment 4. Observe 3 MOUNTAINS FOR ASTHMA OTHER IMPORTANT THINGS / ADDITIONAL MUST KNOW KNOWLEDGE COMMON QUESTIONS a. Provisional Diagnosis b. Points for points against c. Differential Diagnosis d. Investigation e. Management NO COMMON QUESTION SOURCE 1. Provisional Diagnosis ● Fetal movement chart should start at 28 weeks POG for all pregnant women ● Mother should noticed and count a strong fetal movement/ fetal kick as 1 “/” ● Normal fetal movement should achieve 10 movement within 12 hours. ● Patient should start count at 9am-9pm ● Advice to mother to note down by “/” for everytime movement felt until achived 10 movement within 12 h ● If the movement was not achieved by by 9pm >>> it is a sign of fetal compromised >>> immediately come to PAC. 2. Points for points against A] Fetal factor : ● Fetal sleep ● Fetal malposition ● Fetal IUGR ● Fetal anaemia ● Congenital malformation B] Maternal factor : ● Advanced maternal age ● Post term pregnancy ● GDM ● Hypertension