I just discovered Pediatric is interesting after I left the ward after examination yesterday.
Pediatric was once down in the list of my interested topics =p
Whatever it is, I'm done with examination. Thanks to Allah for everything.
For my long case, I got a very typical and common case; a 5-month-old Malay girl in her 35th day of admission (with 1 month stay in PICU) who presented with mild grade fever, shortness of breath and cyanosis for 1 day prior to admission. No history of cough, foreign bodies ingestion and congenital heart disease. No history of intubation or assissted ventilation during admission to PICU. The mother had history of GDM during the pregnancy with controlled blood sugar level and she was born full term via emergency LSCS due to poor progress and fetal distress. On examination, the OFC was between 55th and 95th centile but the weight and length was below 3rd centile. She was active, not in respiratory distress with occasional rhonchi heard in all the lung fields. Other system examinations were unremarkable.
For my short case, I also got a typical case of spastic quadriplegic cerebral palsy in which I was asked to perfom motor system examination. A 5-year-old malay boy with microcephaly and nasogastric tube in situ was lying comfortable with abnormal posture; extension of both wrist and fisting of both hands as well as slight extension of the hip and dorsiflexion of the feet. The patient had muscle atrophy (most probably disuse atrophy) with hypertonia and hyperreflexia. However, there was no clonus and there was downgoing toes upon plantar reflexes stimulation (huhu..it should be present to indicate that there was an UMNL, but when the examiner reconfirmed it, the finding was the same as mine). There was no scissoring, but there was loss of head control and presence of trunchal hypotonia.
Alhamdulillah, everything went well.
Now, I'm looking forward for my Final Professional Examination.
25200 Kuantan
Pediatric was once down in the list of my interested topics =p
Whatever it is, I'm done with examination. Thanks to Allah for everything.
For my long case, I got a very typical and common case; a 5-month-old Malay girl in her 35th day of admission (with 1 month stay in PICU) who presented with mild grade fever, shortness of breath and cyanosis for 1 day prior to admission. No history of cough, foreign bodies ingestion and congenital heart disease. No history of intubation or assissted ventilation during admission to PICU. The mother had history of GDM during the pregnancy with controlled blood sugar level and she was born full term via emergency LSCS due to poor progress and fetal distress. On examination, the OFC was between 55th and 95th centile but the weight and length was below 3rd centile. She was active, not in respiratory distress with occasional rhonchi heard in all the lung fields. Other system examinations were unremarkable.
For my short case, I also got a typical case of spastic quadriplegic cerebral palsy in which I was asked to perfom motor system examination. A 5-year-old malay boy with microcephaly and nasogastric tube in situ was lying comfortable with abnormal posture; extension of both wrist and fisting of both hands as well as slight extension of the hip and dorsiflexion of the feet. The patient had muscle atrophy (most probably disuse atrophy) with hypertonia and hyperreflexia. However, there was no clonus and there was downgoing toes upon plantar reflexes stimulation (huhu..it should be present to indicate that there was an UMNL, but when the examiner reconfirmed it, the finding was the same as mine). There was no scissoring, but there was loss of head control and presence of trunchal hypotonia.
Alhamdulillah, everything went well.
Now, I'm looking forward for my Final Professional Examination.
25200 Kuantan
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