Monday, November 10, 2003
The patient presents.
Subject is a 19year old chinese girl. Presents with cold clammy palms, unsteady gait, dilated pupils and pale skin. Does not respond when called.
Vital Stats
Blood pressure = 110/85 mmHG
Pulse rate = 130 beats/ min
Breathing rate = 18 /min
temperature = 37 degrees
Mental state examination: appears to be unaware of current affairs and seems unaware of surroundings.. keeps murmering something about abdominal viscera.
Abdominal examination = normal
Cardiovascular = normal
musculo skeletal = normal
History:
Patient seems unable to recall her name or her details. COmes into the clinic holding a wad of notes and a pathology textbook. Tells you that she spent 24/7 in the basement of a building called brownless.
CLinical Diagnosis = Exam fever.
seems surreal? Well, it's reality. THe examination rears is ugly head. It's been more than a month since I have taken up almost permanent residence in the library. The amount of information seems endless. My fren in singapore was chatting with me on ICq and he was like.. how are you enjoying life? We're dying over here in NUS med. Well, xcuuuuuuse me, what do i look like i'm on? A holiday in honolulu?
THe pile of information to commit to memory is absurdly enormous. One moment I recall it and the next, it's just filtered right through like a glomerulus subjected to Ig A nephropathy. Yez. just flushed right out. 3 hours paper today and my brain is absolutely fried. I was so freaked out when i saw the paper. It was incredibly stiff. I was shaking by the time i read the 1st few short answer questions. Groan. at this rate, i'm gonna screw so badly probably have to take subs in singapore. and no.. i don't mean subway.
Management goals:
to help patient comprehend that she should not cross the road when teh lights are red.
the help patient remember her name
The exams need to be over. NOW
Subject is a 19year old chinese girl. Presents with cold clammy palms, unsteady gait, dilated pupils and pale skin. Does not respond when called.
Vital Stats
Blood pressure = 110/85 mmHG
Pulse rate = 130 beats/ min
Breathing rate = 18 /min
temperature = 37 degrees
Mental state examination: appears to be unaware of current affairs and seems unaware of surroundings.. keeps murmering something about abdominal viscera.
Abdominal examination = normal
Cardiovascular = normal
musculo skeletal = normal
History:
Patient seems unable to recall her name or her details. COmes into the clinic holding a wad of notes and a pathology textbook. Tells you that she spent 24/7 in the basement of a building called brownless.
CLinical Diagnosis = Exam fever.
seems surreal? Well, it's reality. THe examination rears is ugly head. It's been more than a month since I have taken up almost permanent residence in the library. The amount of information seems endless. My fren in singapore was chatting with me on ICq and he was like.. how are you enjoying life? We're dying over here in NUS med. Well, xcuuuuuuse me, what do i look like i'm on? A holiday in honolulu?
THe pile of information to commit to memory is absurdly enormous. One moment I recall it and the next, it's just filtered right through like a glomerulus subjected to Ig A nephropathy. Yez. just flushed right out. 3 hours paper today and my brain is absolutely fried. I was so freaked out when i saw the paper. It was incredibly stiff. I was shaking by the time i read the 1st few short answer questions. Groan. at this rate, i'm gonna screw so badly probably have to take subs in singapore. and no.. i don't mean subway.
Management goals:
to help patient comprehend that she should not cross the road when teh lights are red.
the help patient remember her name
The exams need to be over. NOW
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