Friday, October 30, 2009

Special Case aku~

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ehem.aku kekok plak nk menaip neh.hahaha.sekian lame aku cm xde idea plak.tp xpe ni aku nk cite cket pasal posting kt oral medicine aku neh...

aku dpt special case semalam... hmm kes fibroma. tau x fibroma tu pe? hah g google ek.hehe.hmm lehb kurg Benign Tumor composed of fibrous or connective tissue la...
Actually makcik ni dtg sbb diye komplen gg diye sakit kt left side..tp kan pas chek2 oral cavity makcik ni.jmpe plak small growth neh..
  • well-circumscribed solitary nodular like growth,oval in shape,4x3x4mm in size, colour in whitish pink,located at da commisural area of da buccal mucosa,surrounding tissue is normal,overlying tissue is pale in colour...firm in consistency n non-tender on palpation. (begitula hendaknya examination yg ak wat)
 see the growth at da commissural area...

 
 xsakit p0n kalo kite palpate..mybe sbb benign sbb tu la xsakit...

 
 harap2 nenek ni dtg blik pas 3 ari..leh wat biopsy t...


well..makcik ni.hmm aku pnggil nenek la..sbb dah tua pon..nenek ni punyelah beriya ckp kt aku.xsakit yg 2.. diye tnjuk2 site yg sakit tuh.yg belah kiri tu sakit sbb de deep periodontal pocket...so da mnyebabkan periodontal abscess,mmg la sakit weh...so kne cabut la gg tuh..then pas complete case history aku.aku pon sent nenek tu kt department oral surgery nk wat extraction...n nk wat biopsy skali tuk fibroma tuh..

tapi xleh wat plak.sbb gg nenek tgh sakit..so kne amik ubat dlu.antibiotic bg sakit n sweeling tuh subside 1st.. de pus..klo ade pus..t da LA (local anesthetic) won't work well.so patient akan rase sakit t klo cabut gg... pastu tah hape nenek tu ckp tamil ngn aku.aku xphm2.tamil aku lum smpi diploma pon lagi weh.. aku cari translator tuk aku..rupenye diye nk ckp..cucu diye de blaja Dental Mechanic kt kolej ni.aku pon lyn lah.sbb nk minta nu ph.nk follow up case nenek ni..cari punye cari...laaaa..rupenye cucu nenek dah lame abes la nek...siannye.. nenek nk beli ubat xde duit..nk blik pon xde duit..aku sdh btol.sebak plak aku tgk nenek ni.. dye tnjuk aku 10rupi je ( 70sen je kot).. leh wat pela sgt 10 rupi tuh...ubat da la mhl..aku hulur la duit cket kt diye..au bg 50rupi..

bile duk india ni..aku betol2 insaf bile tgk org2 ssh ni..bknnye pe..kdg2 yg kaye tu melampau sgt2 kaye diye.yg miskin teruk sgt la hai..sdh aku..bygkan la.kdg2 de je bdk2 ni yg kt kolej..wat asal boleh je kt patient..mcm xde etika langsung..teruk2 sgt..mentang2lah diorg miskin..xde nye nk saman2 ke..asal bolej je diorg lyn..yg paling aku xleh blah tuh..pe lah slhny ko tukar glove bile ko nk chek patient lain..cube ko bygkan aku wat cm2 kt mulut ko..aku dah gune kt mulut nenek td aku wat kt ko plak..pikirlah cket logik.klo patient de sakit ko nk spread kan ke? pelik lah..

satu lagi kisah patient kwn aku.Igy..patient diye de Classic Multiple Periapical Abscess in Diabetic Patient.. so makcik ni kne la wat OPG (orthopanthomogram = panoromic scanning dental X-ray of the upper and lower jaw. It shows a two-dimensional view of a half-circle from ear to ear. )...harge diye je da Rp300..hmm bg dorg yg ssh..amount tu sgt byk..sdgkan klo nk mkn pon diorg xde duit...duh mmg xsmpai hati la..makcik da knl plak aku.asal nmpak muke aku je.diye gosok2 perut diye.ckp nk mkn..mmglah xsmpai ati tgk...

 hmmm yg ni kes abscess tu...


ni de satu lagi kes yg aku dpt tgk...


 provisonal diagnosis nye plasmacytoma...
tapi aku xtau la plak diagnosis sbnrnye pe...

 
 dlm OPG...leh nampak de 1 tooth look like floating kt dlm swelling tuh..

hmmm yg even teruk mane pon kolej ni..yg bestnye kt cni.aku dpt jmpe mcm2 jenis pnyakit..aku dpt ramai patient..mmg la ramai patient yg dtg cni tuh...aku de gak dpt tgk patient yg de Fibrous Dysplasia n Erythema Multiforme ( btw.EM ni klo kt oral cavity ade kt lips)...bkn sng weh nkjmpe kt msia...3rd year aku blaja teori je.n skrg aku da dpt tgk...maaflah yg dua ni aku xde plak gmbar.xsmpat nk amik plak....


p/s: well dentist ni sgt luas rupenye.dah abes posting oral medicine.huh.ODS next~



16 si gojes suke membebel:

cik eja^_^ said... [Reply]

takut nyer tgk :(

k.i.w.i said... [Reply]

hohohohohohhohho ;(

Boneka tak sakit said... [Reply]

eii! takut campur geli aku! kalau awek syk lah sikit.. pakcik ti bapak debom!!

p/s how's india haha

Teru teru bōzu(てるてる坊主) said... [Reply]

Seram gak tengok gambar ni......

bellar0ssa said... [Reply]

to cik eja,teruterubozu~sgt2 seram la..ni yg mngadap ni lagi la seram..nk kate geli.da ilang kot dlm kamus idup.haha.bau mulut org pon rase dah lali...

bellar0ssa said... [Reply]

to kiwi~amboi kamu gelak gapo.
to boneka xsakit~lol... india xde pe yg berubah...same je..kotor,bribe,annoying traffic..no one can change it..pe kate kamu jadi presiden baru.haha.

ctmah said... [Reply]

glups!cik tie tgk pn ngeri+seram+geli..huhu!intan xgeli ke?

norina hakimi said... [Reply]

best nye dpt tgk case yg variety..time nina posting oral med x de pun case menarik mcm tu..teringin nk tgk fibrous dysplasia,EM, dll...

sedihnye kisah pt intan..mmg org2 kat sini pndg sebelah mata je kat pt2 yg miskin nih..xde rasa humanity...teruk!

budak baik said... [Reply]

wohoho..
banyaknye case pelik2 ko tengok tan..
kat sini aku tengok leukoplakia je selalu..
case lain kekadang je..
tapi kalo dah balik malysia sure tak jumpe case macam tuh..
(kat malaysia mana ada org amek tobacco lagi kan?..)
ok, njoy ods.. aku baru abes ods.. lepas nih oral surgery..
malasnye nak cabut gigi..
takut darah..
hahaha..

bellar0ssa said... [Reply]

to ciktie~ hehehe,ciktie.sapelah xgelikan..tp lame2 dah lali da.dgn pelbagai bau dan rupebentuk...hehe.

to nina~hmmm itulah,de mcm2 jenis dpt tgk..kt msia xdenye kot leh jmpe..hm kdg2 kan kte bngang tol bile tgk diorg ni xtukar2 glove.tah hape2..xde etika lgsg...

to aimi~ hmmm huhu..bile aku da praktis neh.brula aku sng cket nk knl2 pape pnyakit.klo x.bace je lupe.. hmm ods.ak tgh cbuk wat dummy work RCT.pas 10 ari ni.aku oral surgery plak...

Nuriman said... [Reply]

aaaa ngeri2. dasat nye keje ko intan.

ctmah said... [Reply]

bau!glups!bau strawberi de x?hihi!xpelah.nnt gigi sakit cik tie jmpe dr intan jelah ea.tibe2 teringt kt 'kakak'.dlu dia de ckp nk watkn gigi palsu tuk nenek.huhu

bellar0ssa said... [Reply]

to iman talib~
huhuhu...harap2 kt msia.sume org lbh hygenic la weh..

bellar0ssa said... [Reply]

to ciktie~
hehehe.klo strawberi.xyah pkai mask pon snggup je lame2 ciktie.ni duh.payahla den nk ckp bau cmne tu.nk try ciktie?muahaha.hmmm..arwah dlm kenangan...=D,t intan ajar ciktie.ciktie la wat ek tuk nenek.

ctmah said... [Reply]

hoh!kalu cik tie yg wat,abesla gigi nenek.silap2 sume bentuk taring..ahahaa

bellar0ssa said... [Reply]

to ciktie~
hahaha.lawak r ciktie.agak2 kalo lah bertaring.cmne lah rupe nenek ek.tapi sng cket nk mkn kot.sume tajam je gg nye.huhu

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