Special Case aku~

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~