Introduction

This is my first posting untuk memulakan sesi terbaru Fasa III tahun 4 medical kat USM. its a lil bit tough as kitorang x pernah diexpose dari segi Klinikal (Physical examination) kat Paeds patient nih. By the way, paediatric patient encompassed of patient yang berumur 0 - 4 weeks (Neonates), less than 1 year (infant), 1-2 years (toddler), 2-5 years (young child), school age and teenager

And here in USM, Log book untuk Paediatric xlah se-stress posting department laen (e.g Surgery), requirement pun agak basic je and depends with masing2 punya supervisor. Untuk 4th year med student, korang akan diassign ke 3 team = 6 Selatan - Team A (Neuro, Nephro and GI) and Day-care, Team B (Respi, CVS) and Infectious team, and Team NICU (kat ward NICU and 6U)

Untuk buku pulak, I recommend buku "Handbook of Hospital Paediatrics" or "Paediatrics Protocol" (local author) and buku Nelson Paediatrics (Tebal punya). I wouldn't recommend buku "Illustrated Textbook of Paediatrics" aka Sunflower cause penerangan xdetail langsung (cuba bayangkan penerangan Acute Renal Failure 1 paragraph je tulis....)




Untuk tips pulak, if possible, cover all patient in your respective team. Exam akan ada MCQ and long-case (exam posting) . Untuk long case, patient akan diambil dari ward 6 U dan 6 S sahaja. most of us dapat common case like AGE, Febrile Fits, Bronchiolitis dan Pneumonia, tapi ada gak dapat case relapse SLE, complex Cyanotic Congenital Heart Disease and AML.


So, kesimpulannya, korang pergi clerk satu patient, let say Pneumonia, then balik baca all about Pneumonia from definition up to the management. kira tengok patient then balik baca about the patient, macam tu je, InsyaAllah boleh ok dah untuk exam. Drug doses xpayah nak hafal unless common drugs cam Prednisolone for Nephrotic dll