4th Year Internal Medicine

Hi , just blogging 2:30am  6th March ,


Currently i'm in my 4th year studying medicine,
Current posting  : Internal Medicine.
1 week, 1st day , Kelantan KB , HRPZII ,Tomorrow morning is our 2nd day.


Today , discussed in class :

-Pneumonia Case , that leads to Plueral Effusion.

-Respiratory Acidoses Co2 , decompensation by HC03 Carbonate

-ECG , R to R , PQRST





Note :

- Hypoperfusion to Renal can lead to increase in lactate.

- Renal Function test can check for Urea levels.


Current Personal Feeling : 

Still somehow getting the hang of medicine , clerking is my biggest fear still. Still cannot make up words and do on physical examination on time.

Given 1 hour , somehow having trouble still. Hope what i bought today was a  test pad book for  long cases , to make sure i'll be more productive and confident on what i'm doing.


Preparation to PE is in 167 days in counting!