I see this.. I think bout Doug.
Happy Birthday Dude!
and I see this.. 
and this...
and this.. st.basilica reward for those who bump in here.
and i see this.. I think bout Shyang..
Happy Graduation. Have a Breakaway dude!
and thiss...for the Greenie.Pea.com 
There You Go..
Signed in Blood - Dodo Montague.
I can`t get over the thought about something
happen in the ward few weeks ago.
The setting was my groupmate and I was
clerking a patient, a seventies old woman
with an epigastric pain.
Groupmate: What`s your complain?
Patient: I have epigastric pain
and I passed dark stool....etc etc etc..
Groupmate: What was your blood pressure
while you admitted?
Patient: .....???
Groupmate again: Do you have leukocyctosis?
Patient again: ....???!~?@#@#???
Groupmate ask again: Do you have anemia??
Patient again .....??!?~!?~!???
I simply classify these as a low class question
particularly to the patient.
If this old lady can answer your question,
she might not need your help anymore.
and of course, Yes!
You may say European are much more educated than
those in Malaysia, simply because they know
what are they suffering, they write down their BP everyday
and they know what medication prescribed to them.
We ask for symptoms, But we look for signs.
It`s different.
Because it is professional.
aetiology : EBV
nonpainful white plaque along the lateral tongue borders. The appearance may change daily. The natural history of hairy leukoplakia is variable. Lesions may frequently appear and disappear spontaneously. Hairy leukoplakia is often asymptomatic, and many patients are unaware of its presence.
What to Post?
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..
...
....
.....
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Happy Chinese New Year Everyone.
This patient presented with acute cholecystitis, as confirmed at imaging. His pain resolved over a few days, but mildly elevated bilirubin levels persisted. Image obtained during ERCP shows smooth narrowing of the bile duct (arrow) at the site of insertion of the cystic duct (Mirizzi syndrome). Note the small calculus in the cystic duct. Courtesy of Dr. Ali Nawaz Khan.
Classification:
Type I - No fistula present
Type IA - Presence of the cystic duct
Type IB - Obliteration of the cystic duct
Types II-IV - Fistula present
Type II - Defect smaller than 33% of the CBD diameter
Type III - Defect 33-66% of the CBD diameter
Type IV - Defect larger than 66% of the CBD diameter
