Tuesday, November 30, 2010

Tanda-tanda Lemah Iman dan cara untuk mengatasi

Tanda-tanda Lemah Iman

1. Terus menerus melakukan dosa dan tidak merasa bersalah
2. Berhati keras dan tidak berminat untuk membaca Al-Qur'an
3. Berlambat-lambat dalam melakukan kebaikan, seperti terlambat untuk melakukan shalat
4. Meninggalkan sunnah
5. Memiliki suasana hati yang goyah, seperti bosan dalam kebaikan dan sering gelisah
6. Tidak merasakan apapun ketika mendengarkan ayat Al-Qur'an dibacakan, seperti ketika Allah mengingatkan tentang hukumanNya dan janji-janjiNya tentang kabar baik.
7. Kesulitan dalam berdzikir dan mengingat Allah
8. Tidak merasa risau ketika keadaan berjalan bertentangan dengan syari'ah
9. Menginginkan jabatan dan kekayaan
10. Kikir dan bakhil, tidak mau membagi rezeki yang dikaruniakan oleh Allah
11. Memerintahkan orang lain untuk berbuat kebaikan, sementara dirinya sendiri tidak melakukannya.
12. Merasa senang ketika urusan orang lain tidak berjalan semestinya
13. Hanya memperhatikan yang halal dan yang haram, dan tidak menghindari yang makruh
14. Mengolok-olok orang yang berbuat kebaikan kecil, seperti membersihkan masjid
15. Tidak mau memperhatikan kondisi kaum muslimin
16. Tidak merasa bertanggung jawab untuk melakukan sesuatu demi kemajuan Islam
17. Tidak mampu menerima musibah yang menimpanya, seperti menangis dan meratap-ratap di kuburan
18. Suka membantah, hanya untuk berbantah-bantahan, tanpa memiliki bukti
19. Merasa asyik dan sangat tertarik dengan dunia, kehidupn duniawi, seperti merasa resah hanya ketika kehilangan sesuatu materi kebendaan
20. Merasa asyik (ujub) dan terobsesi pada diri sendiri


Hal-hal berikut dapat meningkatkan keimanan kita:

1. Tilawah Al-Qur'an dan mentadabburi maknanya, hening dan dengan suara yang lembut tidak tinggi, maka Insya Allah hati kita akan lembut. Untuk mendapatkan keuntungan yang optimal, yakinkan bahwa Allah sedang berbicara dengan kita.
2. Menyadari keagungan Allah. Segala sesuatu berada dalam kekuasaannya. Banyak hal di sekitar kita yang kita lihat, yang menunjukkan keagunganNya kepada kita. Segala sesuatu terjadi sesuai dengan kehendakNya. Allah maha menjaga dan memperhatikan segala sesuatu, bahkan seekor semut hitam yang bersembunyi di balik batu hitam dalam kepekatan malam sekalipun.
3. Berusaha menambah pengetahuan, setidaknya hal-hal dasar yang dilakukan dalam kehidupan sehari-hari, seperti cara berwudlu dengan benar. Mengetahui arti dari nama-nama dan sifat-sifat Allah, orang-orang yang bertakwa adalah mereka yang berilmu.
4. Menghadiri majelis-majelis dzikir yang mengingat Allah. Malaikat mengelilingi majels-majelis seperti itu.
5. Selalu menambah perbuatan baik. Sebuah perbuatan baik akan mengantarkan kepada perbuatan baik lainnya. Allah akan memudahkan jalan bagi seseorang yang bershadaqah dan juga memudahkan jalan bagi orang-orang yang berbuat kebaikan. Amal-amal kebaikan harus dilakukan secara kontinyu.
6. Merasa takut kepada akhir hayat yang buruk. Mengingat kematian akan mengingatkan kita dari terlena terhadap kesenangan dunia.
7. Mengingat fase-fase kehidupan akhirat, fase ketika kita diletakkan dalam kubut, fase ketika kita diadili, fase ketika kita dihadapkan pada dua kemungkinan, akan berakhir di surga, atau neraka.
8. Berdo'a, menyadari bahwa kita membutuhkan Allah. Merasa kecil di hadapan Allah.
9. Cinta kita kepada Allah Subhanahu wa Ta'ala harus kita tunjukkan dalam aksi. Kita harus berharap semoga Allah berkenan menerima shalat-shalat kita, dan
senantiasa merasa takut akan melakukan kesalahan. Malam hari sebelum tidur, seyogyanya kita bermuhasabah, memperhitungkan perbuatan kita sepanjang
hari itu.
10. Menyadari akibat dari berbuat dosa dan pelanggaran. Iman seseorang akan bertambah dengan melakukan kebaikan, dan menurun dengan melakukan
perbuatan buruk.
11. Semua yang terjadi adalah karena Allah menghendaki hal itu terjadi. Ketika musibah menimpa kita, itupun dari Allah.



Semoga ada sesuatu yang dapat diambil di sini, untuk kita praktikkan dalam kehidupan seharian insyaAllah~

sumber: dudung.net

LATEST SCHEDULE


schedule for opthalmology

( click to view )


( click to view )

schedule for community medicine for December 2010

( click to view )

by ~BeInIsNeIn~
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Wednesday, November 24, 2010

Penyelarasan hari mengundi untuk semua course

Assalamualaikum

Minta semua maklum hari mengundi untuk semua course dah diselaraskan
ke tarikh 26 Nov, Jumaat
kat Dewan Baru PCM.
Jom turun mengundi!


Tuesday, November 23, 2010

COME! COME!


  This event is held annually to boost motivation levels among the students of our university.
  so don't forget to come and do ask all your friends to tag along too! =)

-ilmu didahulukan,pencapaian diutamakan-

Tuesday, November 9, 2010

tracheostomy

Assalamualaikum to all my friends n anyone who read this post.i hope all of u are in excellent conditions physically n spiritually as well.i would like to seek an apology from all u guys bcoz this week post for ENT is a little bit late..for this entry I want to bring up to you some important surgical knowledge we should know at least as a 4th year under graduate student n most importantly as a future doctors insyaAllah..it is the TRACHEOSTOMY.This surgery have NO CONTRAINDICATION.

Tracheostomy is a live saving technique and the most important approach in any obstruction of the airways.this technique is applied for almost all cases OF airways obstruction.

Definition: artificial opening of i cervical trachea.

Indication: 1.Lower airway obstruction

2.Upper airway obstruction

A. LOWER AIRWAY OBSTRUCTION.this patient facing one of these problem:

Aspiration

a.bilateral adductor paralysis

b.absent of cough reflex(protective function of the larynx).the patient cant expel the secretion.the secretion will flow back to I lung. Ie; the patient drowning in his own secretion.

Notes:larynx will protect the airway by closure of ventricle fold n vocal fold.this is the main mechanism of I larynx to protect the lower airways.

Patient with absent of cough reflex 1) comatous

2)paralysis of respiratory muscles

3)multiple ribs fracture

B.UPPER AIRWAY OBSTRUCTION ( trachea,larynx,supralaryngeal)

Tracheal obstruction; in the neck:enlarged goiter,malignant goiter

In the chest:retrosternal goiter,enlarged mediastinal glands

Laryngeal obstruction-congenital,traumatic,inflammation,neoplastic,etc..

Supralaryngeal-haryngeal carcinoma,very big nasopharyngeal fibroma.glossitis

*I just mention some examples

This is the least you must know about tracheostomy to perform the operation: Surgical anatomy

- The trachea is situated exactly a tthe midline,but maybe displaced to one side by an enlarged lobe of the thyroid or by cervical gland.

- Trachea more superficial at the upper end.it pass downward n backward.so at the manubrium it is deep.

- About 7-8 cartilaginous rings

- In child mote the following’; neck is shorter,larynx is higher,trachea is more superficial, the thyroid isthmus usually cover 3rd n 4th rings

Types of tracheostomy:

1.HIGH: in emergency n malignancy

2.Low: tracheal stenosis/tumor/multiple papillomatosis in children.

3.MID:mostly tracheostomy done in mid position.

Every doctor should know how to do tracheostomy.We maybe found in a situation desperately calling for it.for instance a patient in severe stridor n about to suffocate..you can read further in the text book from page 244 till 249.I think it is not neccesarry for me to write all the contents..what important is, I just want to highlight ” how important it is”.

This is a true story from my own collection. last week I go to the OT n dr HAZEM EMANN( the one who teach us tracheostomy) ask about it,I answer nothing except silentness..3 others doctors are there n just looking at me. Then dr said, “ I feel very sad bcoz I learn u nothing,you can leave everything on this chapter except tracheostomy.” .At that time I fell like the whole world is falling on me. OH HO HO HO HO..terrible,terrible,terrible..

B4 I finish this entry..i want to share something ..something that make us wiser person if we understand..something that make the world really a heaven..something that cheer up our heart..something that every muslims should understand..

4 hal yg membuat hidup menjadi sulit,perasaan menjadi tertekan dan dada terasa sempit:

1.Tidak menerima qadha’ dan qadar

2.membuat maksiat tanpa disertai dgn taubat

3.irihati dan hasad dengki

4.berpaling dari Allah.Naudzubillah..

KULLU ‘AM WA ANTUM BI KHOIR

Selamat berpuasa & menyambut AidilAdha :)

collection of collection

Collections that collected during lecture..if u find anything not compatible with what u wrote or what dr said,just tell me. will not take it personally..sharing is caring.(arrangement is in order of “rojak style) :)
True membrane(3)
-strep pharyngitis
Scarlet fever
Acute tonsillitis
False membrane(5)
Diphtheria
Vincent’s angina
Inf.mononucleasis
Agranulocytosis n acute leukemia
Chronic hyperthrophic tonsillitis ( the inflamation will show the same color with surrounding mucosa).have 5 types.how to differentiate it clinically:
-catarrhal-red
-follicular-red +pus( appear as yellow spot)
-parenchymatous-red + enlarged
-membranous-red membrane( the membrane make the appearance like coalesce together)
Snoring-dt upper supralaryngeal obstruction during sleeping
Stretor-same with snoring but during awake.bcoz theI soft palate closed I airway
Stridor-difficult noisy breathing dt laryngeal cause( ins) n upper trachea n subglotic(exp)
Wheeze_noisy breathing dt lower airway obstruction(exp) eg bronchi,bronchiolect
Angiofibroma; characteristic-recurrent severe epistaxis
-exclusive in male,if female get this dse,check the chromosom
-teen agers dse
-origin at the sphenopalatine foramen n get bl supply from
maxillary a.
Pulsating ear discharge:
Extradural abcess
Pulsating tumor in ME
Small or high perforation(pus under tension n in adequate drainage)
Acute OM on top of chronic OM
False –ve fistula test(it is false bcoz the fistula is actually there but it is negative when we do the test).the patient will not have nystagmus..subtopic otitic labyrinthis.
Dead labyrinth
Very small fistula
Massive cholesteatoma( closing the fistula)
Obstructed EAC by wax
Vertigo without SNHL
Benign paroxysmal positional vertigo(BPPV)
Vestibular neuritis
SNHL without vertigo
Congenital vertigo(vertigo not develop untLi after the 1st year of life)
Senile detoriation(presbycusis)
Cochlear toxic drug
Noise trauma(juz effect the cochlea,the vestibular is preserve)
**short note about SNHL
Sudden SNHL loss associated with viral or vascular origin can be treat medically.
Little patient with SNHL can become normal again by medical treatment.There is no surgical correction of SNHL ,just rehabilitation.SNHL only rehabilitated by hearing aid(HA) eg:cochlear implant.
Attention! This 2 items depend only the clinical picture of the dse.there is no test or radiological evaluation for this 2 dse:
1Patient experience vertigo for seconds on specific condition. -BPPV
2) Vertigo last for days/weeks.not related to head position but vertigo will increase with the increased of head movement-à vestibular neuritis
Bell’s phenomena
Rolling up of the globe to be protected by the upper lid(in case of facial nerve paralysia)
-dahsyatkan potensi dirimu raih prestasi luar biasa-

PROSES PEMILIHAN AJKT-AJKT BARU PCM SESI 2010/2011 !!!

Monday, November 8, 2010

MAWAR 2010




MAWAR 2010 buat julung kalinya diadakan di Mansurah!!!

Adapun ia bukanlah pesta bunga~

Tetapi majlis makan2 Adha pada hari raya ke-3 nanti(18/11), dilangsungkan serentak bersama jamuan walimah beberapa sahabat2 yang bakal atau telah melangsungkan perkahwinan... (alhamdulillah...)

Jadi kepada sahabat2 sekelas semua yang baik hati~
(kita sedia maklum semuanya pemurah2 belaka...)

Sesiapa yang ingin menyumbangkan daging korban atau sumbangan kewangan untuk MAWAR 10 ni, sila hubungi wakil tempahan korban PCM secepat mungkin:
adli jihad : 011-4721781
syazwani jani : 011-4721772
atau AMMAR B ABD KHALIL : 011 2667269
NOR SYAZWANA BT SA’ADON : 011 9162976



p/s: sempena MAWAR 2010 ni,jawatankuasa majlis ingin memohon kerjasama seluruh warga Mansurah untuk meminjamkan peralatan-peralatan yang berkaitan bagi tujuan melancarkan lagi acara penyembelihan dan masakan pada tahun ini. Berikut adalah senarai barang yang diperlukan:
PISAU, PAPAN PEMOTONG, TALAM BESAR, SENDUK, BESEN BESAR DAN KECIL, BALDI, KAPAK, MOP, PELOCOK, PENARIK AIR(WIPER), TONG AIR.
JANGAN RISAU, JANGAN RAGU!! insyaAllah peralatan anda akan dipulangkan dalam keadaan yang baik dan jika terdapat kerosakan , barang-barang tersebut akan diganti. AJK ADHA akan memulakan operasi mengumpul barang pada 11hb Nov ini. Moga pengorbanan kita yg sedkit ini mendapat ganjaran di sisi Allah s.w.t. Jzkk -pesanan unit Peralatan ADHA '10-

-ilmu didahulukan,pencapaian diutamakan-

HARGA TERBARU BINATANG KORBAN!!

BERITA BAIK UNTUK SEMUA!!!

ANDA ADA NIAT UNTUK MENEMPAH,TETAPI KEKURANGAN KEWANGAN?

JANGAN BIMBANG~ ALHAMDULILLAH, PIHAK ADHA '10 BERJAYA MENCARI BINATANG KORBAN DENGAN HARGA LEBIH RENDAH...

MAKA TUNGGU APA LAGI? HUBUNGI WAKIL2 YANG TERTERA UNTUK TEMPAHAN SEKARANG!




p/s: Anda juga boleh berkongsi duit sesama sendiri, tapi nanti wakil niat atas nama sorang je takpe. daging tu nanti bahagi2 sama rata antara satu sama lain la,ikut persetujuan... Tapi kalau nak derma semua untuk majlis makan2 pun dialu-alukan =) ~


-ilmu didahulukan,pencapaian diutamakan-

Sunday, November 7, 2010

MAKLUMAN PERUBAHAN TARIKH ASAL MTC KALI KE-4

ASSALAMUALAIKUM,

PERHATIAN, kepada mahasiswa/wi sains kesihatan universiti Mansurah sekalian..

A) MESYUARAT TAHUNAN CAWANGAN kali ke-4 (MTC 4) akan ditunda pada
26 NOVEMBER 2010.


B) HARI PENCALONAN dan PENGUNDIAN AJK PCM SESI 2010/2011 akan diiklankan dalam masa terdekat.Sila rujuk ke blog JPCMANSURAH http://jpcmansurah.blogspot.com/


C) Urusan PENDAFTARAN dan PEMBAYARAN YURAN ahli PCM perlu dijelaskan sebelum hari pencalonan

1) MUHAMMAD FAKHRURAZI BIN MUHAMMAD IDRIS
( ashirramadhan@yahoo.com 0116787886 )

2) NOR RADZIAH BINTI MOHD SALLEH
( radziah_salleh@yahoo.com 0147754522 )



D) Penghantaran USUL BERTULIS dibuka sekarang hingga 18 NOVEMBER 2010 kepada :

1) MUJAHID SABRI B MOHD
( moss_sabri@yahoo.com.my , 0112679031)

2) QATRUNNADA BINTI MOHAMAD FARID
( littlegrin45@yahoo.com , 0161879406).



“ILMUAN BERBAKTI , TEGUH SEHATI”
‘AT-TAQWA, AS-SYIFA’, AR-RAHMAH’

Disediakan oleh Jabatan Setiausaha PCM 2009/2010

Deleted From Commed..




salam alyk..below are the ones deleted from commed syllibus. 
Do take note ok!


( click to view )

provided by ~BeInIsNeIn~


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Saturday, November 6, 2010

Wednesday, November 3, 2010

ADHA '10



SALAM

insyaAllah ni harga baru untuk haiwan sembelihan

BERMINAT??? Hubungi wakil berkenaan!

Meh kempen!
1 rumah 1 bahagian ke
1 syari' 1 bahagian boleh
1 orang 3 bahagian lagila dialu-alukan~



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Monday, November 1, 2010

A glance of OT experience

Patient’s History
Name: Tasneem
Age: 4 Years Old
Diagnose: Chronic Tonsillitis (Bilateral)
Operation: Tonsillectomy (perform by Dr.Ahmad)
Time: 12.30-1.45 pm, 30 Oct 2010


Patient’s been given general anesthesia. Usually there’re 4 technique performed, but the commonly used is dissection. The other 3 are Guillotine, Laser Dissection or cryptolysis and Cryosurgery.

Only three main things were done by Dr Ahmad and of course, the operation shouldn‘t take much time. But due to his generosity, we (3rd Group)stand for almost one and half our observing and questioning this and that, what and why, bla3… After the patient was fully unconscious (in supine position), the mouth was maintained open by Davis-Boyle mouth gag (seriously guys, this gag is scary! with rusty look, we do think it’s one of the instrument use in SAW movie~) Then the incision of the pillar which involve mucosa only and lastly, dissect the tonsils and ligate the blood vessels. This was when we saw Dr Ahmad was kind of struggling since the child’s mouth space was so narrow and the tonsils were quite deep. But he managed to do them well, though the MO-in-charged of anesthetic that day was pushing him to hurry and the Senior MO also kept telling that he was wasting time doing a small operation. Pressure!

What’s the most important were the complications that need to be handled after the surgery. Still remember the 6 things? Anesthesia, haemorrhage, trauma, infection, pulmonary and miscellaneous. But what’s the most important was hemostasis, stop the bleeding once the operation was finished. 3 types of haemorrhage might occur: primary, reactionary and secondary. Primary might occur during operation, due to any blood vessel injury but still can be managed by ligating it. The reactionary happened within 24hours, caused by the sudden elevation of the BP after recovery from anesthesia. And the secondary was the dangerous one. Why? Because it usually happened within week post-op, due to wound infection and the patient might need to be re-operated and other complication need to be monitored also.

The other one thing that made us felt a bit awkward was when the anesthetic tried to make the child woke up after the surgery. One of us do ask why the doctor was like using violence to the child? (she got ‘beaten’ at the chest, pinched on face and also the tonsil part where the surgery’s been made!) He answered that it’s a way of making painful stimulation so the patient woke up naturally, and the team can monitor her BP (which can cause reactionary haemorrhage), O2 saturation, or any cardiac manifestations that may persist post-op. And all of us then…OOoooooo~

Seriously, it’s fun playing in the OT! It really feels differ, when you read word by word in the book, compared to the situation when you get real experience from the doctor in the lecture or OT. When we were given chances that were not given before, why don’t we grab this chance, instead of let others go and watch all by themselves? Everybody deserve the same knowledge, be competitive, and share our experience together here!


*some of our colleague make advanced move,go to O&G, and experienced to see a normal and caeserian delivery. Care to share?=)



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