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GRADINGS FOR OPHTHALMOLOGY

250 MARKS

50 MARKS - 10 MARKS : ESSAYS + ATTENDANCE
                - 40 MARKS : ROUND EXAM MCQ
                                   -> LIVING PATIENTS (13Q)
                                   -> PHOTO : ANTERIOR VIEW (7Q)
                                      --> LID
                                      --> CORNEA
                                      --> UVEA
                                      --> LENS
                                      --> SQUINT
                                      --> ORBIT
                                      --> OCULAR TRAUMA
                                      --> SCLERA
                                      < EACH QUESTION 2 MARKS >

125 MARKS - WRITTEN EXAM ( 10Q AND EACH QUESTION 2.5M )

75 MARKS - ORAL -> 2 DOCTORS
                          -> 40 MARKS ( ALL SUBJECTS )
                          -> 35 MARKS ( 14 CLINICAL TEST )

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BASIC LIFE SAVING

BLS : PROGRAM BASIC LIFE SAVING
BAYARAN : 120LE
TEMPOH BAYARAN : MINGGU NI HINGGA MINGGU HADAPAN


1ST GROUP : 
i)SEMUA TAHUN 4 YANG BERDAFTAR
ii)IKHWAH TAHUN 5
iii)9 ORANG PELAJAR TAHUN 3


tarikh : 14/1/2010


pada siapa-siapa yang mahu menarik diri ,sila berjumpa dengan Do'a 
( s/u Dr Nasreen)

p/s : 
cuti winter: 28/1-12/2
Hari Bertemu JPMK : 17/12/2010

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post GABOOOOM!!!

assalamualaikum wbt.. 


kawan-kawan, ni ada cerita nak bagitau.. nak tau tak? kelas kita ada buat pertandingan.. pertandingan apa ea?? 


itu kat atas tu.. post GABOOOOM!!!


Pertandingan ini akan berlangsung sepanjang semester.. belum ada tarikh tutupnya.. kami akan memilih pemenang yang bertuah dari awal penubuhan blog tahun 4 ini sampailah satu masa yang kami tetapkan.. 


pemenang yang dipilih berdasarkan ilmu-ilmu yang dikongsinya bermanfaat pada semua serta yang mendapat sambutan yang paling hangat! 


pertandingan ini terbuka kepada semua pelajar konvensional tahun 4 2010/2011
untuk menghantar sebarang post bolehlah kawan-kawan hantarkan pada email berikut:
tahuntiga2010@yahoo.com


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doctors and manners..

                                                                                                                      date : 5th December 2010


assalamualaikum wbt.. today i learnt about attitude.. well,not actually the main topic in class was about attitude.. but, what i learnt most today is about attitude..

now, we are already in our second posting which is in ophthalmology department.. the first hour, we learn as usual in a lecture.. while the next two hours are spent in the clinical round..

when the second doctor came in, Dr Amr, he brought with him three female patients who are in their late 50s.. as our previous classes, we just watched him bringing them in while busying ourselves, putting our white coat on and preparing our torchlight..

then, he gestured my friend who was sitting two seats to my right to help him ushering the patients to their seats.. i was a bit startled because he was really thinking about the patient's condition and he was really kind to them..

then, we took turns in pairs to observe each patient condition.. the first patient was aphakic.. she has posterior chamber intraocular lens (IOL) which was proved by the presence of 2 or 3 images in the pupil.. by our turn, she really felt pain in her eyes and had become irritated by the frequent exposure to light.. the second patient, her right eye was also aphakic and it also had posterior chamber IOL while on her left eye, there was senile immature nuclear cataract..

the last patient for today had senile nuclear cataract in her right eye while leukoma non adherent on her left eye.. the leukoma can be seen by naked eye which presented as white opaque spots in front of the cornea.. it was recognized as non adherent due to regular size of pupil when constricted and by the angle of the light (45') which showed that the lens did not adhere to the iris..

at the last part of our session, the doctor excused the patients and he revised with us again on the patients conditions..then, he reminded us about the importance of humility and manners..

because we are in ophthalmology center, most of the patients have some defects with their vision.. so, we should help them whenever necessary.. even when they think they don't need us, just be kind and offer our help to them.. be generous with the patient and do not hurt their feelings for they are human beings too..

when the patient feel irritated, do not force her to be examined by you because the patient who come here are volunteering for our sake.. even if they are not volunteering,if they are paid to be inspected, they are still patients who required medical care and good treatment. besides, most of them are usually old folks so we should respect them and treat them properly..

so for those who are studying to be a doctor.. don't forget to earn your self respect first by respecting others.. for we are professionals so we need to act like one..


that's all from me..thanks.=)
sirnabiela 

-ilmu didahulukan,pencapaian diutamakan-

Disease of the Eyelid

PTOSIS

DEF: Drooping of upper eyelid weakness or paralysis of the levator palpebrae superioris.

SYMPTOMS & SIGN

1. Bad cosmetic appearance of the drooping upper lid

2. Interference with vision: if pupillary area is covered -Amblyopia

3. Elevation of eyebrows & wrinkling of skin of forehead

4. Compensatory backword Head tilt -when condition is severe & bilateral

5. In marked ptosis -superior palpebral fissure is Absent

6. In paralytic ptosis -there may be partial or complete Ophthalmoplegia

CAUSES OF PTOSIS

CONGENITAL PTOSIS

* since birth & it usually hereditary or bilateral

* it may simple due to poor development or absent of levator musle

* Epicanthus,telecanthus & blepharo-phimosis -blepharo-phimosis syndrome

ACQUIRED PTOSIS

* Mechanical ptosis - due to increased weight of lid

e.g :multiple Chalazia,amyloid, hyaline degeneration

* Traumatic ptosis - mechanical effect of hge,edema,emphysema

-injury of levator ms

-traumatic scarring

* Neurogenic ptosis - levator ms paralysis due to 3rd nerve palsy

- Muller's ms paralysis due to sympathetic paralysis -as in Horner's syndrome

-Marcuss- Gunn syndrome (Jaw winking ptosis)

* Myogenic ptosis -Myasthenia Gravis

- Myotonic Dystropy

- Chronic progressive external ophthalmoplegia

* Hysterical ptosis - usually in young female with some emotional troubles

- may be unilateral or bilateral

-characterized by -trembling of ptotic lid

- behavior of patient

- no frowning of forehead

* Pseudo ptosis - due to loss of posterior support of upper lid

* Senile ptosis - primary weakness of levator ms or aponeurotic defefect

-ilmu didahulukan,pencapaian diutamakan-