9th Day of Elective

Today is the shortest day of my weekday elective, went back home earlier at about 2.30pm. This whole morning followed Dr. Peter Wong (Cardiologist), saw an invasive angiogram done.So, what is the non-invasive angiogram huh? He taught us how to detect blockage and stenosis. We then followed him to his office to see patients. There were a lot of patients, we need to research on DSE (Dobutamine Stress Echo), TKR (Total Knee Replacement).What is epigastric paraesthesia? Vertigo? Cozaar=losartan.It is in a group of drugs called angiotensin II receptor antagonists. It keeps blood vessels from narrowing, which lowers blood pressure and improves blood flow and helps the kidneys to eliminate extra fluid.It is used to treat high blood pressure (hypertension). It is sometimes given together with other blood pressure medications.Hyzaar=hydrochlorothiazide and losartan.Hydrochlorothiazide is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention.It is used to treat high blood pressure (hypertension) and to reduce the risk of stroke in people with hypertension.Caduet=amlodipine and atorvastatin.Atorvastatin is in a group of drugs called HMG CoA reductase inhibitors, or "statins." Atorvastatin blocks the production of cholesterol (a type of fat) in the body.Amlodipine is in a group of drugs called calcium channel blockers. Amlodipine relaxes the blood vessels, improving blood flow and making it easier for the heart to pump.
Caduet is used to treat high blood pressure (hypertension) or chest pain (angina) that occurs with high cholesterol or triglyceride levels. Trigeminal neuralgia? It is also known as tic douloureux, is a pain syndrome recognizable by the patient's history alone. The condition is characterized by pain often accompanied by a brief facial spasm or tic. Pain distribution is unilateral and follows the sensory distribution of cranial nerve V, typically radiating to the maxillary (V2) or mandibular (V3) area. At times, both distributions are affected. Lunch time spent in cafetaria with all IMU students including Elaine, esther and Joyce. After lunch, attended a X-Ray conference with all the doctors including Dr. Wong, Dr. Lei, Dr. Lim, Dr. Haruth, Dr. Loong, Dr.Bujang. Hmm...need to research on few things later...Science,physics and principle of 4 diagnostic imaging-MRI, CT scan, Ultrasound, plain X-ray, whipple's disease, SOL (Space Occupying Lesion), Sagittal Sinus thrombosis, Cholangiosarcoma. Tomorrow will be sent to Lab and x-ray department and there will be a Tumour Board Conference...

Lesson of the day:

Dr. Peter Wong's action:

Tap patient on the shoulder, lol!!!


P/s: Haih...no movie, yamcha!!!!