A picture paints a 1000 words. LOL!

Join us for fun and more interesting activities on The Volgograd Times (TVT) Facebook Group here:
http://www.facebook.com/group.php?gid=47773639965

Photo credit for preview thumbnail (from Flickr):
http://flickr.com/photos/waldoj/97187153/

No, this is not talking about unfit HO or graduates who couldn’t practise (but partly about it). Amateur Transplants is out with their new album! ‘Unfit to practise’. If you all are aware with their previous hits like Eternal Clerking, London Underground and Final countdowns, remember to listen to their new album!

This time, most of the songs are short and names according to subjects. Like Paediatrics, Urology and Department of Surgery. They are the songs’ name.

Personally I like the song ‘Paediatrics’, have a look at the lyrics -

You need a little patience,
When you trying to examine a child,
It is source of such a frustration,
When you need them to keep still for a while,
They fiddle, they gargle, they giggle, they struggle, they wriggle,
No matter how many times you give them,
They’ll cryyyyyy
God knows whyyyyyyy
You must employ cunning tactics,
when you do paediatrics,
just tryyyyyy,
when you have a little patient.

Enjoy!

The article is about Professor Chua Kaw Bing of Universiti Malaya and his journey of discovering the Nipah virus in Malaysia, which had an outbreak during 1998 in malaysia causing 265 cases of encephalitis and 105 deaths within 8 months.

The first outbreak of this virus happened in a pig farm situated in Ampang, Ipoh. The government had quickly took measures and contain the area, and most experts believe that it was the mosquito-born Japanese encephalitis virus. However, Prof Chua didn’t thought the same way. There are few reasons that why he decided to investigate the matter.

First of all, the manifestation of the disease is the pigs was quite unusual. The disease also showed prevalence in male adults. Both of these points are not JE trait. Despite all the measures taken to contain the area, the disease continue to spread.

Prof Chua was the 5th people to be given the chance to discover the virus. The initial four institution decided to let him do the job. The work wasn’t easy as he need to convince a lot of people that this is probably a new virus and was officially involved in working with Nipah virus in Feb 1999. His work ultimately suggested that the virus belongs to paramyxovirus (for example those causing measles and mumps), instead of arbovirus which is transmitted by anthropods. The discovery of Nipah virus made the government changed the control measures and the outbreak was being controlled. The public thinks that the pigs may have been the reservoir host. Further research by Prof Chua identified that 2 species of fruit bats happened to be the natural reservoirs of the virus.

Editor’s note: It would be really cool if he named the virus with his name!

Picture taken from http://upload.wikimedia.org/wikipedia/en/a/a1/Henipavirus_structure.png

So, lets have a quiz.

1)

This is suitable for Year 3,4,5,6

2)

This is suitable for Year 5,6

Click to enlarge

Questions

1. ECG interpretation

2. Your management

Answers will be out on Sunday.

Year 3, 4 and 5 are most welcomed to try. This quiz is meant to educate, without participation it would be meaningless.

1. R I > R II > R III
2. R I > 15mm
3. R I + S III >25mm
4. R avL > 11mm
5. R avF > 20mm
6. Корнельский критерий R avL + S v3 > 28mm (male) , >20mm(female)
7. R v6 > R v5
8. R v5 or R v6 > R v4
9. R v5 or R v6 > 26mm
10. S v1 or S v2 > 20mm
11. Индекс соколова-лайена = R v5 or R v6 + S v1 > 35mm

Remember , 1 large box on the ECG is 10mm.

Try out some examples here , here and here

The kid is normal during examination. Do not have any kind of distress. Auscultation and percussions yeild normal results. Other examinations on other cutaneous parts of the body are unremarkable except for this lesion on his right hand. Before this, he was treated with topical antibiotic and antihistamines but is of minimal improvements. After one week, a repeat visit to the physician and further questioning revealed that they had been staying in multiple hotels during the vacation 1 week ago. The parents deny knowing any similar lesion on relatives and thsoe in contact with him.

Lesion on the right hand. Try your best to guess what is it.

Questions:

1. What’s the diagnosis?

2. What’s the treatment?

Answer will be announced on coming friday.

Question of the week:

1. What is your diagnosis based on the picture seen?

1.Guide for housemanship

2.Practical and lectures (VSMU)

3. Msia clinical practical guidelines

Foreign examination board

1. USMLE (USA)

2. MRCP (UK)

Medical council

1. MMC

2 AMC (Aus)

If you have any interesting website or information, please share it here. Information is power.

A 24-year-old man presented with a 2-day history of redness, photophobia, and blurry vision in the right eye. He reported no medical problems, similar previous episodes, fever, recent illnesses, or recent sexual contact. His vision was 20/50 in the affected right eye and 20/20 in the left eye. The pupils were equal in size and reactive, with no afferent pupillary defect. Corneal sensation was decreased in the right eye. There were no lesions on the face or eyelids.

An anterior ocular examination with the use of fluorescein stain revealed a dendritic ulcer on the cornea that was indicative of a herpes simplex virus infection. There was no surrounding infiltrate or associated inflammation of the anterior chamber. A dilated retinal examination was unremarkable.

He was treated with topical trifluridine (1%) drops, which were applied nine times a day for 1 week. The lesion resolved without any residual scarring; the patient’s vision was not compromised.