Monthly Archives: March 2012

Old book


This is my daddys book.
One fine day, when i was back at home, i had the urge to ask daddy

“can you teach me ECG?”

So instead of literally teaching me, he gave me his old book.

( i guess that indirectly means… DONT BE LAZY TO READ ON YOUR OWN.LOL)

” read this..its a good book. You can read it overnight. I even memorized it back then.”

In one night??
I guess there was a big gap between me and daddy as a medical student…because this CLEARLY shows that i am relatively lazy compared to daddy( relatively?? Oh come onn… Just say lazier.hahah)

I still remembered how daddy used to say that by the time he was a third year student he was running around chasing medical officers . He was practically like a doctor already!!!


This is an old book but its available in stores but in a new version of course. I have the new version. But my preference goes to my dads old book.its simpler and easier to read, and you acquire this odd feeling as if you are travelling backward in time and imagining what was dad like when he was a student?

So yes, its a dad didnt come from a wealthy and rich family. He earned his scholarship by working hard. In those days, it wasnt easy to get a scholarship. He always reminded me how determined he was to become a doctor. He studied really hard and didnt have much time to enjoy( COMPLETE OPPOSITE).

And perhaps, if i cant be exactly as determined as daddy, at least ill have to do this with all my heart.
I will
I can
I will!!



Loss of consciousness in DM

This is a question that one of my friends got for osce.
Lets discuss it briefly,
What are other causes of loss of consciousness in patients with DM?

In notes and books, its the usual DKA, hypoglycemia, stroke.

Ok.but then what else?? When we read this up in our notes have we really took some time to think what else can affect a DM PATIENT’S CONSCIOUSNESS?

Most probably no. And that , my dear ,is a problem. Because when medic is merely about memorizing its a me it is.

Lets try to think outside the box. Hmmm DM PATIENTS.. So?? Is it only possible for his loss of consciousness to root from his disease? He’s like any human being anything that may rip off our consciousness may do the same to these patients.

In some notes, are written answers like trauma, meningitis, encephalits, etc
Basically anything that may make him lose consciousness even though it may not be directly related to his diabetic state.
Hmm. What if he has diabetic nephropathy? Can his deteriorating kidney affect his condition?? Take for example.. Uremic encephalopathy? Or if his heart is affected which ends by cardiogenic shock? or if he has a concurrent hypertension which leads to heart failure, he could probably suffer complication due to that.or possibly hypertensive encephalopathy? There are so many causes you can think of.

I dont know whether this is right or wrong.but ill go into the depths of the deatils regarding this matter afterwards.its just something to incite my thoughts.


i have just finished osce.. it was not perfect… as usual.but i am happy. alhamdulillah..i made it through… i was so happy because although i cant get the murmur at first , but i heard the 3rd heart sound.the doctor said i heard the difficult part but not hearing the murmur..and i was the only one who heard it so far that day!! i was happy just by that fact. and i did pretty well on the others. its funny to see the different kind of personalities examining me. some dont even care how you examine.. some dont even look at you..some are so friendly and nice…some helped a lot..

btw im so happy to be listening to s3. this is a drive for me to study harder and become a cardiologist. it aint easy, nor it looks possible at this moment, but i know i can do it, with allahs will. so this holiday i wanna study the things i think i lack of. i know its a joke to study during the holidays, but i really want to and i hope i will because i am so enthusiastic of becoming a doctor. i want to this with all my hearts content. and of course… please always always renew your intention…

i did well not merely because of my hard work, but it is with Allahs will. 🙂



goodluck. just do your best… no regrets . doa usaha tawakkal…


skip skip

students who keep on skipping classes gets on my nerve. thats very irresponsible of them!! not once , or twice,but more than that!!

first you are irresponsible because as a sponsored student, this is our come to class, focus and learn.

secondly, you are irresponsible towards your future patients! any missed facts may hurt your patients…or it could probably cost them their lives!!!!

and of course… your responsibility towards Allah… remember your purpose as a khalifah on earth….

lets renew our intention. itqan fil amal lillahitaala!!

remember, procrastination steals what you can never get back… stop squandering our precious time and churn out benefit of our every second borrowed to us!!

pulmonary embolism

if pulmonary embolism causes pulmonary infarction, hempotysis may accompany.

my professor just told me this afternoon that hemoptysis is a problem, not so much because we fear of a hemodynamic instability but rather it is due to the fact that blood in the respiratory tract has to find its way and only way out through the trachea( which is relatively narrow as its surface area is the narrowest compared to the lower airways) .and by that we fear that the patients lung may be soaked with blood which consequently leads to suffocation.

regarding the atrial fibrillation caused by pulmonary embolism, both can lead to each other , and knowing which initiates first needs further investigation. AF here is a new-onset , hence put PE as a DDX if this happens. in my opinion, since RECURRENT PE presents with little clinical signs and symptoms, if you discover an unknown cause of AF, consider PE in your diagnosis before diagnosing LONE AF.

professors tips: when examining for the upper mediastinum(trachea) ,place your finger in the suprasternal notch and set it as a landmark instead of blindly moving right and left.

i personally seldom imagine this when i think of the pulmonary circulation. lets stick this in our heads with glue gajah



The bronchial arteries supply blood to the bronchi and connective tissue of the lungs. They travel with and branch with the bronchi, ending about at the level of the respiratory bronchioles. They anastomose with the branches of the pulmonary arteries, and together, they supply the visceral pleura of the lung in the process.
Note that much of the blood supplied by the bronchial arteries is returned via the pulmonary veins rather than the bronchial veins.
Each bronchial artery also has a branch that supplies the esophagus.

remember the lung has dual blood supply!!!! from the pulmonary arteries and bronchial arteries.

bronchial arteries !!!

i just read the discussion part ONLY.haha.

interesting! bronchial arteries…. you are more than what meets a medical students eyes. subhanallah!


p/s: no need to guess. im in indeed in chest department now. yehu!


i am in chest department now.yoohoo





know your lobes please.
the doctor asked what was learnt 4 years ago!!!!!

the lower lobes for both rt and lt has 5 mini lobes: apical ,post,ant,lat, med.

mediastinum is a SPACE NOT A STRUCTURE!

The most common malignancies that cause SVCS is bronchogenic carcinoma.

i am insufficient

when you are in medicine school.

always have the notion that you are not getting enough knowledge. you need more and more and you never get satisfied.

akin to a hungry vampire longing for blood( uuooooouu scary metaphore)

you are insufficient and you will never be. ( you are human, remember?? )
learning is a never ending process.

the knowledge you get is only a fraction of tonnes of knowledge in this field of medicine.
and the knowledge there is ,here on earth is incomparable with that of ALLAH’s

but yes, here you are seeking light for allah’s sake.
dont ever get tired.
this is a journey that only ends in heaven.









these collected pics to make my imagine better about the position. and related and possible complications.

just for laughs