Psychiatry… menarik jgk
wah… blog kat friendster ni dah tukarla… baru je pasan… haritu pilih warna ungu skg jd biru.. tp lawa la jgk, suka warna biru, warna langit, warna air laut….
salam sumer, hohoho mcm ada org bc je blog ni.. hahaha….
da lama tak tulis blog, hampir 4 bulan rasanya…. ke lebih? tgk2 ntah sape2 yg komen ntah.. tu sume spam je…
Alhamdulillah br abs xm psychiatry, dapat patient ?bipolar ke ?schizo? ntah la, harap2 dx aku betul…
Masa nak xm tu doa2 sgt dapat pt yg cooperative, taknak yg blunted, tup2 dapat pt manic! Flight of ideas… kena skali… mmg sgt cooperative, cakap byk, tapi byk circumstantiality, tak direct to the point, masa ada 1 jam je, encik ni ckp byk la pulak…..siap berfalsafah lagi, too cooperative pun susah jgk….
soalan2 yg ditanye oleh dr zafri:
Q: in manic patient, what is the common type of psychosis ?ANSWER: grandiose type.
Q: in bipolar, in what phase usually the patient commit suicide? ANSWER: in depressive phase….[confuse... rasanya dr uia ckp, in manic phase.....]
Q: what is the main factor that differentiate between schizo and bipolar-manic? ANSWER: the mood, bipolar is a mood disorder, schizo is abnormality in mood, thought and behaviour
Q: investigations to be done in bipolar manic with psychosis? ANSWER: RBS before start with anti-psychotic since it can cause hyperglycaemia
tips: if u cannot get the diagnosis due to lack of symptoms to fulfill the DSM-IV criteria in the HOPI, ask about symptoms in past psychiatric history, reasons for recurrent admission, what patient was on (treatment) before, MSE.
rasa kesian kat encik tu, nak citer byk, tapi nak watcamne, takde masa, 1 jam mana cukup nak dgr dia berfalsafah…. what have to be done, must be done…
