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 CALLING ALL MEDICAL STUDENTS! V2, medical student chat+info center

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raul88
post Aug 4 2011, 04:44 AM

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list 4 features of malignant hypertension.

1.___________________________
2.___________________________
3.___________________________
4.___________________________
cckkpr
post Aug 4 2011, 09:11 AM

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QUOTE(md.azlan23 @ Jul 30 2011, 04:01 PM)
Hi folks, I have few doubts to ask you fellas tongue.gif

I'm planning to take up medicine at an IPTS medical school. It's only the 3rd year of commencement so yet to be recognized by MMC and listed under IMED. Attended the interview and currently waiting for the announcement. I'm having few doubts about USMLE.

(1). Is it advisable to sit for Step 1 of USMLE at the end of 2nd year of medical school?

(2). Is it practical for Malaysian IPTS graduate to sit for USMLE to become an IMG with the hope getting a residency in the States? What are the odd?

(3). Errr....any alternative to United States Clinical Experience (USCE) ?

(4). When we should start prepare for USMLE?

Kindly advice.


Added on July 30, 2011, 4:08 pm

I heard that it might due o some licensing fiasco with the previous Perak government. Their programme is not advertised in their web. It will cost about RM293K-RM310K depending whether your want thier hostel or not.

Lecturers will shipped in from India, not sure about the quality, intake's in September.
*
What would happen again with the imminent change of the Perak Gomen again in the coming GE13?

Maybe another flip flop?

I personally think to avoid being caught in another fiasco.

raul88
post Aug 4 2011, 03:02 PM

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hi

can someone help me

urinalysis...
what parameter has higher predictive value of urinary tract infections?
nitrite or wbc?

thank you in advance.
onelove89
post Aug 5 2011, 06:19 AM

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QUOTE(raul88 @ Aug 4 2011, 03:02 PM)
hi

can someone help me

urinalysis...
what parameter has higher predictive value of urinary tract infections?
nitrite or wbc?

thank you in advance.
*
My renal lectures are a few weeks later x.x but I'll be going for WBC as a main detection that there's something going on? prob culture/serology/stain the urine for any suspected bacts?
MBBS siang
post Aug 8 2011, 02:05 AM

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QUOTE(onelove89 @ Aug 5 2011, 07:19 AM)
My renal lectures are a few weeks later x.x but I'll be going for WBC as a main detection that there's something going on? prob culture/serology/stain the urine for any suspected bacts?
*
I think it's depends on type of microorganism...if the pathogen is bacteria normally presented with WBC cast in the urine....Nitrite is due to present of pseudomonas aeruginosa with nitrase which can convert the nitrate to nitrite...or even direct detection of bacteria in the urine.....

This post has been edited by MBBS siang: Aug 8 2011, 02:14 AM
onelove89
post Aug 8 2011, 09:40 PM

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QUOTE(MBBS siang @ Aug 8 2011, 02:05 AM)
I think it's depends on type of microorganism...if the pathogen is bacteria normally presented with WBC cast in the urine....Nitrite is due to present of pseudomonas aeruginosa with nitrase which can convert the nitrate to nitrite...or even direct detection of bacteria in the urine.....
*
Again, I'm not sure as I haven't really go into renal yet. I don't think it's confined to P.aeruginosa, many G+ve and -ve can do the same thing too. I read somewhere that nitrite testing has high specificity and low sensitivity? so thats why I'm saying WBC has a higher predictive value for UTI. I've not heard about P.aeruginosa being a common UTI source, probably nosocomial? E.Coli would be more common in community I think. (seniors/doctors help pls =D)
MBBS siang
post Aug 9 2011, 01:12 AM

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smile.gif pseudomonas is the most common bacteria for nosocomial UTI....

This post has been edited by MBBS siang: Aug 9 2011, 01:16 AM
limeuu
post Aug 9 2011, 11:37 AM

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QUOTE(MBBS siang @ Aug 9 2011, 01:12 AM)
smile.gif pseudomonas is the most common bacteria for nosocomial UTI....
*
that is incorrect.......what are they teaching you?!

the microbial spectrum of nosocomial uti will vary from hospital to hospitals and region/country to region/country......but e.coli, klebsiella, enterococcus and candida consistently will be at the top of the lists......and pseodomonas somewhere down the list......
MBBS siang
post Aug 9 2011, 04:27 PM

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QUOTE(limeuu @ Aug 9 2011, 12:37 PM)
that is incorrect.......what are they teaching you?!

the microbial spectrum of nosocomial uti will vary from hospital to hospitals and region/country to region/country......but e.coli, klebsiella, enterococcus and candida consistently will be at the top of the lists......and pseodomonas somewhere down the list......
*
Oh I see....because during urinary system...my lecturer list pseudomonas as one of the commonest causative agent as nosocomial UTI....her name is DR rosni...."Pseudomonas aeruginosa,Disease: common cause of cystitis and pyelonephritis; higher incidence in hospital and nursing home patients,Epidemiology: one of the most common nosocomial pathogen" I quote this from my lecture notes.....

Limeuu...I'm entering clinical years....so far as what I know something I had learned from pre-clinical years is actually not that correct as the statement I made above is a proof...is there any advice to me during my clinical attachment because I really want to be a competent doctor in future but not a killer......To be honest I learned quite a lot from this forum....

This post has been edited by MBBS siang: Aug 9 2011, 04:38 PM
tqeh
post Aug 9 2011, 07:08 PM

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QUOTE(MBBS siang @ Aug 9 2011, 09:27 PM)
Oh I see....because during urinary system...my lecturer list pseudomonas as one of the commonest causative agent as nosocomial UTI....her name is DR rosni...."Pseudomonas aeruginosa,Disease: common cause of cystitis and pyelonephritis; higher incidence in hospital and nursing home patients,Epidemiology: one of the most common nosocomial pathogen" I quote this from my lecture notes.....

Limeuu...I'm entering clinical years....so far as what I know something I had learned from pre-clinical years is actually not that correct as the statement I made above is a proof...is there any advice to me during my clinical attachment because I really want to be a competent doctor in future but not a killer......To be honest I learned quite a lot from this forum....
*
i rmb during my pre-clinical years the answer would always be pseudomonas lol for nosocomial infection
wgy589
post Aug 9 2011, 07:16 PM

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there are 4 main types of nosomial infections, ie UTI, pneumonia, bacteremia and wound infections. Pseudomonas is more for pneumonia. limeuu is right with the organisms.

http://www.ncbi.nlm.nih.gov/pubmed/20625622
http://www.ncbi.nlm.nih.gov/pubmed/8129347


Added on August 9, 2011, 7:21 pm
QUOTE(MBBS siang @ Aug 8 2011, 02:05 AM)
I think it's depends on type of microorganism...if the pathogen is bacteria normally presented with WBC cast in the urine....Nitrite is due to present of pseudomonas aeruginosa with nitrase which can convert the nitrate to nitrite...or even direct detection of bacteria in the urine.....
*
The biochemical reaction that is detected by the nitrite test is associated with members of the family Enterobacteriaceae (the pathogens most commonly responsible for UTIs), but the usefulness of the test is limited because nitrite production is not associated with urinary-tract pathogens such as S. saprophyticus, Pseudomonas species, or enterococci .

http://cid.oxfordjournals.org/content/38/8/1150.long

Pappas PG et al. Laboratory in the diagnosis and management of urinary tract infections. Med Clin N Amer 1991;75:313-25.

This post has been edited by wgy589: Aug 9 2011, 09:43 PM
wgy589
post Aug 9 2011, 09:37 PM

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QUOTE(raul88 @ Aug 4 2011, 03:02 PM)
hi

can someone help me

urinalysis...
what parameter has higher predictive value of urinary tract infections?
nitrite or wbc?

thank you in advance.
*
check out this table, for paediatric group though.
no time to find other sources, will update here if manage to.

This post has been edited by wgy589: Aug 9 2011, 09:40 PM


Attached File(s)
Attached File  UTI_tests.ppt ( 659k ) Number of downloads: 8
Medico
post Aug 18 2011, 10:17 AM

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Hi guys, need your advise here. I'm an IMU student, choosing my PMS very soon so I need to know something about specialty training.

1)Specialties(say cardiology) are offered by Universities or Hospitals?
2)What do they take in account when I apply for a specialty i.e my MBBS grades or any research achievements?
3)Is it harder to cross country(if I graduate from Aus and decided I want to go UK for my specialty training instead)

I know it may seem funny for me to think of that so early but I think it really affects my PMS choice a lot, so I need some advise from you guys. thanks!
limeuu
post Aug 18 2011, 10:37 AM

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QUOTE(Medico @ Aug 18 2011, 10:17 AM)
Hi guys, need your advise here. I'm an IMU student, choosing my PMS very soon so I need to know something about specialty training.

1)Specialties(say cardiology) are offered by Universities or Hospitals?
2)What do they take in account when I apply for a specialty i.e my MBBS grades or any research achievements?
3)Is it harder to cross country(if I graduate from Aus and decided I want to go UK for my specialty training instead)

I know it may seem funny for me to think of that so early but I think it really affects my PMS choice a lot, so I need some advise from you guys. thanks!
*
i am more worried that after 4+ semesters at imu, you have to ask these questions.....because there are (and should be) resources at imu to answer all these......and really, by sem 5, a medical students should know how postgraduate is conducted in the medical world......

and it is way too early to think about postgraduate..........concentrate on getting through med school first.....

as for choosing pms, decide based on which country you like, the cost implications, and finally, it's the luck of the draw.....getting to oz is very difficult now, as there are so few undergraduate places left.......so the bulk of people are going to end up in uk.........
piring
post Aug 18 2011, 03:00 PM

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wa waa~ never thought got a thread just for medics~ reporting in from USM Kubang Kerian! biggrin.gif biggrin.gif biggrin.gif
cckkpr
post Aug 26 2011, 05:45 PM

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Masterskill has just announced to Bursa Malaysia today on the increase in intake from 50 to 100 students for the first batch.

I thought the gomen has freeze the increase in intake of students in medic colleges to monitor quality.

Hmm....sometimes who you are and who you know is important.

Apa apa pun boleh, ! Malaysia!
limeuu
post Aug 26 2011, 06:49 PM

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QUOTE(cckkpr @ Aug 26 2011, 05:45 PM)
Masterskill has just announced to Bursa Malaysia today on the increase in intake from 50 to 100 students for the first batch.

I thought the gomen has freeze the increase in intake of students in medic colleges to monitor quality.

Hmm....sometimes who you are and who you know is important.

Apa apa pun boleh, ! Malaysia!
*
the freeze is on any NEW programmes, but licences already given will continue, as will increase of intake as ans when set requirements are met.........i think there are still a couple of licences outstanding.....we need not have any new med school for the next 100 years..........
cckkpr
post Aug 26 2011, 08:43 PM

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QUOTE(limeuu @ Aug 26 2011, 06:49 PM)
the freeze is on any NEW programmes, but licences already given will continue, as will increase of intake as ans when set requirements are met.........i think there are still a couple of licences outstanding.....we need not have any new med school for the next 100 years..........
*
If it doesnt apply to existing quotas, it wont make any sense. Worse still, you can even increase first year quotas!
zstan
post Aug 26 2011, 08:47 PM

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Why not? As long as you have your first batch graduated and enough teaching staff and fat cables.
limeuu
post Aug 26 2011, 11:25 PM

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QUOTE(cckkpr @ Aug 26 2011, 08:43 PM)
If it doesnt apply to existing quotas, it wont make any sense. Worse still, you can even increase first year quotas!
*
in a way, it like closing the barn door after the horses have bolted.........yes....

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