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

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hypermax
post Mar 31 2012, 02:37 PM

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QUOTE(godofwar13 @ Mar 31 2012, 02:33 PM)
It still isn't, as far as I know. My friends are looking at alternative means of accreditation. In fact, even singaporeans who are in IMU cannot enter US/Canadian PMS because the SMC doesn't recognize partial degrees from theses countries.
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The only way for them to get recognized is to get recognized postgrad degree like mrcp or mrcs. I have a few seniors gained smc recognition via this route, and they are already praticing as specialist in singapore.
hypermax
post Mar 31 2012, 02:42 PM

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QUOTE(limeuu @ Mar 31 2012, 02:35 PM)
it of course matters, as the imu mbbs is NOT recognised by smc.........


Added on March 31, 2012, 2:36 pm
that is not entirely inappropriate.....surely it depends on the CAUSE of the symptom...? biggrin.gif
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Hmmm, burning pain at epigatrium, aggravated upon food intake, and you are telling me it is not entirely inappropriate to give voltaren?

btw as a practising surgeon as u claimed to be, u should know one of the most common cause of epigastric pain is gastritis.


Added on March 31, 2012, 2:46 pm
QUOTE(CyberSetan @ Mar 31 2012, 02:40 PM)
How old was she? perhaps some DD of epigastric pain is in order?  laugh.gif
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No. it was at klinik kesihatan setting. Also patient has hx of irregular food intake. patient came back 2 days later with worsening of pain. Syp mmt was given stat and pain was partially relieved. pt was discharged with ranitidine 150mg bd

This post has been edited by hypermax: Mar 31 2012, 02:46 PM
hypermax
post Mar 31 2012, 02:50 PM

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QUOTE(limeuu @ Mar 31 2012, 02:46 PM)
i can see that that belligerence when challenged has not changed...... smile.gif

the comment still stands with the updated history..... smile.gif
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It's ok bro. the patient was well upon the next f/up. No point to argue further.
hypermax
post Mar 31 2012, 02:54 PM

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QUOTE(limeuu @ Mar 31 2012, 02:51 PM)
until the next attack....and found to have gallstones.....maybe..... biggrin.gif
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Pain for cholelithiasis is usually upon oily food intake, and it usually not of burning sensation. and definitely, not relieved by mmt or ranitidine.

Cheers

btw, i am really surprised that u think is gallstone even though i mentioned burning sensation. hmmm.

This post has been edited by hypermax: Mar 31 2012, 02:58 PM
hypermax
post Mar 31 2012, 03:02 PM

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QUOTE(limeuu @ Mar 31 2012, 02:58 PM)
that bit of history so popular amongst med students and doctors and patients alike, is of no aetiological or clinical relevance to dyspepsia of stomach origin..... biggrin.gif


Added on March 31, 2012, 2:59 pm
you have obviously not seen enough patients, and thinks all patients must follow the textbooks..... biggrin.gif
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Perhaps. but we doctors should think of common things first :-)
hypermax
post Mar 31 2012, 03:06 PM

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QUOTE(limeuu @ Mar 31 2012, 03:03 PM)
never mind lah....

i am just pulling legs here.....and to caution against dogma in medical practice....it is NOT as simple as the textbooks, i promise you.... smile.gif
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No prob. i am aware that doctors read text books, but diseases do not. Thus there will be atypical presentation for many things.

Thx for ur advice though. cheers


Added on March 31, 2012, 3:07 pm
QUOTE(limeuu @ Mar 31 2012, 03:03 PM)
never mind lah....

i am just pulling legs here.....and to caution against dogma in medical practice....it is NOT as simple as the textbooks, i promise you.... smile.gif


Added on March 31, 2012, 3:05 pm
trust me.....gallstones are now more common than ulcers..... biggrin.gif
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Really? even among malaysians? can share some sources of this claim? thx.

Btw, is gallstone more common than non-ulcer dyspepsia?

This post has been edited by hypermax: Mar 31 2012, 03:09 PM
hypermax
post Mar 31 2012, 07:46 PM

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I am still waiting for sources for limeu's claims. i am doubtful as well.

in addition, cholelithiasis is mostly asymptomatic, and those with symptoms are relatively few.
hypermax
post Mar 31 2012, 09:28 PM

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QUOTE(limeuu @ Mar 31 2012, 08:23 PM)
hypermax, as in the past, is still just as combative and abrasive..... smile.gif

a few years of clinical practise has not tempered the attitude, unfortunately.....if this is the same in real life, like i said in the past, there is going to be problem in teamworking.....

what i have stated are facts....i don't have to prove anything.....if you don't believe, don't.....if you want to know the facts, go google the subject lah....there are lots out there.....if you want a local picture, google klgoh's papers and articles.....don't expect to be spoon fed....smile.gif
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Combative and abrasive? really?

Seriously bro,i really think u are overtly sensitive. i didnt deny ur facts. i merely have doubts and i was only asking for proof. It's the same when giving cme or writing research paper. u have to back up ur claims with evidence. u dun just say "trust me, i know it best" right?

Anyway, i think u are the one who cant stand being challenged. true story bro.


Added on March 31, 2012, 9:29 pm
QUOTE(zstan @ Mar 31 2012, 09:16 PM)
Sorry what does FD mean? I googled a bit.. is it Functional dyspepsia? NUD is non ulcer dyspepsia?
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Fd is functional dyspepsia.

This post has been edited by hypermax: Mar 31 2012, 09:29 PM
hypermax
post Mar 31 2012, 09:40 PM

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QUOTE(limeuu @ Mar 31 2012, 09:37 PM)
if they are facts, why have doubts and want proof?..... biggrin.gif
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Sorry, forgot to put the " ". lol.

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