It's ok bro. the patient was well upon the next f/up. No point to argue further.

until the next attack....and found to have gallstones.....maybe.....

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

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.....

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Added on March 31, 2012, 2:59 pmyou have obviously not seen enough patients, and thinks all patients must follow the textbooks.....

This post has been edited by limeuu: Mar 31 2012, 02:59 PM

Perhaps. but we doctors should think of common things first :-)

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....

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Added on March 31, 2012, 3:05 pmtrust me.....gallstones are now more common than ulcers.....

and the most common cause of dyspepsia is.......fd......

This post has been edited by limeuu: Mar 31 2012, 03:06 PM

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

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Added on March 31, 2012, 3:07 pmReally? 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

see my last post....

it is not called nud anymore but fd..........

peptic ulcer is a dying disease.....

This post has been edited by limeuu: Mar 31 2012, 03:13 PM

I'm just curious, you know how a lot of malaysians suffer from 'gastric', are those FD? I always thought that they were suffering from PUD. And is FD diagnosed only after having ruled out all other pathologies causing dyspepsia?

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, as in the past, is still just as combative and abrasive.....

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....

This post has been edited by limeuu: Mar 31 2012, 08:43 PM

Sorry what does FD mean? I googled a bit.. is it Functional dyspepsia? NUD is non ulcer dyspepsia?

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.

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Added on March 31, 2012, 9:29 pmFd is functional dyspepsia.

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

if they are facts, why have doubts and want proof?.....

Sorry, forgot to put the " ". lol.

can some one enlighten me?

Just a random thing that I'm excited about, saw a patient with GBS MF variant.

go google klgoh and fd lah, like i said.....and google rome III.....

i am surprised med students and young doctors are not taught these new information.....

Rome III helped a lot =) thanks limeuu. but no, we weren't given such info during our teachings.

Can someone enlighten me on the current starting pay for housemanship and MO in msia? Including the monetary value of benefits and such..

dear medical friends,

what does per pt and chase blood means?

Full context:

1. Pt claims hit on L side. Landed on ground then head. Per pt. Denies Loc.

2. Plan: NBM, IVF, chase bloods

thank you for your help