To all doctors and medical students here, do a preliminary diagnosis on this:







- Explain your diagnosis.


Here is another clue, i wont spoil the diagnosis yet, the picture below is taken before the pictures above, what can you see?


This post has been edited by CyberSetan: May 30 2009, 02:49 AM

Can anyone list down procedures(step by step) and the documents needed for registration of medical grads with the government?

Foreign grads lack such information.

Here is MMC for you: http://mmc.gov.my/v1/index.php?option=com_...id=21&Itemid=46

All relevant information for med grad registration can be found there.

...by the way, where is Limeuu?

I was expecting him to give a spot diagnosis or at least some comments on the medical condition seen in the pictures I presented.

Is it me or what?

I cant enter that MMC site. Even before I posted my enquiry in lowyat.net.

Hhmm..

STPM is harder than IMU medicine. Truth.

In other universities, though, that might differ.

He stopped posting ever since someone claimed he spent too much time on this topic. Suffice to say, he won't be posting very often here now.

My interest in these threads in education essentials will be restricted to extra-clinical matters....for actual clinical discussion, i will leave it to the rest of you.......there are some very sarcastic and abrasive forumers around, and i think it is best i minimise triggers for reactions..........

i dont think its venous ulcer...tho it has a lipodermatosclerosis and atrophie blanche....its too deep for venous ulcer...

1st pic...i think its eating under the subcut tissues right into the fascia...so my bet is on necrotising fasciitis..

**add....its purulent discharge...so i thought that might be some infection....but then again...it all has to come down to the patient's history, swab M+C, onset and medical condition**

This post has been edited by bhypp: May 26 2009, 12:40 PM

I think the Dx is necrotizing fasciitis/soft tissue necrosis. I would be more confident in this Dx if the patient's history involved a history of trauma, and the wound is rapidly progressive.

Could someone explain to me how would u deduce there was a lipodermatosclerosis? just because the skin was darker than usual?

I dont think this is a venous ulcer. His leg doesnt look swollen. The ulcer is way too deep and extensive. On his foot there were several dark patches, my guess is there's bacteria eating from the inside (hence again, i dont think this is a venous ulcer).

Anyway, a house surgeon couldnt make such diagnosis. I would refer it to the orthopaedic/vascular team. I THINK chances are he needs an ABA.

Limeuu, i saw your post for lovestory a few months back. It was about making a choice for his medical education.

I'm from IMU, doing my 4th year in Auckland.

Before i enrolled to med school, everyone tells me that all med schools are the same, hence, why not you finish it locally, then u specialize overseas, you save money, you have more time with family. No one tells me that it was a TOTAL MISCONCEPTION, not until i have entered medical school myself, i realized there was no such thing as "specialize in overseas", there was no "tuition fees" for "specialist training", there was no such thing, all are bull shits. All you need to do is to get into a training program, and you are safe.

I was told that I could work overseas with a local medical degree. I was told that PMC is recognized worldwide. I was told that as long as I could pass the entrance exam for GMC AMC or whatever MC is that, I would be able to work over there. No one tells me the reality is way too complex than that. Was it because I did not do my research properly? or because I did not ask the right person?
I do realize that a lot of medical students/ wannabe medical students do not know much about the real concept of working overseas/ specializing. Hence they made wrong choices, ended up in a place they dont want to be in.

Would you introduce yourself limeuu? Just to get a rough idea about how senior are you lol.

Others, any opinions?

just wana share this here.

http://www.malaysiakini.com/letters/105132

the best part of the letter:


Question for the day: why are medical graduates from 1st world medical universities given positive generalizations, while those from Russia have a disproportionate number of horror stories, published in mediums as varied to blogs to the mainstream press?

Well because it make the story interesting isn't it? And Russia or other post-Soviet countries are already become a stigma to be ridicule.

Anyway, Russia do produce some good graduate but the problem lies in consistency. While other university like in UK or USA could produce doctor who are good enough, Russia and ROMANIA for example may not be as good as other part in the world. Not to say Russia is not good but when bribery/donation play a part in examination, you know something is wrong here.

Turning it around. We know opportunities for medical education are far more limited in country like Indonesia so the competition for places would be even more severe than UK. So would a Indonesian doctor better better than a UK doctor on medical knowledge?

China also have very competitive placing but I think its not depend as much on the person but the equipment, lecturer and method of teaching.

hmm good read, but i seriously dont know why the author is so judgemental, people do change and if they change from a conservative person into a person who's fond of skimpy clothing and weekend flings...that's their choice...

cheating in exams n copying peers' work instead of coming up with one's own is very common in uni...so is wriggling thru the system with lies (for those ponteng-ed classes) n etc....but i think it would be the working world that would be the judge...i hav no problems if one's not a hardworking student but yet is a competent doctor...that author is just bitter...

This is not some cutting edge research project so while those you mentioned will have an effect, but I reckon it is nothing significant for a basic 1st degree in medicine.

The author is indeed judgmental about the skimpy clothing and family diginity etc.

But bhypp I guess you dont know how severe the offense of cheating and plagiarism is in overseas universities, it is almost considered as a unforgivable offense that would eventually lead to someone being expelled. THERE SHOULD BE NO CHEATING IN EXAM IN A MEDICAL SCHOOL. A working world as a judge means that someone would have to die/suffer from his treatment/management/choice of medication before he or she is labeled as incompetent. What happened when a doctor does not know beta blocker is contraindicated in asthmatic patients? Chances are he'll kill the patient. Why? he didnt really study during his med school.

You can ponteng class, you can copy school work, but if you cheat in your final exam and shed tears for a pass, it's too much.

This post has been edited by cygoh9: May 28 2009, 06:23 PM

agree.......

bhypp, i am VERY dissappointed with your attitude.......most unbecoming of a potential future doctor.....

Yeah I agree Medicine is more on reading and memorizing than technique but I think that's the reason UK/USA got the edge.

but this don't apply in India since even when their equipment is not like in other country, their graduate is frinkin genius like become a president in some medicine faculty in USA and such. This apply to elite medschool in India though (Maulana Azad etc.)

i know i sounded harsh but i've seen my share of med students getting away like that...making up lies, ponteng classes, forging signatures n etc...i just thought that no matter how ppl will always find flaws in the system n exploit it....abit cynical i suppose...but not bitter coz i think at the end of the day....if one could be a good doctor...that's good enough....doesn't matter if one cheated or ponteng-ed in med skool...altho most ppl with attitude like this are gonna be bad doctors...but then again...who are we to generalize?

in the healthcare system...there are so many levels of checks in place...so say an intern was dumb enough to give B-blockers to an asthmatic to control his bp....the registrar should at least spot the mistake on the drug chart n correct it....if not the pharmacists who dispense the drug should hav spot it too....and the nurse who gave that to the pt would have picked it up....but yea i agree it is better to put a qualified doctor in the 1st place...rather than an incompetent 1....

i understand the author's predicament but bad unis produce excellent students n good unis produce crappy students too..why not she take it as a challenge to prove that the general perception wrong and be a good doctor herself....instead of whinging and writing an article to malaysiakini....where i think would not do much in terms of changing the status quo....rather used the time to read / revise / practice suturing / reading medical journals....

sorry i just dont really like whingers...the world is full of cheaters and cheaters do...not always get the things they wanted easily, which is a real injustice but i think one like the author should take pride him/herself in her non-cheating, hardworking ways and held his/her head up high knowing that he/she got integrity....unlike the rest......