splenic Injury Grading by CT abdomen findings

Splenic Injury Grading by CT abdomen findings
AAST organ injury scale for splenic injuries – modified CT version (Federle et al 1998)
Grade
Injury
Description
I
Hematoma
Subcapsular, nonexpanding, <10% surface area
Laceration
Capsular tear, nonbleeding, <1cm parenchymal depth
II
Hematoma
Subcapsular, nonexpanding, 10-15% surface areaIntraparenchymal, <2cm diameter, nonexpanding
Laceration
Capsular tear, active bleeding, 1-3cm parenchymal depth
III
Hematoma
Subcapsular, >50% surface area or expandingRuptured subcapsular hematoma with active bleedingIntraparenchymal, >2cm diameter or expanding
Laceration
>3cm parenchymal depth
IV
Hematoma
Ruptured intraparenchymal hematoma with active bleeding
Laceration
Involving segmental or hilar vessels producing devascularization >25%
V
Laceration
Shattered spleen
Vascular
Hilar vascular injury that devascularizes spleen Advance one grade for multiple injuries to same organ up to grade III


Ref: http://www.wikiradiography.com/page/Splenic+Injury

Report on Basic Life Support Program.

As scheduled on the previous post,(BLS Program) at Sportivnaya Hostel turned out successful as we got supports from the RMT members and non-members.

Conducted by Dr. George, who is an Traumatologist & Orthopedics at one of the hospitals here in Moscow.

The participants that came on that day was;

1. Ahmad Zharif Hussein
2. Norzaher Ismail
3. Dzualkamal Dawam
4. Mohd. Irfan b Abd Rahman
5. Layla Tumaisuri
6. Mazni Baharom
7. Alina Hasni
8. Jalwati Amirah Johari
9. Maimunah Amin
10. Nurul Ain Yusuf
11. Nadia Kamaludin
12. Shashi Indran Naidu Rama Santaram
13. Fatini Najwa Ghazali
14. Shazwani Adnan
15. Wan Mohamad Ikhuwan b Wan Ahmad Sayutti
16. Asyiq Rafali
17. Siti Sarah bt Mohd Shukor
18. Amnah Yusof
19. Nabilah Azman
20. Eliza Aida Ahmad Badros
21. Mohd. Nazlin Kamarudin

Pictures throughout the program.

















These are the slide shows that were presented by Dr. George.
Click the bold sentence to download the slide shows.

• Patient Assesment
• CPR & First Aid

More pictures can be seen in this set; (Basic Life Support, Moscow).

We thank all of you who had a great time learning about medical emergencies.
For the next class, we will inform you when and where through this blog.
Keep yourself updated!

BLS Program Tentative

Date : 12th April 2009
Time : 10.00am - 1.30pm
Venue : Study Room, Sportivnaya Hostel


Program Schedule
8.00 am : From M2 hostel
9.00 am : Gather at the study room
9.15 - 9.45 am : MCQ on basic knowledge of first aid
10.00- 11.00 am : Speaker by Dr. George on CPR
11.00 am : Short break
11.05 - 1.00 pm : First Aid
1.00 - 1.30 pm : Question & Answers
1.30 pm : End of program


I hope to get a full co-operation from RMT team members to be early and respect the time.
Every single second is to be wisely use.

Payments are to be paid latest by Thursday night to Dr. Amnah (M1) and Dr. Layla (M2).
Any inquiries, please do not hesitate to contact Dr. Nazlin (M1) or Dr. Zharif (M2).

Thank you.

BLS Program.

Basic Life Support Program

Organizer Community:

• Dr. Nazlin
• Dr. Aizat
• Dr. Amnah
• Dr. Zharif
• Dr. Layla

Participants:

• RMT members
• NON-RMT members (10 students; 5 from M1 & 5 from M2)

Venue : M1 study room

Date : 4 April 2009 1100 am

Fee : 100 rubel

Topic:

1. Management during emergency situation
2. CPR
3. First Aid

· Burn

· Electrical shock

· Choking

· Trauma-fracture, bleeding, sprain, strain

· Drown

· Poisoning

As we discussed in the previous discussion, the non-RMTs are those who were invited.
I hope the members and non-members selected could give their names to the following representatives latest by 1st April 2009;

M1 - Dr. Amnah
M2 - Dr. Layla

We really hope this small program is a success besides the discussions that were normally held.
We really need a full commitment from the members and we hoped that everyone could attend this program.

Thank you.

Report on 4th CMD.

Pictures during agenda.

When it's food time, everyone was fresh!!

So-called High Council, the one in peace.

Dr. Sarah presenting, extremely full of info.

Dr. Zaher, Dr Alina, Dr Mazni
(shut-down already??)

Dr Nazlin trying understand the hammer reflex.

Venue : Study Room, MMA Sportivnaya Hostel
Date : 13th March 2009

Present :

• Dr Ahmad Zharif Bin Hussein
• Dr Dinie Tumaisuri
• Dr Zahir bin Ismail
• Dr Dzualkamal bin Dawam
• Dr Aizat Sabri bin Ilias
  
• Dr Mohd. Nazlin bin Kamaruddin
• Dr Mazni Baharom
• Dr Layla Tumaisuri
• Dr Mazilah binti Mazlan
• Dr Amnah Binti Yousop
• Dr. Alina Hasni
  
• Dr. Siti sarah Shukor
  

Invitation :

• Dr. Irfan Abd Rahman
• Dr. Anna Mohammad Amin
  

Absent :

• Dr Mohd Tarmizi bin Ahmad Zakhi
• Dr Hilmi Hashim
• Dr Aliff Saifuddin bin Mohd Shukri
• Dr Aini Shazwani binti Luey (preparing for PPIM Woman's Day celebration)
  
• Dr Jalwati Amirah binti Johari (preparing for PPIM Woman's Day celebration)
• Dr Nabilah Azman (preparing for PPIM Woman's Day celebration)
• Dr Nadiah Hamimah binti Kamaluddin
• Dr.Ilinatasha Binti Jamil

Tentative :

12.45 pm : CMD started with reciting Al-Fatihah
12.50pm : CMD started with Dr. Zharif presenting Motor neuron Disease and Dr. Sarah (Glomerulonephritis)
3.00 pm : Break for Zuhr prayer and lunch
4.00 pm : Discussion end

The presentations using the powerpoint had been uploaded and you can freely download them (click the bold word) at;

Glomerulonephritis
Motor Neuron Disease

After the Zuhr prayer, we gathered back to the study room for lunch and a few discussions were held up. Among the topics that were brought up to discussion were about the practicals for the 2nd, 3rd, 4th and 5th year students during summer here in Moscow.

As planned, the Basic Life Support agenda will be held soon. Thanks to the M1 members for getting their study room for this program. The tentative will be on the next post.

To those who were not able to come for the previous CMD, we hope that the coming discussion, you could be attentive and present yourself as this is a comitment team.

Thank you very much.

RMT Family Medicine updated!

This is to inform that the Family Medicine Department will be updated from time to time from now on.

Please help yourself indulging more knowledge that are required, in wise of modernize area and also the ancient times.
If you have anything to share, do spread the news by forwarding your articles to any of the RMT members.

Your time is truly appreciated.

4th CMD

Tarikh : 7 Mac 2009 (12pm-5pm)
Tempat : Sportive Hostel,M1
Topic : Genitourinary System


Presenter :

• Dr.Ahmad Zharif bin Hussein
• Dr Mohd Tarmizi bin Ahmad Zakhi–
• Dr.Mazilah binti Mazlan
• Dr.Sarah Mohd Shukor–


Theme for CMD
1-motor neuron disease (continue from last CMD neurology)
2-glomerulonephritis
3-pyelonephritis
4-Renal failure

Other topic Discussion
1.BLS in Moscow
2.Sunathon in Malaysia
3.About Practical in Russian by MMC

Prepared by
Dr.Aizat Sabri bin Ilias
Dr.Mohd. Nazlin bin Kamarudin

3rd CMD(Neurology CMD)

1. Theme: Neurology system
2. Main Objectives: Discuss the – Clinical case

a. Diagnosis

b. Management

c. Differential Diagnosis (DDx)

4. Topics for this coming CMD

a) Stroke

b) Myopathy (muscular dystrophy)

c) Motor neuron disease

d) Meningitis

5. Presenter

a) Dr Ahmad Zharif Bin Hussein

b) Dr Aizat Sabri bin Ilias

c) Dr Mohd. Nazlin bin Kamarudin

d) Dr Amnah Binti Yousop

6. Only the presenter for this week will be informed on what topics they’ll present. Other doctors have to prepare for all 4 topics (read through) to make better understanding during the presentation.
7. The presenter must stimulate the other doctors to think and take part in the presentation by asking them. Other doctors also can ask any question at any time during presentation, so that it would be 2-way discussion.
8. This discussion is scheduled to be on 14^thDis 2008(Sunday) from 11-4pm. Venue; study room M1.

Any kind of problems please refer to Dr.Aizat and Dr.Nazlin

Volgo's Rep Activity Report.

Report on Physical Examination’s Crash Course (CVS, Respiratory System and GIT)

Date : 4^th November 2008

Venue : Aktovi Zal, Medical Hostel No 4, Hiroshima 8, Volgograd

Present :

Tutor:

• 1) Dr Muhd Hilmi Afandi Md Jamil
• 2) Dr Noor Azimah Ab Aziz
• 3) Dr Siti Iliana Mohamad

Participant:

Approximately 40 students (sorry, we didn’t get their name registered)

Tentative :

10.00 am – Arrivals of participants

10.15 am – Doa recitation by Dr Muhd Hilmi Afandi Md Jamil

10.20 am – Briefing by Dr Siti Iliana Mohamad

10.30 am to 2.00 pm – Discussion

We didn’t expect that much participant on the first place but Alhamdulillah everything went smoothly till the end, (except the part that we were scolded by the duty mama because we supposed to end the session before 1 o’clock, of course). But it didn’t distract us much as everyone was so eager to listen, look and learn from the tutor (luckily we had a rehearsal the night before- so I think we have given our best for all the participants).

So this was how things were done; we divided them into 4 groups, and they rotated the 4 stations in turn (which also mean that every tutor had to repeat their presentation 4 times!)

Station 1 : CVS with Dr Muhd Hilmi Afandi Md Jamil

Station 2 : Respiratory system with Dr Noor Azimah Ab Aziz

Station 3 : GIT with Dr Siti Iliana Mohamad

Station 4 : Rest and some minutes to flip through Talley O’Connor, or watch the CD

The scheme of PE’s technique and how to present patient was based on HUSM medical school’s syllabus (Phase II Professional Exam) and Talley O’Connor clinical examination text book. But we tried our best to include some Russian techniques too, eg percussion of the heart .

All together the steps was rather cumbersome, and perhaps we wouldn’t have enough time to examine fully each of our (future) patients, but it is crucial for us (to remember the steps and the possible signs by hard) so that we won’t miss any important signs the patients had. And more practically, to know how to proceed with necessary examination based on patient’s complaint.

The feedback we got was very positive, and everyone is looking forward to have another session. Orthopedic or Neurological examination, perhaps!

Prepared by;

Dr. Siti Iliana Mohamad

(Volgograd RMT Rep)

Report for 2nd November 2008 activity.

Venue : Study Room, RSMU Hostel
Date : 2nd November 2008

Present :

• Dr Ahmad Zharif Bin Hussein
• Dr Hilmi Hashim
• Dr Dinie Tumaisuri
• Dr Aliff Saifuddin bin Mohd Shukri
• Dr Zahir bin Ismail
• Dr DzulAlkamal bin Dawam
• Dr Aizat Sabri bin Ilias
• Dr Mohd. Nazlin bin Kamaruddin
• Dr Mazni Baharom
• Dr Layla Tumaisuri
• Dr Mazilah binti Mazlan
• Dr Aini Shazwani binti Luey
• Dr Nadiah Hamimah binti Kamaluddin
• Dr Jalwati Amirah binti Johari
• Dr Amnah Binti Yousop
• Dr Nabilah Azman
• Dr.Ilinatasha Binti Jamil

Absent :

• Dr Mohd Tarmizi bin Ahmad Zakhi

Tentative :

12.45 pm : CMD started with reciting Al-Fatihah
2.00 pm : Break, Dzuhur and Asar prayer
2.45 pm : CMD continued
5.00 pm : Discussion end.

The presentations using the powerpoint had been uploaded and you can freely download them.

The new-comer, Dr. Nazlin had done the best presentation and made us think hard.
Even others too had criticize and creative opinions on solving a matter.

The next CMD will soon be inform when the venue and date is confirm.
Please get yourself updated and anyone with interesting articles (obviously!),
please do not hesitate to pass it on to others.

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Have you realized the widgets on the right?
Yes, the Cardiology Department!
Dr. Zahir alongside with Dr Zharif had been posting up articles they find very useful for all of us regarding our cardiac system.
Participate in the polls they put at the side-bar.

Interested in neurology? Peadetric? or even Orthopedic?
Want to explore and share your views on the department?
Want to handle a department to show your expertise and deep interest in this?
Feel free to IM-ed me (Layla) in order to start out the new specialist.
We are very most welcome inviting readers and everyone to contribute their knowledge towards improving the medical instituition among the society.

If there's anything that we can improve, write an email to us at;
russianmedicalteam@yahoo.com

Your time is appreciated.