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.

--------------------------------------------------------

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.

Clinical Medical Discussion(CMD) 2

1. Theme: Endocrine systems
2. Main Objectives: Discuss the – Clinical case

a. Diagnosis

b. Management

c. Differential Diagnosis (DDx)

d. Pathophysiology (Optional for individual, not too long)

3. Please try to make the point of discussion simple in order to make your colleagues easier to remember besides we would like to finish all these topics in one day :D

4. Any kind of problems please refer to Aizat.

The Doctors:

DOCTORS	TOPICS
1. Dr Ahmad Zharif Bin Hussein	Diabetic Ketoacidosis
2. Dr Hilmi Hashim	Hypopituitarism
3. Dr Dinie Tumaisuri	Thyrotoxicosis
4. Dr Aliff Saifuddin bin Mohd Shukri	DM type I
5. Dr Zahir bin Ismail	Hyperparathyroidism
6. Dr DzulAlkamal bin Dawam	Hyperprolactinemia
7. Dr Mohd Tarmizi bin Ahmad Zakhi	DM type II
8 Dr Aizat Sabri bin Ilias	Addisons disease
9. Dr Mohd. Nazlin bin Kamaruddin	Diabetes insipidus
10. Dr Mazni Baharom	Hypothyroidism
11. Dr Layla Tumaisuri	Hypoparathyroidism
12. Dr Mazilah binti Mazlan	Hyperaldesteronism
13. Dr Aini Shazwani binti Luey	Pheochromocytoma
14. Dr Nadiah Hamimah binti Kamaluddin	Pituitary tumours
15. Dr Jalwati Amirah binti Johari	Thyroid eye disease
16. Dr Amnah Binti Yousop	Hypoglycemia
17. Dr Nabilah azman 18. Dr.Ilinatasha Binti Jamil	Adrenal cortex and Cushing’s syndrome Acromegaly and Gigantism

This discussion is scheduled to be on 2^nd November 2008 from 12-4pm. Venue; study room M2.

I hope that everyone could be at the hostel earlier so that we could start the discussion on time.

We will be conducting the CMD this time as the CUCMS students did their presentation.

These previous RMT-ians that were at the Terendak Hospital for practical last summer had experienced so.

Any help, ask either Dr. Zahir, Dr. Al, Dr. Amnah, Dr. Amirah, Dr.Zharif, Dr. Mazni, Dr. Mazilah, Dr. Aini, Dr. Layla or Dr. Nazlin.

Your cooperation is very much needed and appreciated.

Let’s get back to work people!!

Good luck!

Sunathon Felda Sri Jaya, Muar 2008.

the whole program was hilarious right from the start.
the meeting at a friend's house in ampang till the very last moment of the closing ceremony in the prestigious main hall of that infamous village for the homestay program of 3 days 2 nights.



the feelings of nervousness and not much confidence filled us.
yes, the butterflies had been flying around the stomach ever since we planned this very first project in moscow.

the orphans program went extremely well as this was our first time handling counselling-like agenda.
dedicated to the orphans aged between 9 to 14 and to the single moms too.
almost three hours of the first night was spent wisely between all of us.
tears running down their cheeks (and even mine!) were proven that we did it!
we like them and of course, vice versa too.




the peak of the program was the next day.
technical problems were settled fast by the MA (medical asistant) students, the KK (klinik kesihatan) of that area and one of the big hospital in that district.



everyone had the chance of completing the procedure from A to Z.
to some, no guts yet, but next time, will do.
we took turns in assisting each other and some of us had found what we are good at, and what we are not.
kids were extremely hyperactive and some just couldn't bear to see the instruments used.






the evening was spent cam-whoring by his 400D and his new 450D which makes us so magnetic everytime the shutter button is pressed.
well said, photographer knows best but posers knows better. (it depends actually)


of course, Nisfu Syaaban was an option for us because our mind and body could not cope with anything after that.
imagine 36 kids circumsized by only 14 medic students.
it sounds so little, but we had to do all by ourselves except that the start is done by the handsome Dr Aznil, pregnant Dr. XXX, actor-like Dr. Muaz (or so..).

the village people were so cool to all of us.
frankly speaking, the could mix around so well with strangers.
that's how comunities work. anywhere and everywhere.


continuing the next day which is more to a community services made from house to house, guided by the representative of the village.
statistic taken and most of the villagers are prone to get hypertension, diabetes and stroke, which is common to malaysians due to the meals and junks taken daily.
but youngsters are now aware of the importance of taking extra care of their health as they do not want these disease to attack them by the age of 30 plus.
there were even really 'nice' cases (i will have to refer back to the clerking paper) that put us in awe.

the closing ceremony of course were made as simple as possible.
but the ketua kampung and his people gave their full commitment in handling our team.
plaques were given and the selawat by the ketua kampung made us shed our tears when we hugged and embraced the foster parents of ours.


more pictures, click ( here ).

hope to see more activities here in Moscow and in Malaysia later.
any infos, get yourself updated from here!

Payment

Salam RMT-ians.

Regarding the day on Family Doctor, the men should wear collar t-shirt or preferably the collar-T.
The ladies, you can wear a long sleeve t-shirt.

About the money, if you haven't bank in the money for the t-shirt, please make the payment as soon as possible or on the day of the fees payment.

Thank you.

Tentatif Program Sunathon Bukit Serampang 2008

Assalamualaikum rakan-rakan RMT.

Seperti yang anda sedia maklum, program pertama anjuran Russian Medical Team, Program Sunathon 2008 akan diadakan di kawasan Bukit Serampang di Johor, bermula 15 - 17hb Ogos 2008.

1.0 Tentatif Program
1.1 Sila ambil perhatian akan tentatif yang disediakan.

14.08.08 (Khamis)

• 12 - 12.30 tgh hari - Berkumpul di Tol PAGOH.
• 1 - 4pm - Bergerak ke Bukit Serampang untuk meninjau kawasan di mana program diadakan, solat Zohor, makan tengahari.
  
• Sebelum Maghrib - Sampai ke rumah Tn Haji Abu Bakar di Batu 27, Lenga.
• Malam - Perbincangan

15.08.08 (Jumaat)

• 8 - 8.30am - Pembelajaran Teori Cara-cara Bersunat
• 8.30 - 9.30am - Pembelajaran Praktikal
• 9.30 - 10.00am - Brunch
• 10.00 - 12.00pm - Diskusi 10 Penyakit (Sila rujuk perkara 2.1 di bawah)
  
• 12.30 - 2.00pm - Solat Jumaat
• 2.30pm - Bergerak ke Felda Sri Jaya
• 4.00pm - Majlis Keluarga Angkat - Majlis Suai Kenal
  
• 8.30 - 10.30pm - Menyambut Anak-anak Yatim di Dewan Felda Sri Jaya

16.08.08 (Sabtu)

• 7.30am - Pendaftaran kanak-kanak yang bersunat di Dewan Felda Sri Jaya
  
• 9.00am - Ucapan-ucapan, perarakan dan pancutan air
  
• 9.30am - Perasmian program Sunathon
• 10.00 - 1.00pm - Sunathon dan MedCamp bermula
• 1.00 - 5.00pm - Sukaneka Keluarga Felda Sri Jaya
• Malam - Aktiviti bersama-sama keluarga angkat dan Medical Check-up
  

17.08.08 (Ahad)

• 8.00am - Perasmian Family Doctor di Dewan Felda Sri Jaya
• 9.00 - 12.00tghari - Pergerakan RMT ke Felda Sri Jaya, Felda Sri Ledang dan Durian Condong
• 1.00pm - Majlis Penutup program
  

2.0 Perkara-perkara berkaitan
2.1 10 Penyakit

1. Diabetes
2. Dyslipidaemia
3. Hypertension/Penyakit Darah Tinggi
4. Acute Coronary Syndrome (ACS)
5. Hypothyroid
6. Hyperthyroid
7. Denggi
8. ( Chikungunya )
9. Gout/Angin Ahmar
10. Penyakit Buah Pinggang

Sila baca cara-cara pengurusan penyakit-penyakit berikut.

2.2 AJK Kampung

1. Haji Miran - Pengerusi Program
2. Cikgu Hairulnizam - AJK Sunathon
3. Cikgu Sariah - AJK Anak Yatim
4. En. Hanafi Saion - AJK Keluarga Angkat
5. Pn. Norliza Endot - AJK Makanan

2.3 Pengisian Malam bersama Keluarga Angkat

Vital Sign

1. Blood Pressure
   
2. Suhu badan
3. Respiratory Rate
4. Pulse Rate
5. Heart Rate
6. extra: Glucose in blood
7. extra: Reflex

2.4 Barang-Barang

• Labcoat
• Stethoscope
  
• Pentorch (Kamal Bookstore - RM12)
• Tukul reflex
  

2.5 Yuran Pendaftaran

Sila bayar RM100 pada Jalwati Amirah pada 14h Ogos 2008.

2.6 Pembayaran Baju

Untuk pengetahuan RMT, baju t-shirt berkolar lengan pendek berwarna hijau pucuk pisang telah ditempah dan di sulam perkataan RMT Russian Medical Team.
Kami tidak sempat untuk menanyakan saiz-saiz anda, tetapi membuat anggaran sahaja.
Contoh saiz badan;

• Dinie - saiz M
• Layla - saiz S

Pembayaran (RM28) hendaklah dilakukan selewat-lewatnya pada hari Selasa, 12hb Ogos kepada;

Nama : Dinie bin Tumaisuri
No. Akaun : MBB 162759012933

Jika ada apa-apa pertanyaan, sila berhubung dengan Zharif (012 7467505) atau Amirah (017 3458791).

Sekian, harap maklum.

Sunathon in Pagoh

Attention!

To those who have not received sponsorship details for our small sunathon project
please email or IM-ed Layla for it.

Currently the process and progress of our sunathon program is going fine.
It is said that the event will take place at Pekan Pagoh, Lenga in Muar.
Muar Hospital is going to take care of the medical equipments and we are to handle the 'side dishes' of our program.

Any info will be updated here and I hope that you will brief yourself as frequent to know about the latest news on our pilot project.

Thank you very much.

Teaching Hospital and Summer Practical

Salam to the RMT-ians.

Amirah had met Prof. Latiff on Monday, 29th June 2008
regarding the teaching hospital and about summer practical session.
Unfortunately, practical at HUKM has been canceled
and our dear Prof is currently arranging us at Terendak Camp Hospital.
Accommodation will be provided and situated near the beach (i do not know what beach)
and transportation is needed as the hospital is grounded about 7km from the place we are going to stay.
Payment about RM200 for each student for maybe a week or two of the practical.
Whoever wish to register for a week or two (recommend: two weeks) or want to cancel your names
kindly inform Jalwati Amirah at;

• 03-42954720 (H)
• 019-3102328 (HP)

Those who think that they are going to go there by your own transport
and is very generous to spare for a week or two for our transport,
please give your names too to Amirah.

We are going to train ourselves with CUCMS students
and Prof. Latiff hopes that we could blend in and get along with them.
We are also allowed and invited to attend CUCMS's theory classes.

Please give your names as soon as possible before Thursday or Friday
to make the arrangement smoother.
Your help and commitment is greatly appreciated.

Thank you very much.

Happy holidays people!

Vote Logo

Young Doctors,

Please vote for the logo you like best for our team.
The last date will be on the 26th June 2008.

Hurry, hurry!

To those who had finished their exams recently, congratulations!
To some of you who are still in the period of struggling in your coming exams,
good luck!
A success is A SUCCESS after you have tried your best!

Then, it's countdown to summer holidays!

GADIS

Baseline therapy for Rheumatism
( eg:Rheumatoid Arthritis(RA) )

G-gold (Tauredoni)
A-antimalaria/Hydroxychloroquine (Plaquenil)
D-D-penicillamini
I-Immunodepression(prednisolone,azathioprine)
S-Sulfasalazine

GINA classification of Bronchial Asthma...

Лечение бронхиальной астмы
в соответствии со степенью тяжести

GINA 1993-2002: «…терапия БА подразумевает ступенчатый подход, при котором объем терапии

Степени тяжести/ ступени терапии	Cимптомы	ПСВ или ОФВ1 Вариабельность ПСВ	Терапия выбора
Ступень I Интермиттирующая	Днем: <> Ночью: £ 2 в месяц Вне обострения проявлений астмы нет	³ 80% <20%	Поддерживающая терапия не требуется
Ступень II Легкая персистирующая	Днем: >1 в неделю, но <> Ночью: > 2 в месяц Обострения могут нарушать активность	³ 80% 20-30%	ИГКС в низкой дозе
Ступень III Средней тяжести персистирующая	Днем: ежедневно Ночью: > 1 в неделю. Обострения нарушaют активность	60-80% >30%	ИГКС в низкой или средней дозе + b2-агонист длит.действия
Ступень IV Тяжелая персистирующая	Днем: постоянные Ночью: частые Ограничение физической активности	£60% >30%	ИГКС в высокой дозе + b2-агонист длит.действия + теофиллин и/или АЛП и/или СКС и др.

* ИГКС- inhalation glucocorticosteroid
ОФВ_1-FEV1

heart sound

New Uploads

Dear Young Doctors of RMT,

I have uploaded a few files on Pharmacology, Internal Disease and Endocrine System for you to download at the side bar.
These files were given courtesy of a student of Cyberjaya Medical College.
I have a few more systems to be uploaded.
Please check this blogspot frequently to get yourself updated.

Anything to share?
Please do so!

Thank you.

Logo 2

Logo from Aliff.

Russian State Medical University – Moscow Medical Academy

2008

Maksud Logo

We learn . We apply . We improve

Moto Russian Medical Team

Merpati putih

Simbolik sebagai pemabawa utusan. Ahli-ahli RMT berfungsi sebagai utusan atau duta kecil bagi kerajaan Malaysia ke Russia untuk menimba ilmu serta pengalaman, seterusnya untuk dicurahkan sebagai amal bakti di tanah air kelak.

‘Love Heart’

Simbolik kepada ikatan kasih saying serta ukhuwah yang menjadi asas serta tunjang utama kekuatan RMT.

Simbolik kepada aktiviti-aktiviti bercorak kemasyarakatan yang berfungsi untuk berbakti serta beramal kepada masyarakat, selari dengan visi serta misi RMT untuk menyemai budaya berbakti sebagai doktor.

ECG

Simbolik kepada kesihatan serta kesejahteraan hidup masyarakat yang dapat dicapai melalui aktiviti-aktiviti bercorak pendidikan kepada masyarakat.

‘Staff of Asclepius’

Simbolik kepada ilmu perubatan sejagat.

Warna Putih, Biru dan Merah

Simbolik kepada negara/warna bendera Russia, tempat penubuhan RMT

Logo for RMT

Any ideas for our logo team?
If you do, bring out the idea tomorrow.
Here's an example made by Zharif.


Anyone and everyone is welcome to design our newly form RMT logo.
All the best!

By the way, just as a reminder.
Here's out motto.

We Learn, We Apply, We Improve

Tentative for 9th May 2008

Alhamdulillah, the discussion session went great on 2nd May 2008 as scheduled.
Cooperation seems to be practise whether during the formal agenda nor informally.
In short, each and every one of us could see the unity in striving the Russian Medical Team motto; We Learn, We Apply, We Improve.

I am terribly sorry for not updating this blog soon enough.
I will try to keep it up starting the next discussion.

Here's the tentative for tomorrow's next discussion and meeting.

3^rd Minutes of Meeting

DATE : 9th May 2008

PLACE : Study Room

TIME : 12.30 pm

AGENDA	TIME	ACTION
1.0 Group disccusion 1.1- Cardiomyopathy 1.2-IHD	12.30-2.00pm 3.00-5.00pm
2.0 Teaching Hospital	5.00-5.30pm
3.0 Medical Camp	5.30-6.00pm

The information on Hypertension will soon be updated.
You can download them by browsing at the sidebar later.

Prepare for tomorrow's debate, people?