Finally finish block B exam, and finish my senior clerkship!! So this case is a straight forward PVD case with rest pain x 40 days. But I made a hilarious diagnoses, and the examiners' faces were . If it was my final, I would be dead for many times. 一額汗 Here're some of my mistakes and what I learnt: 1. ADL (洗衫煮飯,not 煮衫洗飯)3. Occupation (either she is retired,or she is a housewife; NOT a retired housewife) 4. Femoral pulse is @ mid-inguinal point= midway between ASIS and pubic symphysis 5. DO PHYSICAL EXAMINATION WHILE ASKING FOR HISTORY BEFORE EXAMINER COMES. 6. It's quite useful to ask all comorbities in one go (efficacy and effectiveness=95%): 阿婆 你有無高血壓糖尿病心臟病中風肺癆 (高膽固醇+乙型肝炎)? Tonnes of thanks to all the surgeons and staff in KWH!!! It'd surely be one of the happiest periods in my medical school life. Time flies. Goodbye Year 4---can't believe I'm in YEAR 5!!! |