Day 5

Today is a very productive day as I learnt a lot.

I went to the specialist clinic today and sat in in the consultation room. Dr. Ong attended 8 patients. I learnt a lot from him. Most of the patients are follow up or referred patients. The interesting ones are the one I have listed here.

A male patient came in with a history of coronary arterial disease (CAD) and a MI. Due to the scarring from MI, he needed to undergo ablation therapy or he will get ventricular tachycardia. He is also planned for implanted cardiac defibrillator (ICD) too.

A female patient had chest pain and SOB during labour. She was given Caeserean section to deliver her baby. Due to her condition during the labour, a cardiac event must be rule out in case anything happens. So she was referred to the Cardiology department. During history-taking, the patient is too young to be suspected of CAD, so the other causes for chest pain should be considered. What are differential diagnoses? Refer here (point 4).

After the clinic session, I went to the Cardiothoracic ward (CTW) and Dr Khiew was there. He wanted me to present the case which I have clerked 2 days ago. When I wanted to present, he stopped me and told me how case presentation is done. It's like a revision and in depth CVS history taking. After that, he brought me for bedside teaching. I was told to do physical examination on a real patient. I feel like digging a hole and HIDE MYSELF. URGH! so many mistakes and the worst parts were: I didn't introduce myself and state my purpose of interview; I didn't ask if the patient was in PAIN! DAMN...HE WAS A REAL PATIENT, YVONNE! >.<