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Friday, August 31, 2007

end of Neuro

6 weeks of neuro, eye and ENT rotation is over. Overall, it was an interesting block which requires a lot of revision and practice.

What is contained in this block? Well, first of all, there are a lot of physical examination that need to be mastered theoretically by the end of this block. 12 cranial nerves, upper limb, lower limb, gait, checking the eye, nose, ear and throat. That is quite a big area to cover and not to mention there are a lot of diseases in the eye.

At the end of week 6, I think I know most of the physical examinations except the eye since I do not have the luxury of having an ophthalmoscope. The only gap that need to be filled quickly is the knowledge of major neurological diseases.

Two of the most common presenting symptoms that I feared right now is headache and back pain. There are many diseases that can caused back pain and headache. Some of those are mild and does not present any danger to the patient. However, the one that can cause severe disability to the patients are not to be missed and it is this category that requires me to be extra cautious.

An easier way is to ask the patients to undergo CT/MRI but this is not an option. Plus, the interpretation of radiology a.k.a the dark art :D is still not in my grasp yet.

5 comments:

Minci said...

ahaha.. 'Dark art'

You make me feel like a wizard ..

Ummu Layth said...

darkart!
cool!!
sorry my spacebarrosaklahisk

hafiz238 said...

side effect of reading Harry Potter :)

Sarah Mohd Shukor said...

salam hafiz,

kt msia x penah tinggal jejak kt sini. streamyx slow. bengang je. huhu. ramai org kata neuro susah. tp sy rasa neuro best. kan kan kan.

all the best there :)

hafiz238 said...

in my humble opinion, neuro is one of the hardest rotation since neuroanatomy is related to the function. Need to know both function and anatomy to understand the progression of any diseases.

However, neuro is certainly interesting and if you are able to talk and examine the patients, you will be able to gain a lot :)

Additional factor to consider, psychology is related to some neurological disease :)