11.3.16

alhamdulillah pass.

assalamualaikum, hye. i'm just back to school. for the second last posting.

last block holiday, i am restless. waiting for paeds result whether pass or fail. i know my long case was the worst one in my life. i just presenting my chief complaint, then dr directly ask me the diffrential diagnosis. i got bronchial asthma case, 3 year old girl. giving the chief complaint  with the sentence of "with underlying bronchial asthma" is one of my mistakes as the examiner asked me how confirm you are that she is having asthma? then i gave my points for for the diagnosis and dr said, if this is not broncial asthma? now, i got the point, dr dont want me directly to support the previous diagnosis, she want me to broaden my thinking to rue out many3 causes... i gave viral wheeze, multiple trigger wheeze, foreign body aspiration... all were rejected by the examiner. i was very blurred that time. thinking of heart faailure? but usually they will come with failure to thrive, interupted feeding, prolonged feeding... so i dont want to throw it as my thinking....then i cannot think anymore after she throw her last words " i give you last chance, this is your passing mark, what is the other possible diffrential diagnosis, i'm stuck.  probably it is not bronchiolitis as she is 3 years old. yeahhhhhh my last chance! i cannot think anymore as i was scolded all along the long case duration,.. so sad. and she  left me. she stood up, went to the door, open it. and said, where is your cardiac asthma? where is your loafler syndrome?

my teary eye just sent her leaving me alone in the small room....

i know im gonna fail my long case. the worst long case in my life. i did not present my history. just presenting my chief complaint... did not answered well for my diffrential diagnosis. you know, you will fail if you just achieve that level. usually youknow that you pass your long case if you able to discuss the case up to the management... but me..... even the first level of the questions,  failed.

then waiting for my short case. i was redha... i might fail. i know it. i was depressed that time. all the things that i have study, is useless. all the things that come out during my long case. i did not perform it even i have struggled to read many2 topics before the exams. but it happened like this. very sad.

suddenly, prof nasser called my name. he took me for my short case. i was very lucky to have him. he is very kind. i should perrform my shortcase very well. even my feeling was disturbed that time. i m trying presenting and performing the examinations properly. i got a child with purpuric rash over the both lower limbs. it was palpable, raised,red,painless rash... after examine the child. the discussion startrd. alhamdulillah. i managed to answer up to complication of henoch scholein purpura. however i got wrong answer for my investigations... i was very worried. but dr corrected me, during the exam, he still doing his duty teaching me and correct my answers.


becuase of that, during holiday..  i became restless... hope that my shortcase marks would cover my long case... i just pasrah. if im fail this posting, i need to buck up for the last 2 postings...
alhamdulillah, Allah is the MOST Merciful,ARRAZZAQ.  i PASS!!! alhamdulillah. alhamdulillah...

today, i got the marks for my lond case. yes, i fail my long case. but i got very high marks for my short case.... prof was so kind... his words always remind us towads Allah and Raullullah. during teaching also, he is very struggle to make us understand in the things that he teaches in the class.. he even did our revision class at night up to 1.30 am... its hard to be like him. he is very patience in delivering the knowldge to his students. it hard nowadays to find a teacher like him. i am praying that Allah will always bless him,,, and stay healthy all the time...  jazakallahukhairan kathiran walada walana insyaAllah fil jannah..inshaALLAH FIL JANNAH...... may Allah bless you prof nasser from department of paediatric IIUM...