Prehouseman Attachement at USM (Day 11)

Assalamualaikum dan semoga kita sentiasa berada dibawah lindunganNya amin:)

1) Clerking case on my own with my friend.

2)Dr Julia taught us the way to proper clerking the Obstetric cases, how to read antenatal book (pink book)  and extracting history from the ante natal book .

Template ong clerking 1

Template ong clerking 2

3) Dr Julia taught us how to do vaginal examination (V/E) , antiseptic technique before doing the examination and point need to document (write in BSH patient) when do V/E and PSE (perspeculum examination) .

4) Followed Dr Julia [HO] and MO [Dr Chan] into Bilik Rawatan to do PSE & VE on patient and observed MO expressed the findings into the word and HO interpret the findings to the BSH.

5) Observe HO [ Dr Hazrin ] to do branula insertion.

6)Followed morning ward round with HO & MO .
-Observe MO reviewing the cases , make physical examinatiom on pt (P/A)
-MO give the instructions to the HO to formulate or add new plan after the round and HO will carry out all the plans after the morning round.

7) Dr Julia taught to palpate the abdomen .

Point need to find during examinations:
-Fundus length
-Fetal parts and fetal head
-Gestational age
-Head to abdomen
-Lies

8) First time doing the vaginal examination.
Os : 2cm.