Sunday, February 16, 2014

GP Attachment in Newmarket Day 5


Just a short update je masa GP hari tu. So hari tu tengok GP check perut perempuan mengandung. Entah macamana entah dia search minggu minggu kat perut tu. 

Pregnant bellies are measured in centimeters -- usually starting around 20 weeks -- and there's a simple formula for calculating how large your tummy should be at any given point in your pregnancy. Start with the number of weeks you're pregnant, then add two to that number and also subtract two from that number, which will give you the range your belly should be within. For example, if you're 30 weeks pregnant your belly should be between 28 and 32 centimeters. If you're 25 weeks along, your belly should measure between 23 and 27 centimeters.

Oh gitu~ and then dapat peluang palpate perut besar itu hahah, comel nya perut ibu mengandung ^^

Next, bila kita buat check up dengan preggy women, kena consider these 3 important things which are, HYPERTENSION, PROTEINURIA, ANKLE SWELLING. Secara pathophysiology tak tahu la kenapa.

Various factors contribute to foot and ankle swelling during pregnancy. For starters, your body produces and retains more fluid during pregnancy. Also, your growing uterus puts pressure on your veins, which impairs return of blood to your heart. In turn, this can lead to swelling in the legs, ankles and feet. Hormonal changes might play a role as well.
Foot and ankle swelling during pregnancy is common and usually goes away after delivery.
Severe or sudden swelling could be a sign of a serious condition called preeclampsia. Other signs and symptoms of preeclampsia include severe headaches, blurred vision and rapid weight gain. 

And then on that day jugak jumpa patient yang ada swelling of the metacarpal-phalengeal joints. Muscle wasting kat tangan. Rupanya dia ada rheumatoid arthritis. And GP cakap dia memang ada banyak pun systemic disease sebab rheumatoid disease kan systemic. And yeah pakcik tu pun ada palmar thickening and hence lead to.... Dupuytren contracture~  

Dupuytren’s contracture is a disease characterized by thickening and shortening of fibrous bands of skin (fascia) in the palm (palmar fascia). It is believed to be a hereditary disorder. It most commonly results in contracture of the ring and little fingers (fourth and fifth fingers), although not all individuals diagnosed with Dupuytren’s disease develop contracture.

So itu sahaja ulangkaji hari ini. Sekian, wassalam..

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