just do it

*Nike sign floats in mind*


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To have faith and do good deeds.


I seem to have been procrastinating on the latter. 
Always thinking there will be another day but never actually dwell on the fact that, the knowledge of my death, is not mine. 


I repeatedly throw myself into a slump. :(
Yet You send reminders in the form of friends and family. :')

Betullah orang cakap, masa lapang yang tidak diisi dengan perkara berfaedah membunuh pemuda.
Kyaa~


A past can kill your future. 
I think I've experienced enough to know that. 


So, to make today a past you won't regret tomorrow and in future, please, please buck up on your deed.


And don't jump into something too big. 
Do simple things really, moderately, consistently. 
Otherwise you'll be burnt out. :O


Most importantly, jangan berkira-kira melakukan sesuatu untuk Allah, kalaulah Allah berkira dengan kita, pastinya kita adalah orang-orang yang rugi~ :O OMG~


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As for med school.
Last week we got to properly examine a patient (finally! though I still feel disappointed in the teaching system overall)


The very simple abdominal examination:
Start with less invasive procedure to more invasive ones.


So, 


1. Inspection
If there's a mass/lesion, describe. 5S - site, size, shape, surface, skin overlying.
Got distension at the flanks? (Ascites?)


2. Auscultation : 
Bowel sounds: randomly place your stethoscope on the abdomen. If you can't hear any sound, then flick patient's abdomen. 
Scratching: Place stethoscope near the inferior border of sternum. And start 'scratching' the patient with one finger, from the right ASIS towards the liver. When you've reached the liver border, the sound will sound more rough. 
Perform auscultation of the heart while you're at it! *I heard holosystolic murmur* lub whoosh~


3. Percussion
Through out the abdomen: it should have a resonant quality, not dull. 
To recognise liver border: when finding liver border, make use of the intercostal spaces so that your finger won't slip and also because you can confidently describe the region. :P


4. Palpation and deep palpation
Ask patient if they are experiencing pain. Palpate that region last. 
Since you're an amateur, perform with one hand, cause your lack of experience may burden your brain and you'll only end up more confused when the palpation is done. 


5. DRE
Tak buat but I keep thinking of Naruto's Thousand Years of Pain. *insert Scream by Munch*


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Owh, and happy April you all~