Sunday, April 13, 2008

psychiatric in the very nutshell

Revision for psy

For most local uni in Malaysia, usually our professional xm is quite similar. 1long case and 3 short case. plus mcq, meq and osqe. stress tak stress? sape tak stress, okay! macam2 cerita aku dengar-ada yg kena panic attack, ada yg kena admit wad, ada yg kena amek anti-depression...huhu,ada yg aku dgr citer dah commit suicide dah pun..hahaha...tapi aku still okay kut,just easily hypersensitive sikit-sikit aje...sape yg tak stress time xm besau ni, mybe kena refer to psychiatric sbb abnormal, avolition kut...haha

Long case defined as u hv to clerk full history, buat physical examination for an hour then present to 3examiner then those 3 people can asked anything under the sun for half an hour -ni yg stress giller bcause any case pun boleh, namely orthopedic,surgery,medicine,paediatric,obs n gynae and psychiatric too!). sure lah, 6 different specialist ada different method in taking history. and the student pun tak tau laa ape yg dia dapat. then short case when u only hv 10min to show off the showmanship and confident in front of the 3examiner the skill of examine the patient. any case pun boleh dapat except psychiatric laa-kau giller ke ape, mana boleh spot diagnosis org tu mereng ke tak!!!

satu cerita kelakar during pro xm -i dunno which uni lah tp uni yg dah abes xm:

THe chief complain was back pain for a year. then the student pun innocently
clerk mcm orthopedic py style, kat mana,radiate to where, intensity of pain, any
occupation related? bla bla bla...after an hour, examiner tu dengar aje dgn
seiklas yg mungkin..then after presented untol history of presenting illness.
examiner asked the student,

"did u asked the patient why he had the back pain for a year?".

The student pun tried laa tu answer, it might be idiopathic, perhaps prolapse intervetebral disk? something pathological lah...

"No, please ask the patient again for half an hour more." the examiner insist.

The patient's answer was: "Ultraman yang cucuk saya, sebab tu saya sakit belakang"

dang! kena wat Mental state examination (which the doctor dont usually asked if he think u'r still sane. podah... )
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pyebab orang sakit belakang!! berhati2..dia mampu mbuat anda sakit!!

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read Erikson's 8 stage

People owh people!

  1. trust vs Mistrust (oral stage)
  2. Autonomy vs Shame and Doubt (anal)
  3. Initiative vs guilt (genital)
  4. Industry vs inferiority (latency)
  5. Identity vs identity confusion (adolescence)
  6. Intimacy vs. Isolation
  7. Generativity vs. Stagnation
  8. Integrity vs Despair
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why drive people mad
read also: Lord of the flies



Prof brian suruh kitaorg baca buku ni, but until now tak carik2 sbb kaplan or oxford psychiatric pun aku tak abes2 baca..nnt lps xm laa kut.hahaha. everything has reaction. mybe people can go beyond their own mind... that's explain why sometimes people can be very very jerk amek hak2 orang lain, marah2 orang lain, sgt self fish and everything bila terdesak...eventhough orang2 tersbut adalah normal pada pikirannnya! Human is still a human. not a robot.
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akhlak


Islam kan dah ajar. Akhlak is something that knee-jerk, sifat tanpa perlu berfikir. Nak tgk akhlak sesorg tu time dia tengah marah.

Akhlak ketika terlanggar orang "ops,saya mintak maaf" atau "oi, buta ke ape?".
Akhlak ketika mmohon pertolongn, "boleh tak kalau saya mintak tolong..." atau "saya nak awak buat ....".
Akhlak ketika orang tegur/nasihat, "Okay, saya mintak maaf diatas kesalahan saya,...." atau "Kau peduli ape dgn hidup aku, suka ati aku laa..kau tu mcm le bagus sangat!"

Jadi, i think no matter what actually, as a muslim, akhlak kena tip top kalau dapat maintain 'kewarasan' terhadap ingatan pada Tuhannya..to me,whatever it is, yes..kita semua ada perasaan..tapi buang jauh2 yg tak relevan tu.

akhirat kan ada.apa nak bising2...

easy to say than done eh? tak cakap pun senang..tapi ...kalau dalam otak tu duk cakap susah, memangle jadik susah...bolehlaa kalau nak salahkan itu ini keadaan cuaca hujan panas ribut, tapi at last sape yg untung?...ingatan pada diri yg emos emos.hehehe..sgt le perempuan!

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Topik wajib dihafal:

1. schizophrenia dan rakan2
2. Bipolar disorder
3. Depression
4. Panic disorder.ocd.bla bla bla
5. adjustment disorder


seriusly, aku tak abes lagi baca...i dunt want to sound too academic actually.............waaaaaa~whatever it is..i hope i dont crack under pressure laaa..as my friends often waited: bila hang nak stress nie? okay, skrg saksikan...waaaaaaaaaaaaaaaaaaa.......tlg tlg..kemaruk nak lulus xm..tapi masih bermalas2 (premorbid personality!),..terasa seperti...kemaruk nak masuk syurga, tapi masih bersetan-setan (gulp!)..inilah orang tak sedar diri....alamak, one day nk revise psychiatric pun tak cukup..belasah ajelah..waaa...bgamne ini??

buku2 yg tak begitu tebal.

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