VT ~

starting 9th nov, dah start clerkship obgyn...

selasa msk kt IRD lt 2, tp time turn kiteorang xsempat plak nk tgk kuret... group dpn je smpt... *kuret coz ibu tu incomplete abortion so nk buang sume if got jaringan janin yg tertinggal dlm uterus*

rabu, kt poli kandungan..
since rmai sgt patients kt poli.. dr. Slamet suh ktioang msk ber2-2.. i msk ngn mirul that time.. patient dtg coz keluhan bleeding dh 3months n terasa bende aneh dlm dlm vagina..
so, dr bwt extraksi biopsi for PA coz patient rujukan fr RS. Propolinggo. muke ibu tu tahan sakit je coz kne gunting sket jaringan yg berdunggul kt dlm vagina. i suspect cancer servix skalik my diagnosed btol since dr pn tules kt catatan medis ca cervix.. *clap2 to myself*
for me i suspect cancer cervix coz age factor.. ibu J aged 53, keluhan bleeding spot dah 3months, susah n nyeri buang air kecil
time bimanual examnination >VT fluxus +,flour -, teraba massa berdungkul clockwise 11-12, potio tertutup licin, CU anteroflexi, adnexa ka/ki normal, CD normal
nxt week ibu J dtg again for control n dpt result PA... hopefully ibu baik2 je n dpt sembuh
case2 lain byk jugak bab flour albus..kt wanita muda *jgn lupe kne tanyer pnh coitus x*

khamis, today kt skills lab gynae...
dr aja byk... best
skalik aja vaginal touche n rectal touche


for me, interesting cases in obgyn... semoga biler dh besar nnt dpt further in O&G ..aminnnnn