was super nervous right before my exam. My heart was pounding since I woke up but when I saw the examiner, I suddenly became really calm. Don't know who my examiners were but one of them looked really familiar. He started chatting with me as I walked towards my first case. Kind of reminded me of my driving exam, the examiner was talking to me the entire time until I thought he forgot to test me. Anyway, since I passed my driving test, I should be able to pass this clinical right? He asked me what long case I was getting. Paeds long. so do you like paeds long or short? I'm happy with what I got. So you are one of those who want to do paediatrics? No sir. I'm not intending of doing paeds. Then why do you prefer paeds? I wanted to say because there are fewer types of long cases for paeds and it's easier to spot what will come out and I get a break between my med short and surgery exam. But I didn't because it would sound like I'm a slacker. So I said, I like paeds because I enjoy being around children as they are cute.
yup. Children are really cute but THAT'S NOT WHY YOU WANT TO DO PAEDS LONG!!! I sounded like a BIMBO!!!!!! And this all happened before I even saw my first patient. Anyway my first case was a woman was a massive hepatomegaly and a curious mass in the left iliac fossa. I happily said that I think it's a colorectal cancer and metastases to the liver. After lots of digging, I finally said polycystic kidney disease with polycystic liver. And then the examiner said, can the diagnosis be polycystic liver disease when there is such a huge hepatomegaly? So, the clever little me said, yes because massive cystic hepatomegaly can occur especially in women and it is not common in man. (the patient was a woman btw) And the examiner eyes nearly popped out, are you sure?? Yes, sir, I'm sure. I read it in the book.
Ok then I went onto the next case. And IN THE MIDDLE of my examination of the cranial nerves, the same examiner asked me, where did you read the polycystic liver information from? Baliga, sir. 250 cases in clinical medicine. And he actually copied down the book name!!!! I almost fainted on the spot. Then after my exam, I couldn't find a single person who heard of this fact. But I really read it and I can prove it!!
Page 323 of Baliga.
Unlike renal cyst formation, liver cysts seem to be influenced by female hormones. Whilst men and women have the same frequecy of liver cysts, massive liver cysts are almost exclusively found in women. Mr Baliga, you better be correct because only you seem to know about this fact.
My examiners were really nice. Can't complain much, but they should be looking at me examine the cranial nerves and not thinking about what I said in the previous case!! Second case was ok, screwed up my third case though. it was a massive pleural effusion but I said it was consolidation. Whatever.
my pre-auricular sinus is infected. Because I'm super neurotic and I keep squeezing the sebum with my dirty fingers whenever I study so it got infected. I don't know what are the complications, but judging by it's location, I might get otitis media and become deaf. Or get meningitis/ brain abscess and become stupid (not that I'm smart now), or just get disseminated sepsis and die. Whatever.
2 comments:
haha was this entry 1 month ago?just read it.i think that what baliga meant was isolated liver cyst n not really polycystic liver.that's my interpretation from ur entry.hehe coz polycystic liver is not influenced by hormones right?
wrong. The section was taken from the chapter of polycystic kidney disease. Everything was about polycystic disease, and not isolated cystic lesion. So my interpretation is for polycystic liver. According to Mr Baliga, female cysts are influenced by hormones.
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