So, just a quick recap on my TOSCE exam that I had this noon. I was being positioned in the very last group for the examination. I spent like 4 whole days before just to get prepared for a 30-minutes session. But I still say it was worth it.
I got a case on Leukemia where the patient presents with nosebleed. Actually this particular topic was my least expectation out of all cases that we've covered through the semester. But, thanks to my instinct and super determination to read through all the cases and try to get all important points on my fingertips. ( Read: TRY ).
I've been asked to take the History of presenting complaint and past medical history, was asked to examine the spleen ( the JC1/2 stuffs!!!) grrr...). And lastly to list down the management for diagnostic purposes and the signs and symptoms of a leukemic patient. Basically, I just shouted out peripheral blood film, FBC, LFT for coagulation status, bone marrow sample etcs...And for the symptoms basically are infiltration based problem like hepatosplenomegaly-sign: pain and tenderness, bone infiltration lead to pain and fracture, susceptible to infection based on the patient experiencing meningitis previously....yeah that's basically it!
Overall, it went OK...oh yeah and thanks to my lovely mama who sent me a beautiful message yesterday. It does somehow boost me to do better this time...well, i hope so, I really do...Mama, missing you already....! =)
" OK, GOOD LUCK. Try your very best. Mama and papa doakan Ngah (me) lulus cemerlang. Mama suruh Azri and A'an lagi juga doa (my bros). Bismillah, dear ALLAH, the lady reading this is beautiful, classy and strong and I Love her. Help her live her life to the fullest. Please promote her and cause her to excel above her expectations. Help her shine in the darkest places where it is impossible to love. Protect her at all times, lift her up when she needs YOU the most and let her know when she walks with YOU, she will always be safe. Love you !! " ~mama~
I did burst into tears when I read this. Thanks Mama, you are always loved...