nanaIn

my presentation was ok. i know prof harwant sgt suka x-ray. so, when i put many good x-rays, of course la he likes it. dont hav to say too much, he will explain. gooooood…
thanx to website uni of washington. the x-rays are real n really illustrate what me n my groupmates need to see.
today we also had a case presentation (its an everyday routine actually).
i summarized one of the case td ek..

58 year old Malay man, gardener, who was previously well, complained of pain at the right hip region after a trivial wall. The pain was progressive, and worst at night. He had lost of appetite, lost of weight and reduce effort tolerant.
Plain radiograph show diffuse osteopenia at the right hip and fracture neck of femur. He also had lytic lesion at the lumbar vertebrae.
Now, patient is having pain all over the body.
The systemic review show no other abnormality except for bloating and tenesmus.
But on colonoscopy, no growth in the colorectal region.

Diagnosis?
Prof Harwant said its chondrosarcoma, base on the radiograph feature. (sbb ade diffuse lytic lesion, n some calcifications)
But maybe, metastatic from other places. (if metastatic, there will be moth eaten appearance, and it wont be that diffuse)
lagipon, they could not find any primary lesion.

sepatutnyer, patient tu dah di-treated earlier, by total hip arthroplasty. but, maybe they didnt think its chondrosarcoma. but prof said, even it wasnt it, still the hip replacement will help the patient, in sense that there will be no more pain there, n the patient can have a better life instead of lying on the bed and waiting for death.

think of it, if u have cancer, kan, n ur time left in the world is only around 5 months, dont u wanna spend it on something beneficial and lead the best life u could ever had? 

we should put ourselves in the patient’s situation, then only can we give them best treatment. n that’s what we call EMPATHY.

hmm..

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