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salam, candidate number 4-->10 long case (dr hanip-HKL, dr onny, dr ravi, dr foo)
madam paniah 57 years old malay lady non smoker with b/ground hx of asthma for
17 yrs and DM for 2 years came to hosp 2 weeks ago following episode of worsening
shortness of breath a/w cough and fever for 2 weeks. dx: AEBA (kite ckp die
secondary to pneumonia - sbb die ada sx of chest infx) diorg terima. what else do
you want to tell us in hx? rupa2nya diorg nk tau pasal past obstetric hx.. adoihh dah
la x tnya patient. ingat xde kaitan dgn asthma. last2 diorg suro tnya masa bawak g
kt patient. lepas tu byk tnya pasal history - precipitating factors and medication that
the patient's had, rescue nebulizer. inhaler technique. suro demonstrate, ix, what
type of medications. DM - die tnya side effect of metformin - weight loss, how would
u monitor - BSP, ix for DM.
habibah, 59y/o housewife, with poor control asthma 10y, dm n hpt for 5y good
control n on med. multiple admission dt asthma. last admission 6/4/12 wit cough
and sob for 3 days prior.
trigger fx - smoke, pet, carpet and dust (all triggers fx of asthma)