Short case: Heart murmurs

Throughout my attachment in SIMC, I have learned how to present a short case on heart murmurs. When patient comes to you, first, identify the age. If patient is old, it is more likely to be aortic stenosis. If patient is young, it can be mitral regurgitation, aortic regurgitation, mitral stenosis or congenital defects such as ventricular septal defect, atrial septal defect and patent ductus arteriosus. Second, check for clubbing and scars. If none is present, congenital defects are unlikely to occur. Next, palpate or auscultate for the apex beat. If it is displaced, it is either mitral regurgitation or aortic regurgitation and hence, mitral stenosis can be ruled out. Now, one is left with either mitral regurgitation or aortic regurgitation. Auscultate the back for murmur. If a systolic murmur is heard from the back, it is mitral regurgitation since that is the only murmur which can be heard from the back.

Till we meet again

Time flies! It is time to start blogging again! I was so busy throughout this whole semester that I did not even have the time to blog. My final semester before going to clinical years was a really stressful semester. I had to memorise all the systems with only 2 weeks of study break. It was crazy! I am glad I passed and it is over now. Thanks to my helpful friends, lecturers and not to forget, my mentor from Kuching. =D I will miss my friends who will be going to overseas instead of Seremban to do their clinical years especially Sin Dee and Hui Hwen. Not to forget Jonathan as well who was so willing to be my patient for me to practise my clinical skills.









I love you all! Happy Holidays!

2 days of field work for Community Medicine in Nilai, Negeri Sembilan

We just started our Community Medicine on Monday. We were divided into many groups to carry out our Community Medicine project. My group was assigned to Nilai. There were 36 of us. We further divided our tasks among ourselves. Some of us studied the organizational structure in the Klinik Kesihatan Nilai. Others did the household survey and the research project. I was involved in household survey. For the household survey, we did a survey to know how much the people in Nilai know about Diabetes. Our instrumentation was a questionaire. Wow, I thought questionaire was an easy job. It was not at all. We walked so much in the hot sun around the big neighbourhood in Nilai and it was from house to house. There were dogs in some houses and we were rejected by the people in some houses. We had to collect at least 250 data and we managed to collect more than 300 data. For our research project, we did a cross sectional study on how much people in Nilai know about Dengue. Tomorrow, we have to start to key in all the data and use the SPSS software for our data analysis and results interpretation. Next week, we have to present it to all the doctors who specialized in Community Medicine.


Klinik Kesihatan Nilai which is opposite the bus station


One of the many housing areas that we had to walk around


One of the departments in Klinik Kesihatan Nilai

Doing a household survey is not easy at all.

People were scared of me when I tried pressing their doorbells so many times. No one wanted to come out to answer my questions.


We walked from lorong to lorong. It was super tiring.


The Klinik Kesihatan Nilai was so creative to educate the patients there on breast feeding. Stocking as the skin? They were really creative.

A new semester, a new beginning

I will be starting my new semester tomorrow. No doubt that it was hard to leave Kuching but I have been telling myself that I should not be sad as each time I get back here, it is coming nearer to the day I get my certificate. =D Instead, I should work hard from tomorrow onwards!! I am satisfied with my 4 weeks break in Kuching and now I should put the holiday mood aside and tune in to the study mood. I am ready to face Community medicine, Musculoskeletal system and nervous system for this coming semester! Not to forget, my 7 other systems. Yes, I have 10 systems for my final exam in December and I should start burning midnight oil from Day 1.