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Saturday, February 26, 2011

awesome film!!!

salam guys....

i think u guys can guess what the latest awesome film in msia, rite?

HIKAYAT MERONG MAHAWANGSA

yup, it is....awesome (based on the trailer lerr)
i'm pretty sure that the film going to be as awesome as the trailer...
setakat ni, film2 KRU tidak mengecewakan lagi la...

i've waited to watch this film since last year..
first person that introduce this film to me is the one n only-----> Asyran...;p;p
first tyme he mentioned the title of the movie, i was like huh?what's the name again?
macam nk terbelit lidah je nk sebut... (obvious gler aku fail sejarah2 melayu ni, huhu....)
ok, not that bad la, i know bout the peristiwa 1511 ok!...hehe

tapi msa tu, i'm not really interested to watch the trailer....
last yer kot, mana ada lagi dgr ctera psal film ni, dy je the only one yg excited duk citer kt i bout the film...
layan jela dy duk smngat cter kan, tp balik bilik, xtgk pn trailer....
i lg suke cari n donlod muvie2 Disney, gossip gurl, chuck, desperate housewife...haha
i just tgk gmbar kulit film tu je...so dpat la idea citer ni mcm perang2 zaman melayu dulu...

but now, that film's trailer tgh HOT, HANGAT (mcm hot.fm la plak)....
rmai member2 post kt fb....bru ler i terasa nk tgk trailer hikayat merong mahawangsa ni...
first trailer i tgk yg official english trailer....sbab dy tulis 'english trailer'...
dalam hati i, aik, kate citer melayu, nape ade english trailer plak ni....
so, klik la play, kt vdeo yg di post oleh member d fb..
my first impression....WOW...AWESOME...hehe

so, laju je bkak new tab, youtube, n type official trailer hikayat merong mahawangsa...
tgk yg BM version plak....again, WOW AWESOME...
i ade la bca2 sket kt internet, yg film ni tgh dpt smbutan hangat di europe
lebih 25 buah negara khabarnya bakal menayangkan film ni...
budget smpai mencecah 8million, mana x wow nya...memang wow la, padan dgn budget kot...
costume2 untuk film ni pn di tempah khas from oversea....
tahniah untuk KRU production....terbaik ah...
pape pn, xleh komen lebih2 jgak....kna pegi tgk dulu citer ni cam mane...
xsabar plak nk g tgk ngn encik asyran....hehe

jom ramai2 pegi tgk film ni...hehe (promote sket)

asthma....

salam guys....

i just finish a discussion about asthma in peadiatric, with my friends...
i think, i wanna share the info here....
i'm sure, kawan2 kat luar sane basically da tau psal asthma, since the case is sooo common in the ward
but, maybe, u guys can add on what is lacking in this post, sy pn budak masih belajar lagi,hehe....sharing is gaining, right?=)) alhamdulillah...

basically, this post is like revision for asthma.....pro exam pn da dekat kan?
every patient coming with symptoms of cough and sob a/w wheezing and behave like asthma, most probably the dx is asthma...but not all of them is asthma, especially if the patient is less than 1 year old..
very rare, diagnosis of asthma is made in the child less than 1 year old, unless it is a clear cut case with very strong family history of asthma and atopy...

still, we shouldn't miss out the hyperactive airway ds, post-viral wheez, brchopulmonary dysplasia or chronic lung, pneumonia, ac bronchiolitis, etc...

however, i'd  like to discuss regarding 3 topics above, which are
- hyperactive airway disease
- post-viral wheez
- bronchopulmonary dysplasia (chronic lung)

ok, i admit, previously, i always confuse between those 3 topics and how to differentiate them with asthma...

1) hyperactive airway ds
it is actually damage of lung due to recurrent insult to the lung and the airways and cause it to become hypersensitive airways
most commonly or always associated with other disease that cause recurrent insult to the lung, for example reflux ds and CCF
so, if patient came with symptoms look like asthma, ask bout the interval symptoms and hx of reflux ds or ccf...
if there is no interval symptoms, like in asthma, and patient had hx of reflux ds or ccf, most probably it is hypersensitive airway ds scondary to reflux or ccf..

2) post viral wheez
from what i know, post viral wheez occur in the child less than 2 years old..
the child is perfectly normal except that he/she had small airway compared to other normal child..
so, once the child get viral infection, more pron to get bronchiolitis
once the child get bronchiolitis, it'll cause mucosa damage, and sebsequently expose the nerve endings and the airway became hypersensitive, and present like acute exacerbation of asthma
but, remember, there was NO INTERVAL SYMPTOMS of asthma in this kind of condition

3) bronchopulmonary dysplasia (chronic lung)
this occur due to recurrent insult to the lung within 1st month of life (within 28 DAYS)
usually patient had hostory of admitted to NICU, ventilated/ intubation, with positive pressure of oxygen...all this will cause recurrent damage to the airways and lung, this lead to remodelling of the airways, and it became dysplastic chnages of the airway..
it behave EXACTLY LIKE ASTHMA....
but, we have to ask any hx of premature delivery with admission to NICU, hx of ventilated/ intubated within 28 days of life..
they also got INTERVAL SYMPTOMS just like asthma...
but, asthma is a/w atopy and family hx,...
but, this case, no hx of atopy or family hx...sometime, they can overlape...the most important thing is hx of recurrent insult due to intubation within 28 days of life.


erm, tu je kot untuk kali ni...hehe...
have fun in ur study....
discuss with ur friends or lecturers if xpaham....jgn tangguh, ask question..
DARE TO FAIL OR MAKE MISTAKES
it's the process of learning....=))))))))

good luck in pro-exam my friends

salam=))

Wednesday, February 23, 2011

thank you ALLAH=))

salam semua...

da lama rasanye tak menulis di blog ni....
agak sibuk cket lately...
post for this time is just same as previous post....its about myself, people surrounding me, and things that happen in my life everyday...
this blog is for those yg care, especially for all my friends yg jauh di mata tp dekat di hati...=))

first thing yg menjadi keutamaan skrg adalah PRO EXAM pada 18 April ni..
rasa2nya kawan2 final year yg lain pn tgh musim exam skrg...
dgr cite kwan2 medic UKM exam lagi awal dari kitorg.....good luck to all of u
my best friend, Nurul Nadia yg skrg ni blajar kt Glasgow, United Kingdom, awk pn bakal sit for final exam xlama lagi kan...gud luck dear...awak tabah orgnya, I know u can do it....i miss u=)

thanks to Asyran jgak, sbab bnyak tolong sy lately....
thanks sbab tman my family msa dorg dtg KL....
thanks sbab tlg uruskan sume urusan tmpat tinggal family sy, bwak g tmpat2 menarik, g mkn nasi beriani gum,hehehe....
thanks sbab teman sy g jalan tar shopping tudung baru, teman sy g appointmen, and untuk sume la yg awk buat kat sy....bnyak sgt....hanya ALLAH yg dapat balas sumenya...


tahniah di ucapkan to both of my BFF, linda and dalila....sbab bakal mndapat ahli baru dlm keluarga nanti...hehe
rasa macam baru semalam kite duk wat perangai gile2 dlam kelas, gi tuisyen bukhori and ERA skali, makan di keda mok su n blakng stesen bas,haha....
pape pn, geng kite, saihah (sy), linda, dalila, kembar mirah&silah, nuyu....memg glemer and voks gitu, tp ngaji skoloh tetap menten ganah...hehe...
nuyu pn ado org baru doh jgok loni....cpat sungguh msa brlalu...
walau ap yg jadi, our friendship will last forever...

bye=)

Thursday, February 17, 2011

SaLam Ke aTas BagiNda...


..kepada semua yg membaca blog ni...

1stly, terima kasih la kpd empunya blog ni, Cik Amirah Saihah Aziz, yg baik hati, cantik, menarik tertarik....(lepas tu sambung sdiri..he) kerana secara rasminya telah melantik sy sbgai co-writer dlm blog ni. Segala kepercayaan anda amat sy hargai (fuh..formal sungguh).

Tidak terlambat rasanya jika sy hendak mengucapkn salam maulidurRasul (15 Feb 2011/12 Rabi'ul-Awwal) kpd semua, sememangnya baginda Rasullullah S.A.W adalah manusia terulung yg tidak ada tolok bandingnya di seluruh alam ini.

Muhammad S.A.W adalah kekasih Allah S.W.T, nama Baginda terletak di sebelah nama Allah S.W.T di atas Arasy Allah, kerana nama Baginda yg telah disebut dlm doa Adam A.S lah yg telah meredakan kemurkaan Allah S.W.T terhadapnya. Ini adalah sebahagian kecil bukti yg menunjuk kn betapa mulia nya manusia yg bernama Muhammad ini.

Kita seharus nya bangga dan bersyukur kerana dipilih oleh Allah S.W.T utk menjadi ummat Nabi Muhammad S.A.W.

Marilah kita perbanyakkn Selawat dan Salam kita keatas baginda sbg tanda cinta kita kepada penghulu kita ini.






Wednesday, February 16, 2011

new writer!!! =)))

salam guys...

it's been a while after the last post...
soriii....bz sket lately....bnyk homework, serabut dgn log book forensic lagi, bedside teaching, ward work, study group,huhu...
my final exam is just around the corner, kna kerja kuat cket....

even I have to sacrifice my weekend and public holidays,huhu
tapi, smpat lagi pegi jalan tar shopping tudung2 baru and kain untuk raya , yeay....dpat discount,hehe
p/s Gulati's mahal gle, xberbaloi, nagoya murah, and jakel berpatutan....;p
.
.
.
.
 ok, back to the point....new writer...
yes!!...this post actually for me to announce the 2nd writer for this blog namely Mohd Asyran,hehe
he will be my other half....eh, my blog's 2nd writer or c0-writer...hehe

that's all bout it....
bye=)