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AttachmentLogbook

A guide for medical students

First Edition June 2012

PERUBATAN 2012


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HOW TO USE THIS BOOK

Instead of a how-to-do, this book is a what-to-do for medical

students clinical practice particularly during elective posting. Usersof this book are encouraged to seek guidance from doctors and

nurses during their elective postings on how and when to perform or

observe the cases and procedures listed in this book.

This book is divided into ten alphabetically arranged departments in

most local hospitals; namely:

1. Department of Accident & Emergency (A&E)2. Department of Medicine3. Department of Neurology4. Department of Obstetrics & Gynaecology (O&G)5. Department of Ophthalmology6. Department of Otorhinolaryngology (ENT)7. Department of Orthopaedics8. Department of Paediatrics9. Department of Psychiatry10. Department of Surgery.

Note that postings for housemanship are Department of A&E,

Department of Medicine, Department of O&G, Department of

Orthopaedics, Department of Paediatrics and Department of Surgery.

Thus these six are the commonly pursued departments during

elective postings.

Each department in this book is further organized into:

1. Diseases and presentations (signs and symptoms) commonlyencountered

2. Cases clerked3. Essential procedures and operations

DISEASES AND PRESENTATIONS

We try to arrange the diseases and presentations listed in each

department by order of importance and commonness in an average

Malaysian hospital. The DATE column is for the user to document the

date and the COMMENT column is for jotting down important key

points on the diseases. Empty rows are included for the user toinclude unmentioned but encountered diseases and presentations.

With the space limitation in this book, we highly recommend each

user to carry along a separate notebook for noting down the

management of each cases and everything else.


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HOW TO USE THIS BOOK

CASES CLERKED

Among the important skills for a medical student are history-taking

and case-presenting. These are essential to build up your clinical

sense and self-esteem as a doctor-to-be.

Courage is the most important of all the virtues, because

without courage you can't practice any other virtue consistently.

-Maya Angelou

The CASES CLERKED table is for the user to summarize the patients

he/she had clerked during the elective posting. The R/N column is to

document the nurse assigned to that patient.

We highly recommend each user to be proactive and step forward to

present the cases to any doctors in the department.

ESSENTIALS PROCEDURES

For the ease of the user, we try to arrange the procedures by order of

importance and commonly performed by the medical student

himself. Procedures listed later on are usually observed or assisted as

a doctor performs it on a patient.

The STATUS column is divided into two columns.

The smaller is to jot whether the procedure was

performed (P), assisted (A) or observed (O) by the

user. The bigger column on the right is for

documenting the date.

Three rows are allocated to encourage the user to perform eachprocedure as many times as he can. Feel free to practice performing

the procedures beyond the number of rows allocated.

Lastly, set your intentions straight and we wish you all the best and

enjoy your elective postings.

The Editors


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CHAPTER 1:DEPARTMENT OF

ACCIDENT ANDEMERGENCY


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2 ATTACHMENT LOGBOOK

DISEASES

NO DISEASE DATE COMMENT

CARDIOVASCULAR1 Myocardial infarction

2Acute coronary syndrome

/ unstable angina

3Hypertensive crisis

(emergency and urgency)

4 Heart failure / CCF

NEUROLOGY

5 Ischemic stroke

6 Intracranial bleed

7 Epilepsy

RESPIRATORY

8 Asthma

9 Pneumothorax

10 COAD

11 Pneumonia

GASTROINTESTINAL

12 Acute gastritis

13 Appendicitis

14 Upper GI bleed15 Gastroenteritis

GENITOURINARY

16 UTI

17 Pyelonephritis

18 Renal stone

19 Orchitis

20 Inguinal hernia


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DEPARTMENT OF ACCIDENT & EMERGENCY 3

DISEASES

NO DISEASE DATE COMMENT

OBSTETRICS & GYNAECOLOGY21 Ectopic pregnancy

22 Threatened miscarriage

OTHERS

23 Dengue fever

24 Anaemia

25 Uncontrolled DM/DKA

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40


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PRESENTATIONS

NO PRESENTATION DATE COMMENT

1 Fever

2 Headache / dizziness

3 Chest pain

4 Epigastric pain

5 SOB

6 Diarrhoea / vomiting

7 Pedal oedema

8 PV bleed

9 Haematemesis

10 Haemoptysis

11 Maleana

12 Wheezing

13Dysuria / frequency /

urinary hesitancy

14 Cough

15 Syncope / fainted

16 Palpitation

17 Ascites

18 Back pain

19 Body weakness

20 Jaundice

21 Pallor

22

23

24


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CASES CLERKED

NO NAME R/NDATE

ADMITTED

DIAGNOSIS

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

2122

23

24


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ESSENTIAL PROCEDURES

STATUS

P PerformedA Assisted

O Observed

NO PROCEDURE STATUS COMMENT

1 Setting IV line

2 Taking blood

sample

3 Basic toilet &

suture

4 Wound dressing

5 Looking and

controlling source

of bleeding6 Blood glucose test

7 CPR

8 Perform 12-lead

ECG

9 ECG

interpretations

10 AED and

defibrillation on

manikin


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11 Setting nebulizerfor asthma bay

12 Cervical collar

application

13 Immobilization

14 Endotracheal

intubation and

ambubagging

15 Ryles / Nasogastrictube insertion and

removal

16 FAST

17 Gastric lavage

18 Per rectum

19 Urinary bladder

catheterization(male and female)

20 Central venous

line insertion,

monitoring CVP

21 CMR

22 Back slab


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23 Eye irrigation andstaining

24 Foreign body

removal

(eye/nose)

25

26

27

28

29

30

31

32

33

34


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NOTES


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NOTES

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