₦airaland Forum

fadehan:
I'm a male nurse like you....n I would not do anytin to jeopardize d image of my profession....
Ike u just did...if U really want to confess ..if shld not be here....I dont think u really know wat u v just done.... obviously ..u don't know dt u just reduced yr value as a Nurse....u think hiding yr name would protect u.....
My point is ...we don't need feeble minds like ds to be a male nurses... thank God fr several positive posts over me....at least some ppl know who n what we are.......let everyone know dt nurses aren't dumb....m we don't pass our limits.
lastly...let me take ds opportunity to let everyone know dt nursing is a profession not a mere training... admission in to university or school of nurses is thru 5 credit in WAEC or NECO just like any oda course......if u think nursing learn nothing dan to gv injection....why don't u take a form ..get enrolled n witness for yrself wat we go thru....our job description n professional responsibility is diff from dt of doctors...but d scheme of service in d country is a mess....
if u don't respect nurses....it's fine....I understand because u probably v lil knowledge abt us...here r some tips....
...we r always dere for pt 24hrs

...we r expected to respect everyone even if dey disrespect us
we r expected to understand everyone
even when we r sick...we r still expected to gv 100% to pt care
when u go on holidays, we don't
when patient dies .....we r dere...when dey r resuscitated we r dere...
we do not tk care of patients alone but dere family as well.......juat to mention a few...
Nurses are truly great....
respect us or not....we indeed are

@bolded, habaa, you can lie ooo....

Come on bro, we both know nurses run shifts, while doctors do calls, which could last more than 24hrs if it's a weekend call....

And all the "when the patient this, we that" you've been ranting about, so doctors don't do same and even take the blame when the nurse flops baa??

Issokkaayy, no ploblemm, kontunu

Emeritusseun:
my profession is to gve u links dat wil clear ur doubts.....even BSc nurses wont try to diagnose....hw much more d Registered nurses!....why is everyone in d healthcare is keenly interested in diagnosis....d nurses, d pharmacists, d med lab scientists....can u imagine Nurses talking abt diagnoses and prescriptions as part of dier responsibilities and training!....how many anatomy classes did u tak in skul?....how many cadavers do u dissect?....how many patients did u clerk?.....see dnt lets us argue dz because u are just mere ignorant...go meet d real nurses,dey wil tell u wassup....ok?...
I once taught nursing students anatomy, and i bet u...it was a superficial one.......@dnt u think it is very primitive to combine anatomy and physiology....dats how it is taught in Nursing skuls......and u want dz professionals to diagnose..@.?...hell no!.....@
i really respect nurses....because dey are d backbone of d healthcare system....dey do d main work in d healthcare.....infact ,in d USA, ther are traces and proofs dat nurses are well paid even dan d houseoffcers, i mean d doc,.....but inasmuch as dz importance is attached to d noble profession, called nursing,....dey arent trained or licensed to diagnose patients,,.in an area wher doctors cud be easily reached

Preach on bro, preach on.....

sarhmuhel:
have u ever heard of Nurse consultant, if not go read about it ASAP

See you, asking me to go and read about nurse consultant.....

Look, I have worked with male nurses that have their phD out of the country, so they are also "doctors"....

They can still NEVER over-ride the decision of a house officer, not to talk of a doc with years of experience....

You are now mentioning nurse consultants.... stop please i don laaff piss for my patient bodi!!!!

sarhmuhel:
Op, pls get enough fact before u speak negatively about my noble profession........ Who told u we are not thought how to diagnose n prescribe medications for patient?? On the issue of abortion, no profession in the medical field is a saint..... Even doctors do it at a very high rate...... On the issue of training of auxiliaries, most of their trainers are doctors... I've once worked in an hospital in which I refused to participate in their training......OP, I'll say u need more orientation about nursing profession contact me xo u can be educated on it 08134651599
God bless Nigeria
God bless Nursing profession
God bless Lagos State
#ProudlyAMaleNurse

Baba take am easy nah, see as you just dey paara....

Anyway, we both know it's only a DOCTOR that has the sole right to diagnose disease. That's how it's done all over the world.....

There is no place in the world where a drug advert states "if symptoms persist after three days consult your NURSE"

And if there is, please post the YouTube link make we watch am together.....

Eldinot4:
The qualified doctors would give space for the male nurses forming quack doctors, while the female nurse would go to the other room with the qualified doctors to do something
This is naija hospital. No wonder some doctors be attending to me like they only spent 6wks in medical school

U no serious wallahi!!!!

DrAda:
Can we please end this squabble? In as much as I will like to conribute to this debate, I won't cos the answer is painfully obvious. THERE IS NO LYMPH NODE IN THE SCALP. Someone mentioned trichilemmal cysts otherwise known as wens. I saw that too, but thought twice about it cos the consistency is hard. I am thinking subcutaneous nodules?? Cause. Searched online and got these answers which in truth are no answers at all but close.


LESIONS OF THE SCALP:
Actual neoplasms of the scalp are quite rare in children, but congenital lesions of the scalp are rather common.
Two such lesions require special attention due to the known potential for malignant degeneration. Nevus sebaceous is a congenital lesion primarily of sebaceous glands of the scalp that may transform into basal cell carcinoma. Giant congenital compound melanocytic nevi may occur anywhere in the skin including the scalp. These nevi may give rise to malignant melanomas. Early prophylactic resection of these lesions is recommended to decrease the risk of future malignancy.
In practice, superficial lesions confirmed to the dermis are usually treated by dermatologists and plastic surgeons; it is not until subgaleal or cranial involvement is apparent that neurosurgical consultation is obtained. The following conditions, although not necessarily neoplastic, are frequently encountered by pediatric neurosurgeons.


Scalp Nodules
Subcutaneous nodules of the scalp are common in children. The majority do not possess any intracranial extension or any relation to the neural structures.7 However, lesions of the scalp that on palpation are found to be fixed to the skull, or those overlying the midline may require further neurosurgical evaluation.
Scalp nodules result from numerous processes. In children especially, enlarged lymph nodes may present as scalp nodules, particularly in the postauricular region. There is frequently a history of upper respiratory infection and the lymphadenopathv is self-limited. It is also not uncommon in children to notice very firm nodules fixed to the skull after trauma, with or without skull fracture. These periosteal reactions should also resolve spontaneously.
Multiple painless subcutaneous nodules of the scalp may result from an inflammatory process of unknown origin known generically as "necrobiosis." Necrobiotic granulomas of the scalp are described under man titles including rheumatoid nodules, benign rheumatoid nodules, pseudo-rheumatoid nodules, subcutaneous granuloma annulare, and subcutaneous palisadinggranulomas of the scalp. Histologically, necrosis and degeneration of dermal collagen is the predominant feature, surrounded by histiocvtes, epithelioid cells, and multinucleated cells.

In contrast to true rheumatoid nodules associated with rheumatoid arthritis, these granulomas involve the scalp and pretibial subcutaneous tissue and are not found near the joints. Progression to clinical rheumatoid arthritis does not usually occur. The lesions have a predilection for the occipital and frontal scalp and usually resolve spontaneously. In general, biopsy is not indicated in typically appearing lesions.

Neurofibromas of the scalp may accompany neurofibromatosis type 1 (NFl) and to a lesser extent, neurofibromatosis type 2 (NF2). With an incidence of 1 in 3,000 live births, NFl is a commonly observed condition in pediatric neurosurgical practice. In a patient with NFl or NF2, the discovery of painless, subcutaneous nodules of the scalp does not usually present a diagnostic problem. Occasionally, however, a nodule may be found in the absence of known neurofibromatosis. Characteristic cutaneous markings such café-au-lait spots and auxiliary freckling should be sought although they may not vet be present in young children. Biopsy of a lesion that shows neurofibroma, although not usually essential, may prompt consideration of the diagnosis of neurofibromatosis. Resection of neurofibromas of the scalp may be indicated when lesions are painful (e.g., in proximity to the occipital nerve) or disfiguring. Consideration of biopsy or resection should be made in neurofibromas that have rapidly enlarged because malignant degeneration is possible.

A variety of benign proliferative disorders of mesenchymal tissue occur in infancy and may result in masses involving the scalp. skull, and occasionally, the dura. These lesions are referred to by various terms and have excellent long term prognoses despite initial periods of rapid growth. Infantile myofibromatosis is characterized by diffuse or nodular proliferations of cells resembling fibroblasts and smooth muscle cells. Although considered the most common benign fibrous tumor of infancy, involvement of the scalp and skull is relatively rare. Some lesions appear to arise from the dura and result in significant intracranial mass effect although the brain and arachnoid are not invaded. In these cases, dural resection is recommended because recurrence may occur from involved dural.
Cranial fasciitis of childhood is a rare, benign lesion of unknown etiology that appears histologically similar to the more common nodular fasciitis and infantile myofibromatosis. It occurs predominantly in infancy and may present as a rapidly growing subcutaneous mass, often with intracranial or intraorbital extension. Operation is generally indicated for histological diagnosis and relief of mass effect. Despite an appearance alarmingly suggestive of malignancy, these lesions usually do not recur after removal.

I didn't even know my oga at the top has nailed it, thank you so much ma, God bless you.

Abeg let this case close jare.....

Me Sef get patients to see.....

amokeme:
Exactly... But I see pride and Ego protection all over Lagusta replies... every medical doctor was once a medical student, so why emphasizing it like it's supposed to be a new knowledge?
Other doctors here stated what they feel might be the problem with genuine concern for the baby..(and that should be the primary concern of every doctor. Not trying to prove a point)
You felt the student was wrong? Correct him. And if he doesn't take it, then let it slide since professionally you are the "bigger" person
And @ Silkmoth33 yoy need to relax on the attitude

My dear, please read my posts, see if I had any iota of ego protection in them....

If you noticed, I even wanted to playfully let everything slide, but he did the ultimate thing, he referred a senior to his textbooks. That is not only insulting but outright silly for a medical student to do....

At first, when he said "I hope those aren't lymph nodes" I didn't even correct him because I thought he was a doctor like me, so I just gave my opinion and left, then he started pouring out "stuff" for me, and I told him to compare his stuff to what he sees in the pic....

Even when he was still adamant, I just tried ignoring him. Then he had the effrontery and the audacity to say "go and read Cunningham" (which is even a manual of practical anatomy anyway)

I have mentored many medical students, created a thread for them, tutored students on how to survive, house officers on how to get stuff out of no stuff. None of them ever regretted it.....

Please don't misinterpret me please

vicksbaba:
Silkmoth, in Clinical years, we're taught and bred in Knowledge, Skills and Attitude. The Tripod of Physicians and surgeons alike. You my friend lack Attitude, and the funny thing is that you're arguing blindly. The scalp has no lymph nodes, that's a common knowledge to all Medics. That is why you'd never see a metastatis of Papillary carcinoma of the Thyroid gland into the scalp -it spreads via lymphatics. There is lymphatic drainage of the scalp, but the lymph nodes them selves are not present on the scalp. Occipital group is located at the lateral border of the trapezius muscle, preauricular group lies at the back of the ear at the insertion of the sternocleidomastoid muscle. They are not located on the scalp.

Cc Lagusta please ignore the young man. He's not worth the argument

God bless you sire....

nagodesmile18:
uw......bt don't u tink dat word 'boy' is too harsh...

He would forever be a BOY to me unless he sheds that crappy attitude of his.....

tenderlaw:
Applicants should not be above 40 years of age. It was stated clearly.

Oga Na 30yrs ooo

nagodesmile18:
gentamycin tab......kikiki....I laff in chinese,,,,

Wooooow, I just read that!!! Gentamicin tab!!!!

nagodesmile18:
Haba naa......we don't need all ds arguement and long sermon......pls u guys can sort ds out in camera...@Silkmoth33,lagusta and odas...it;s a kid health we ar talking about ehn....

Thank u jare, the boy that started the whole stuff is still adding charcoal to the fire.....

Silkmoth33:
Who did u type all this rubbish for?
Boss pls don't demean urself!
U r a doctor for christ's sake.

Not once did I tell u that I was a medical student?

Not once did I tell u dat the diagnosis was infact a lymphadenopathy cos I remember clearly telling u that my differential was queriable.

How dis escalated into a pep fight for who is more superior in a discipline is beyond me.
Even after I decided to swallow ur own _fuck up by accepting dat I actually wronged you by being disrespectful, which I didn't; you still had the guts to call my inferior.

Ur behavior is shameful and funny enough I don't blame you. U should start looking for how to write ur primaries and stop knocking up hospital broads, only for u to come here to blab about obscene sexcapades.

For a doctor u are quick to pressume anything that comes to mind, which is dangerous. U have been insisting that it's not an enlarged lymph node on d lads head when u haven't examined or taking proper history or adequate investigations of the lumps.

U also assumed that there are no lymph nodes on the calvaria which I corrected for you. Ps read ur link for other details.

You now gave a cooked up analogy of how ur friend failed out of medical school.
I sha Hope u don't fail out of residency

For all this things uve being saying, lagusta; I've tried to accord u with the slight respect u should get from me as a fellow physician, but u clearly don't even deserve that.

See how uve been saying rubbish since about juniors and seniors.

I wasnt confident in u as a doctor b4, Sir but now I think u need to fall off ur own horse and do something about ur principles.

IMO You are a disgrace if u don't know where ur lymphnodes are.

Wish u all the best as u round up the NYSC if u never finish.

Finished my NYSC....

If you are really a doctor, you should know that passing primaries doesn't make one a successful doctor, as I have colleagues who have passed and are still looking for placements everywhere.....

And if, at this stage, you still believe lymph nodes are found in the scalp region, then I'm sorry for your medical career, I'm so sorry for the patients that would come and see you, I'm so sorry for the tutors that believed they imparted knowledge to you while they just wasted their time, and I'm so sorry for your parents for wasting time, money and energy on you....

Please go and check the anatomy of the scalp, check if there are lymph nodes there, and stop disgracing yourself and the medical profession as a whole.....

People like you are the reason why Nigerians complain about doctors here....

Anyway, no time to talk, got patients to see, while you got books to read....

Cheers!!!

djgreenland:
Even professors still consult their textbooks.....

No professor would ever tolerate even a senior registrar referring him to his textbooks....

There is hierarchy in medicine all over the world.....

Don't you know that is why people say "medicine is a cult" ??

Blessograo:
Stop saying anyone is below your standard. It's what pride can make someone do, we all proud to be doctors and I understand that but please don't make that statement. You are a doctor and you not to inflict pain in anyway on anyone.

Silkmoth33:
The medical profession is a noble profession u can't practise without ego!

The only motivation to raising ur head high as a hero is d fact that u know ur onions.



*medicine is worse than military*

*If u don't know anything, ur junior fit stand up slap u for being stupid*

You see, that is where you are getting it all wrong......

I once had a colleague that was just like you while we were in 400L, had this silly ego too, read all of Kumar and Clark, badoe's surgery, etc... Now shining and correcting even a senior registrar during a ward round in front of the consultant...

Actually, he should have been dealt with if he were to be in either 500 or 600L, but the consultant overlooked it since he was still young... And yep, the SR was VERY RIGHT!!!

Anyway, he forgot all about pathology and pharmacology, failed both courses, he repeated, failed pharmacology and he was withdrawn from the medical programme

You are still young, be careful, I pray you won't end up regretting ever being a doctor for the rest of your life.....

That's my 2kobo, take it with love......

okusman:
topic like this always educate one or two people. but the pride, ego and the "I know everything" behaviour of some people can just ruin the sensation of the holistic.... imagine two medical practitioners/students fighting over an online case. simply because they want the world to know their field.... shiiiooooor, @OP, please don't follow any of their advice except taking the handsome boy to the hospital... these small doctors hardly say a word on cases at teaching hospitals ... only d consultants do the real shit and some SR.... yeye house officers forming on top what they don't know .

there is hierarchical order in medical profession too. just like the forces .

Professor
consultant
S.R
Registrar
Medical Officer
House officer
medical student.

they started making sense from the Registrar. while they started making good sense at Consultant especially on surgery cases..

be wise... don't let a registrar , even Senior Registrar (SR) operates u . .. u only have one life.. and hardly listen to the medical officer downward except on malaria cases

And you are....

Your point please....

But actually your post is quite amusing, considering the fact that the first doctor you would ever meet in the teaching hospital is the HOUSE OFFICER!!!

Cheers bro

Inshalord:
Union diagnostics services
Multiple calcified skull lump
Plain skull xray...
will go with him for the Xray tmrw morning.
Thanks

Okay, let's see what the skull x-ray would bring forth

Keballl:
Oga easy abeg. You too provoke.

doctorkush:
where the ethics at?? two med personnel exchanging words... @op, what scan were you asked to go for??

He is not a medical personnel, he is a medical student who doesn't know anything about ethics, then called me out in public.....

That I can never tolerate.....

Blessograo:
Now I see 2 medical personal exchanging words over a minor. Medical ethics please. Anyway we cannot diagnose a patient of an ailment based on pictures only it might be lymphoma or an infection but we all hoping it's not lymphoma. The boy still has to go for an examination as we cannot palpate or inspect here on NL. Abeg no fight o.

Me kee, fight with someone below my standard?? God forbid!!!

Inshalord:
We just returned from another hospital,after some checkings n questions we were asked to go fr SCAN tmrw bfr any form of treatment.
Will keep u guy's updated.
Thanks

What type of scan?? A CT scan or an abdominal scan??

Thanks for the update, I'm keenly following up on the case.....

Now, I am referring you to your own textbooks....
Start from this online link: http://www.bartleby.com/107/177.html

Silkmoth33:
Like I have been saying, anything is possible.
If u still don't think lymph nodes are in d scalp then ild advice u to seek tutorship from our old textbooks or their latest edition equivalents.

You can't afford to let ur ego be reduced by a medical student, Sir. These basic things should not be forgotten for the sake of our pride as doctors.

Cunninghams or last should do d trick

Hey, now you're being disrespectful.....

Never talk to an initiate like that, or else it's YOUR own ego that would be reduced.....

I still insist those are not lymph nodes, and the only person that can correct me is a fellow initiate....

You are still a student, not even a house officer, and you dare refer me to my textbooks??

What is wrong with these children of nowadays??

@op, as a doctor (with a little bit of self-respect)I would strongly advice you please take the child to another doctor for evaluation, and please get back to me on this thread.....

Silkmoth33:
The point Sir like u rightly put it before when you said; "I doubt that" is that the lymphadenopathy qualify to be cross-examined and excluded from the diagnosis. Afterall anything is possible.

To further shed more light on the perhaps error in ur last post. I can see what qualifies as occipital and parietal group of lymph nodes. At the regions of the external occipital protuberance and parietal emminence, Sir.

My suggestion remains a diagnosis of exclusion however, Sir.

Anyway, a better assessment would be made when the patient is seen, history taken and a detailed examination done...


But for now, I still doubt that those swellings are lymph nodes, because as the OP mentioned, they are non-tender......


Unless you want to talk about lymphoma (which is characterized by painless lymphadenopathy) and the location of the so-called lymphadenopathy is not characteristic of lymphoma...


Well done chief....

Silkmoth33:
Beneath the s.c.a.l. excluding the periosteum Sir, are post auricular, Pre auricular, occipital, parietal and mastoid group of lymph nodes Sir. They can become superficial when enlarged.

If u recall they are d ones sought after when we do general examinations

Good, now check the pics uploaded and see if those swellings are located in the anatomical regions you mentioned...

SIR!!!

Silkmoth33:
Fascinating
This goes beyond tinea, pityriasis or any fungal infection
I just hope those aren't enlarged lymph nodes

I doubt that, I don't think lymph nodes are found on the scalp....
@op, is the child running a continuous fever??
Looks more like a staphylococcal infection....
Take him to the hospital ASAP!!!!

Thick and curvy girls rule.....
only dogs settle for bone!!!

Mckandre:
D

jliusadura:
d

Mckandre:
D

D for Dundee united, you are all ball boys there

Dharniel:
a

a for agbero like u

sweet memories!!!!

With this tutorial, the BB10 series won't be useless anymore.....

But if I may ask, what is the Android version equivalent of OS10, possibly 4.0.4