₦airaland Forum

Lordmayorz: But she should hav told me d truth in d first place

How did you find out?

You really should give her time. Don't choke her with complains - you'll only appear like a ranting kid.

Meanwhile, you're the man - you should never nurse doubts about your woman's love for you. She depends on your trust in her to trust you back. When she notices you don't trust her love for you, she'll begin to have second thoughts. Lo- the very thing you were afraid of!!

I'm dead sure Seun must have voted

kommi: Gud pm. I've bn following dis topic 4 sum days now nd i must say dat i hv learnt alot. I'm pleased 2 b a member.
I jst gaind adimisn to study MBBS in unical nd i hope 2learn lots of things dat wil help my career.
Tank u all.

Finally a female member of the thread from South South Nigeria

Welcome Miss.

Lagusta: And I can categorically tell you that this is the first time I'm hearing that method of staining!!!!

Really? It's taught in theory. Me sef never see am before . But it's more rapid, and specific for M. Tb.

We learn everyday

armadeo: pituatry adenoma. or other tumour

Anatomic + Pathologic diagnosis

Babalola1990: Prolactinoma?...

Anatomic + Pathologic diagnosis.

Lagusta: hyperprolactinemia, most likely from a pituitary tumour......

Aetiologic diagnosis.



You're all correct. Hyperprolactinemia secondary to Pituitary Adenoma/Prolactinoma

Lagusta: A gram stain will not only be unnecessary but useless!!!

Gram staining can't stain MTb Cos of the mycolic acid present on the cell wall of the tuberculosis bacterium.....

You can only stain it with a ziel-nelseen stain(hope I got the Correct spelling )

Right on target. Ziehl-Neelsen is the stain....but in climes where things are done efficiently - a rapid Auramin-Rhodamine stain is done first, then probably a Ziehl-Neelsen.

One drum shot of Goskolo for my oga at the top

Why would a Gram stain procedure be deemed unnecessary in the sputum sample of a patient recently diagnosed of pulmonary tuberculosis ?

A 25-year old lady presents to you with milky discharge from her left breast of a 4-month duration. Her menstrual cycle has recently become irregular and she complains of an intermittently dull headache and double vision. What is your most likely diagnosis?

jaycee687: I just graduated from medical school but in Ukraine and I am a Nigerian.I hope am permitted to join this thread?

Welcome to the thread.

And your MBBS Programme is divided into Parts.

1)Pre-Medical year

2)Pre-clinical year

•a)Physiology
•b)Anatomy
•c)Biochemistry

3) First Clinical year
•Laboratory Medicine and Pharmacology

4) Second Clinical year
•Obstetrics and Gynaecology and Paediatrics

5)Third Clinical year
•Internal Medicine, Community Health, Family Medicine ,Surgery.

Apart from the pre-med year, you write a professional examination in those courses at the end of the subsequent parts(2 to 5).

So once you pass the professional examination, it is considered that you have satisfied the requirements for that course. So it's stepwise.

frankeinstein: Dr. Lomaxx, is medical school a continium. For example,can you be tested on your 300lvl stuff,while in your final year?
I know everything should be taken seriously,but what course should be taken most seriously,in order to become a very good doctor....just curious.

The knowledge is a continuum. Each preceding level provides a foundation for the next one.

When you're doing your subsequent clinical years, the knowledge of pre-clinical years might be demanded.

For example, you're doing a long case on a patient with stroke. You may be asked on the anatomy of the circulation at the Circle of Willis.

Or in a long case with a patient who has inguinal hernia- your knowledge of the anatomy of the inguinal canal may be required.

Fact is when you get to these levels(final year in this case), everything will be cemented into one bolus of knowledge. When you get to the bridge, you will cross.

Dreams don't shape your future. Your actions and choices shape your future.

You need to get a firm grip of your mind. What you allow in, what you nuture inside and what you let out. Master the ability to control your thoughts. Don't allow every thought vegetate on your subconscious.

If you can do this, you can control your dreams.

Pretyangel25: Hello my fellow Nairalanders there's a saying that problem shared is easily solved, that is while have decided to bring these up.

A problem shared on Nairaland is easily solved?

Seriously?

Or are you kidding me?

walex2bad: Tanx doc.... it all started wen i got into d university, abt 3mnth ago....its nt really headache...it seems asif i hear my pulse in my head..asif my brain was floating in my head causing me to feel asif my head was disconnected frm my body wen i walk..I also clench my teeth, nd my eyes get realy sore asif its peeling...
It has lasted for sumtime nw.....bt i feel relieved wen i sleep, bt after being awake again, it starts..
I hav neva vomitted.... I avoid light @times, especially sunlight...i feel disoriented weneva am unda d sun... It triggers wen i go out of d house....lyk walking around..... I dnt tink i av eva gotten relieved... D drugs prescribed for me in d skul clinic den are; Amoxil, Stugeron nd bicomplex...bt still no improvement.... It's really interferring wit my life.....d once lively guy is nw a boring person....i dnt go out to visit frends again....Am no longer concentrating in klasses....

I think you have Migraine headache.

What I'm more concerned about is why Stugeron was prescribed for you in your school clinic- when it's obviously anti-serotoninergic and vasodilatory in action (don't worry about this part).

You need to see another doctor.

pro01: The legendary BootyOnMe, Calloti, etc, etc. etc. now Vallotti!

I'm the biggest fan of your evidently insane self. The username might change a million times, but the e-identity and e-personality remain the same. . . .outrageously distinct and inimitable.

Oya throw the darts.

^ ^

“Mu che che che”.

Me sef dey wait

charleymed: not histopathology..... I mean histology

Oh!

I'm so high on Pathology and Pharm right now. Histology can rest - I don pass am, I don pass


However,t hey're rare stuff. Only place one would find it in Pathology(as a student) is Genetics. And probably Metabolic diseases in Chemical pathology.

But they're not the norm. No examiner will kill you if you don't know(I guess).

Quatermaine: Predecessors, please be carrying out exercises that will also help freshers like us..

Stuffs like. All about medical school, Best way to grab those huge books, what to take serious and what to neglect etc.

I joined this thread to know but it seems like I joined to show that I am in!.

I get what you mean. We've come a long way from page1 and we've shared some of those stuff. If you have the patience you can go over the pages.

Meanwhile, what you see now( the questions, discussion ish), is a means to keep the thread alive, derive some fire and add some "ginger" to the area.

If you have specific questions/concerns, we don't mind going over it again.

For the ones you've mentioned above, it will be profitable to note that medical training is a stepwise process....stepwise but very slippery. There are little chances to correct mistakes when made- so you must try as much as possible to take everything serious. Everything should be important to you.

While meditating in my bathroom this morning, I discovered that the best students I've come across were ALWAYS INVOLVED in the purpose of their schoolwork. They have little room to discriminate between choices when their books are involved. They attend 99.9% lectures, practicals, ward rounds, seminars. They hold stellar records for being attentive in class- copy their notes and maintain a healthy study routine.

I've also had to chance to relate with folks from other schools and I ask about their "distinction students". The story never slides from the picture I've painted above. They're 100% serious folks. No time for unserious gambling of time with frivolous activities. They mean business all the time.

Are all these necessary? I can't say(it's personal to you). But if you have to pass through med school, do it once. And if you have the chance to do it once, do it well. Excellently, if possible.

Once again, goodluck on your admission. You'll get there

charleymed: lol..... oga lomaxx.....these things are weird oo, that's why i posted it here for 'oga at the top then' to deal with It mercilessly, i came across It in histo..... but i have shallow knowledge of it....... as it stands now, i can only do a qaurter of the needful...... hope i will get help along the line oo

What part of histopathology?

charleymed: Guys let's talk about these diseases

Metachromatic leukodystrophy

i-cells disease (inclusion cells disease )

Adrenoleukodystrophy

Charleymed oya come and do the needful. You know this is not spinal stuff.

^^

**picks broom and starts sweeping**

1,2 and 4 rely on the same basic psychology -nonetheless very faulty.

Sadly though, but attraction doesn't lie on the ability to announce yourself by being different, ignoring people, doing wierd stuff etc

There's so much attraction that lies in having an air of mystery around you but not necessarily as dense as ignoring.

You're there but you're not there.

You're as light as the air yet your presence is as dense like a thick fog.

You're found in the mix yet you stand out without necessarily having to go lengths to do so.

"Attraction" is not something you do. It's who you are!

itsmee: And you had to insult me to make your point?you will be fine

Didn't mean to. I take it back.
My sincere apologies, ma'am.

itsmee: I don't understand the point you guys are trying to make but i'm sure she has a life before meeting him

And you're so sure your IQ isn't on the single-digit scale ? ?

walex2bad: hi doc.. i had a blood test...through it, i discovered i had malaria nd thyphoid....bt d funy tin iz dat i am nt running temperature.. i only get terrible headaches nd head pressure asif my head was gonna blow, (it increases wen i am stressed out)....i hav taken drip nd currently on ciprofloxacin nd Artemef bt still no improvement.... do u tink d ailment is d one causing diz symptoms...i am really scared ryt nw.... I also get blurred vision wen diz happens..

You may not have been symptomatic for malaria and/or typhoid. Malaria is endemic here so at one point or the other you should have a laboratory evidence of the disease(depending on parasite density in your blood).

Also, the foundation of the common lab test for typhoid fever(widal test) as a tool for diagnosis is still very debatable in medical science. So it's possible you don't have malaria and/or typhoid.

You have headaches especially when you're stressed out.

When did the headaches start?

How often does it come?

Does the headache have any pattern?

How long do they last?

With the headache episodes, do you have a feeling like you want to vomit? Or have you actually vomitted?

Do you tend to avoid light when the headache comes?

Apart from stress, what triggers your headaches?

What has relieved you since it begun?

Are you aware of any family member that has had wierd headaches?

Does the headaches stop you from doing anything? If yes, what?

Apart from Ciprofloxacin and ACTs, what other drugs have you taken?

ade205: Hi Doctor, i need ur advice on what to do regardin my body size.I'm 19 yrs old,i love havin cloth well fitted on me but my body size wouldn't let dis be.I seem to be reducing in size as some of my cloth that look a bit fit on me some months ago no longer fit me.I went to a Doctor to complain.The doctor recommended two tests for me -typhiod and HIV;i tested positive to typhiod which i treated with recommended drugs and negative to HIV.I have been taking one multivitamin capsule daily and i also deworm once in every three months and in all these i ensure i eat balance diet but no improvement. What should i do?

Did you measure your weight months ago?

What is your weight now?

PS: significant weight loss is a serious call for concern. If you seek advise on what to do as regards your "body size" , I'll say you should do the needful and allow nature take it's course. Eat well, take fruits, sleep well, relax and just breeze through life.

Obviously, you're losing her to an obviously more interesting fellow. She even confirmed it. I suppose by now you should know how to handle "bad market". If you don't , lemme advise that you don't raise an eyebrow about it.

Your first mistake was when you objected to her going to the cinema with this guy. Your second mistake was when you opted to go with her+ the guy. Like who the fuqq goes accompanies his girlfriend to see the guy who's gonna fucq her sooner than necessary?

Look bro, "bad market" is meant to happen. Your attitude to it is more important. You should try as much as possible not to notice her new "excitement". This new event should neither make you lose your cool nor give you sleepless nights. Just go about your life. If possible, try to activate those babes on standby - not as a means of revenge but as an outlet for built up energy.

I'll end with these words from Sun Tzu's Art of War

".... when able to attack, seem as if unable to attack; when using forces actively, seem inactive; when nearby, make the enemy believe you are far away; when far away, make the enemy believe you are nearby. "


PS: I won't advise reverse psychology in this case. Obviously, it would be seen as an obvious attempt to get back at her -which would serve as an inspiration for her to dump your sorry arse.

Play cool. There's so much wisdom in staying cool. Do your regulars.

vicksbaba: dr.lomaxx... abeg explain oooo.... which one is Goskolomycin....
you discovered it ni?

Ask charleymed

I can assure you he will tell you everything from the pharmacokinetics, to the pharmacology of that simple concoction 'drug' .

vicksbaba: God! I am about to fall my hand today..... anyway if I fail it. ....I'll learn. it's all part of the learning process.... .
the only thing I can think of is Isoniazid....they said it can lead to some form of peripheral Neuropathy.....


last 4months Our DMEd lecturer said Isoniazid fights with (sorry competes) pyridoxine..... because the dude is jealous that pyridoxine when reduced to a coenzyme metabolizes many substances... carbohydrates (lol... did you notice that carbohydrate is like carbon inside water?..... ), proteins.....even brain amines(scary! ) so isoniazid will sha try to inhibit the action of pyridoxine....thus no more side effect!.... I know dat Is a very lame way to answer a medical question...... ★<covers face.... just tell me I am wrong >★

Correct. Most TB patients on Isoniazid therapy will come down with peripheral neuropathy secondary to pyridoxine deficiency.

I owe you one shot of Goskolomycin.