Showing posts from November, 2010

On call review

24 y.o/ male/ single c/o: drowsiness for the last one week. Drowsiness usually started at 6.00 am in the morning and continuously drowsy until 7pm. After 7 pm, claim the drowsiness disaapear for few hours before narcoleptic episode around 10 pm. Currently, patient has not been sleeping since the last 24 hours because he was doing his on call. otherwise, there is no other active complain. No loss of weight, and no loss of appetite. Past medical History - Nil Past Surgical History - Nil Allergic hx - allergic to penicillin and sometimes allergic to certain type of people. Family history - not significant Social history - Work as a house officer in Hospital Likas, work from 6.30 am until 8.00 pm everyday. Work 36 hours during on call. No smoking, no alcohol. Live somewhere around kota kinabalu. O/E: Patient comfortable, appear drowsy, pink, good hydration, exhausted. BP 140/90 PR 92 T Hot and angry because have to attend an emergency case last night in A&E while the person tha