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May. 27th, 2009 04:18 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
squeefulfishVaricose vein and superficial thrombophlebitis. Fun with coag. And that's just me. Thrombophlebitis not responding, must refer.
I played the roulette of the last minute panicking crammer, and lost. Two subjects I didn't know well, figured that both of them couldn't come up out of twenty odd. Twins (labour, started off by pointing out how I'm not allowed do that as an independent) and genital tract sepsis (which I know, just not enough to write on for an hour.) Nice question on DVT - risk factors (she's pregnant, that's almost enough in itself, here's why...) and care of a woman admitted at 34 weeks for possible DVT (refer... stick stockings on her, show her how to self-administer LMWHeparin, give her a sharps box, tell her no combined OCP, warfarin after baby born, don't get pregnant on it or come off it straight away) and babies. Baby with transient tachypnoea of the newborn and how you'd explain to new parents why you think they should consent to you sticking their tiny hooman with vitamin K. Overall, not unhappy with performance. Not happy either, but that's mostly cos I left the twins to last and could only write for about 30 mins out of my alloted hour.
Got home, first thing Martha said was "What's eeechlumsh... eeeclamp... I can't pronounce it. I've been reading that Jenny Worth book." "Eclampsia? Here, have knowledge. *10 minute teaching session* Oh, wait, you mean pre-eclampaia! Come back, I want to tell you!"
Now, couple of hours sleep before dinner, then a night of relaxing. Revision in the morning for skills exam - eclampsia, PPH, cord prolapse and... ah, shoulder dystocia, that's the one (my woman is labouring at home with no epidural, no pethidine (cos it's evil), has been mobilising, not on her back, tell me why we've got a dystocia?)
I played the roulette of the last minute panicking crammer, and lost. Two subjects I didn't know well, figured that both of them couldn't come up out of twenty odd. Twins (labour, started off by pointing out how I'm not allowed do that as an independent) and genital tract sepsis (which I know, just not enough to write on for an hour.) Nice question on DVT - risk factors (she's pregnant, that's almost enough in itself, here's why...) and care of a woman admitted at 34 weeks for possible DVT (refer... stick stockings on her, show her how to self-administer LMWHeparin, give her a sharps box, tell her no combined OCP, warfarin after baby born, don't get pregnant on it or come off it straight away) and babies. Baby with transient tachypnoea of the newborn and how you'd explain to new parents why you think they should consent to you sticking their tiny hooman with vitamin K. Overall, not unhappy with performance. Not happy either, but that's mostly cos I left the twins to last and could only write for about 30 mins out of my alloted hour.
Got home, first thing Martha said was "What's eeechlumsh... eeeclamp... I can't pronounce it. I've been reading that Jenny Worth book." "Eclampsia? Here, have knowledge. *10 minute teaching session* Oh, wait, you mean pre-eclampaia! Come back, I want to tell you!"
Now, couple of hours sleep before dinner, then a night of relaxing. Revision in the morning for skills exam - eclampsia, PPH, cord prolapse and... ah, shoulder dystocia, that's the one (my woman is labouring at home with no epidural, no pethidine (cos it's evil), has been mobilising, not on her back, tell me why we've got a dystocia?)
