Salam imtihan buat warga rumah
Ya, title post memang agak sentimental
(Miss N3 berhati waja sila jangan muntah hijau dahulu)
Sebenarnya melihat ke langit luar
Mendung, tapi tak hujan2 jua (Memang sedang rindu hujan itu)
Hari ini nampaknya semua orang mood juga berubah2
Ada yang itu sedang malayan hari malasnya
Hari malas sedunia katanya, walhal malas sebilik dia sahaja pun
Ada yang itu nampaknya sedang fokus stady
Wah, bersemangat dia bila dapat tahu tiada graf masuk periksa
Semua arif dia memang manusia anti-sebarang-jenis-graf no 1 dan paling terkemuka
Yang itu?Agak seperti biasa
Berusaha meningkatkan kerja2 HCl n saliva secretion
Pada masa yang sama giat melatih otot2 stomach bekerja keras di musim2 seguk ini
Ahli sebelah sini? Usah ditanya
Siang tadi yang itu emo dengan orang atas
Wah,berapi dia murka, ditendang dinding bilik orang lain jurus silat buah hikmat
Yalah, dia sopan. Boleh pula orang atas main cikucak sambil tekan tingtong tingtong
Ahh~ bising dan mengganggu masa dia dengan Tuhan. Sapa x geram kan?
(Eh, maaf, terdescribe detail pula. xpelah, sebelah sini berdua sahaja ahlinya...)
Sorang lagi pula sedang pening mahu masak apa
Serasa macam sume resipi sudah dicuba, aci campak serta rasa segala bagai
Aih, camane mak2 masak sentiasa sedap, lauk rotation variasinya sebulan
Tidak jemu pula dijamah. Oh, cepatlah mak sape2 datang masakkan anaknya tolonglah~
Situasi2 biasa dalam trimester pertama minggu periksa
Nanti dah habis sume pun berjalan menerawang entah ke mana2
Yang berdua itu insyaAllah terbang ke Turki dengarnya
Sorang pula sudah ditempah ambik tender masak-memasak di Alexandria. Wah, lumayan!
Lagi berdualah yang akan menjadi penunggu rumah yang setia
Xpe, janji sume hepi bahagia, ya? ya?
(Nampak tak yang hujung tu memegang garpu dengan agak rakus. Takoootnya!!!)
Tuesday, January 19, 2010
...kawan-kawan cepat senyum kita kira dari satu
sengaja berlagak spt ketua kelas darjah satu mengeluarkan titah perintah sebab nak rasa muda.
oh memanglah sindrom masyarakat puluhan tahun haihh....*tejebak*
okkelah..stret to da point,hari ini mcm rajin nak berkongsi satu fakta.sbb dah tahu korg mmg suka info yg ada label fakta je kalo mitos konpem..'haishh ape ni org tua la ko mitos-mitos plak' ..erghh..
A 25-year-old woman presents to the emergency department (ED) with a 2-day history of dull left lower quadrant (LLQ) pain and a diffuse pinkish rash. One week ago, she was diagnosed with streptococcal pharyngitis at an urgent care center for students and was discharged with a prescription for amoxicillin. Three days later, she developed the pinkish rash; the rash was diagnosed by a dermatologist to be an allergic reaction to the amoxicillin. The dermatologist prescribed prednisone and discontinued the amoxicillin. The patient subsequently developed nausea, vomiting, fever, and the aforementioned LLQ pain. She denies experiencing any vaginal bleeding or discharge, dysuria, increased urinary urgency or frequency, melena, or hematochezia. She reports feeling weak and dizzy. Other than her visit to the student urgent health care center, she has no past medical history, is not taking any medications, and does not have any allergies. She does occasionally drink alcohol, but she denies smoking tobacco or using illicit drugs. She also denies using tampons. eh2 die nie deny lak..jom team house g check ruma patient nih~
On physical examination, she is noted to be alert and have a normal mental status, but is otherwise pale and ill-appearing. Her blood pressure is 65/35 mm Hg, with a regular heart rate ranging between 110-120 bpm. Her respirations are measured at 20 breaths/min, her oral temperature is 103.46°F (39.70°C), and her oxygen saturation is 93% while breathing room air. The integument examination reveals a diffuse, erythematous, blanching rash; however, the integument is otherwise warm and dry to the touch. The oropharynx is clear, with no exudates or erythema. Diffuse mild crackles are noted in the patient's lungs. She has normal heart sounds, with a regular rhythm and a slightly increased capillary refill. Her abdomen is soft and minimally tender to deep palpation in the LLQ. No abdominal masses or hepatosplenomegaly are appreciated. The pelvic examination reveals no external vaginal or cervical lesions, cervical motion tenderness, or adnexal masses or tenderness. No foreign bodies are visualized.
The laboratory examination, including a complete blood cell (CBC) count and comprehensive metabolic panel, is essentially unremarkable, except for a white blood cell (WBC) count of 31.6 × 103/µL (31.6 × 109/L), band neutrophils of 13% (0.13) and a creatinine of 2.4 mg/dL (212.16 µmol/L). Her arterial blood gas analysis is remarkable for a partial pressure of carbon dioxide (pCO2) of 27 mm Hg (3.59 kPa), a partial pressure of oxygen (pO2) of 56 mm Hg (7.45 kPa), a bicarbonate of 19 mEq/L (19 mmol/L), and a base deficit of 4.4 mmol/L (normal range, 0-2 mmol/L). The urinalysis, cervical Gram stain, and potassium hydroxide (KOH) wet preparation are all normal. A chest radiograph is taken that shows changes consistent with early adult respiratory distress syndrome (ARDS; see Figure 1).
Upon returning from the radiology department, she is noted to again become hypotensive, tachycardic, and tachypneic, as well as remaining febrile despite the administration of acetaminophen. An elective rapid-sequence intubation is performed for the pending respiratory failure. She is diagnosed with septic shock (etiology unknown) and treated empirically with clindamycin, vancomycin, and meropenem. Blood, urine, and respiratory cultures are obtained, and antistreptolysin O (ASO) and toxic shock syndrome toxin–1 (TSST-1) antibody titers are ordered. A lumbar puncture is deferred, and the patient is admitted to the medical intensive care unit (ICU).
p/s : korg bace lah dulu pas2 br check diagnosis korg tuh betol or tak.try2 best tau~
The most likely diagnosis is toxic shock syndrome.
Cause : Enterotoxin from staph aureus or strep pyogenes
Characters : asscociated with wound contaminated by s-aureus,due to contaminated dressing or improper use of synthetic tampon,toxin enter circulation and acts as super antigen
Clinical pictures: fever,headache,vomit,diarrhea,hypotension and shock
worship him night and day stand still and don't despair for Allah is always there
then I said pretty face pray for me to Allah
I thank you pretty face
I love you for your care
" It is He who set the stars for you, so that you may guide your course with their help through the darkness of the land and the sea" ( al- an'am:97 )
dearie ammurah's members, recently, everyone are having their 'piece of cake' although ur faces are shining through days, but hearts are itching through pains.haha.ayat....xpela, bkn selalu pun kan? apapun cheer up guys, i.Allah stp kesusahan itu ada jalan keluarnya.Allah dah janjikan?
"maka sesungguhnya bersama kesulitan, ada kemudahan.sesungguhnya bersama kesulitan, ada kemudahan"
Siap 2 kali tu Allah ulang.terbaek!! Yang penting kita gali-gilap-selami hikmah disebalik segalanya~ Saje menceloteh sementara tunggu cik video ni diupload, heh, lambat!
oho...saje2 buat lupa sbnrnya, BittaufiQ wannajah utk exam!
Salam Tiba-tiba saya rasa hari ini macam ada sesuatu Saya pun tak pasti apa ya Bolehkah kalian teka? Sesuatu tu saya tak mengerti juga apa So, kalian agak2 dapat detect tak?
Klunya, sesuatu ni adalah sesuatu yang agak besar Hurm, tak tak. Amat besar jugalah Bila sesuatu ni direveal Saya macam rasa jumpa turning point Yang boleh turn hidup saya seratus lapan puluh satu darjah Kalian rasa?
(saya tahu post ini macam blur. Saya macam nak agak lah, kalian tahu ke sesuatu saya ini? Jomlah kita sama2 stimulate otak bekerja sikit di hari minggu)
okeylah..memang sangat lama tak update.sibok2 atau pura2 sibok. siboklah.minggu ni sibok je bende2 dlm rumah nak rosak. dari heater air,paip air,even lampu pon nk jugak rosak.nih kalo masuk pertandingan hulk ke ape confirm dah boleh sapu bersih oleh ahli2 rumah nie. gergasi ke ape budak2 nie? rasenya baba aka tuan punya rumah pun dah tensi kot ngn 'nur' sekalian..haha..boleh gak baba tensi dan melarikan diri teros xterjumpa oleh anak2 gergasinya nih.
agaknya lah kan tahap baba tensi tuh mungkin dah setaraf macam gambar kat atas. ye lah,dua hari kami mencari baba.hampa belaka.nak2 pulak internet pun takde kan.ha amik.tuh namanya nak suruh belajar.dush sekali bagi.owh sangatlah berharap baba lekas membaiki heater air.tak sanggup rasanya muka sesorg bgn pagi berkerut2 nk guna air yang sejuk ala2 nk macam ais tuh. main aci2 sentuh air plak.nama pun sejuk. nak pulak kalo dah malam tu,dh bila agak2 lampu mmg buat ala2 style disco,sume pun ssh hati. bila lah lampu nk elok? asalnya kalo lampu x elok tu,mulalah ada aktiviti len yg berpaedah nk dibuat. perot pun macam biasa...bunyi2 ala2 macam nak siren ambulans ke ape.kuat semacam.ha masuk dapor.ape lagi.goreng kepok ke..xpun kalo rajin sket mcm smlm grib bit dan kawan2 yg len bersimpuh bt cik mek molek.wah2,buat kueh ala2 house pun ada.dah mcam2 rupa dah.mata tgk house,tgn uli2 kueh..sape boleh bt? cpt ckp..
p/s: grib bit grib bit,yusof baba dan papaverine adalah kosa kata baru.sila alert~
owh,salam semua~ lama tak jumpa kan? hopefully semuanya sihatlah kan. Aaaaa..kamu..kamu..kamu mesti tertanya2 kan? Ye2,saya dah ubah layout blog nih. Saya dah bosan. Hahaha..Tak2,sebenarnya mau ubah sbb hari ni 1 Januari 2010. Ye2..kamu..kamu..kamu..akan bertambah setahun tua lagi dari sekarang..Semoga tahun baru ni,everything will be running smoothly. Owh,lupa...kalau layout ni tak cantik,terima aje lah seadanya ye. Saya sudah penat menukar.Sangat leceh. Lenguh2 leher saya. Dan lagi,saya geram cuba2 utk simpan widget lama. Payah betol. Last2 saya terpaksa copy satu persatu. Jadi itu yang saya kata leceh betol layout baru.Ces~(padahal pemalas sebenarnya..haha)
Owh,satu lagi...saya mau lihat fireworks la kawan2. suka.