It makes a nice change and I definitely feel more confident now on ward rounds which has resulted in me asking the questions I want to and getting stuck in examining patients with signs. As a result I'm getting much mote out of my days. We've had some really interesting patients in this week, someone with Stevens Johnson syndrome, where your skin dies and starts to peel off, another with a herbal enema induced collitis which has led to bowel obstruction and a case of unknown weight loss and cachexia. This last case is really interesting because with the limited tests available it is very difficult to locate a cause, although it is almost certainly due to a cancer somewhere in the body.
I've also been into surgery and watched a very exciting operation where a lady had presented with an ectopic pregnancy. When she was opened up, the entire abdomen was filled with blood. It was pretty scarry to see them suction out about 2 litres straight away, and seemingly from my angle still not be able to see the cause of the bleeding. Luckily that didn't matter as one of the doctors reached into the pool of blood and managed to pull out the fallopian tube with the ectopic pregnancy clearly visible. Around the ectopic you could see.the tell tale squirting of an arterial bleed. They calmly clamped off the ends of the tube and resected the ectopic, and by doing so stopped the bleed. It was great to see someone's life being saved, especially from some quick thinking and expertise from the surgeon (all doctors at the hospital are general physicians as well as general surgeons).
Apart from ward rounds I've also been in casualty, which is very much like the community clinic apart from there are many more tests and medications to use, and had a tour round the lab, where we saw malaria parasites and got informed about which machines they have. All in all a rather good week!
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