2 gerombolan team sedang buat ward round.
Tiba tiba terdengar suara perempuan jerit dari koridor.
Sempat la nampak kawan sy, Chin Hai a.k.a hero of the day, lompat tingkap dari bahagian wad ke koridor.
Wad terus jadi gamat.
Ada sorang girl age 22 tu kalo x silap try nak lompat koridor tu ke bawah.
dari tingkat 7 kowt~
Adik ni initially presented to ward with diarrhoea and fever, so she was treated as typhoid.
But then. noticed adik ni ade discoid rash.
And kat ward pun die developed hematuria ngan oral ulcer.
So she was investigated for SLE.
Unlucky la untuk adik ni, memang die tengah active phase of SLE.
And da developed lupus nephritis and lupus cerebritis.
Hmmm,...
back to cite die nak terjun bangunan tu.
Pastu adik ni kena ikat kat katil die and transferred to acute bed la.
Lepas dr inject haloperidol, ambik CBS seme,
Dr Zul psychiatrist datang n wat assesessment.
Actually bukan niat niat adik ni pun nak terjun bangunan tu.
Dia buat tanpa sedar.
Sebab lupus cerebritis la.
Maybe die develop psychosis watsoever.
Kitorang shocked!
Mak die lagilah.
Huhu.. what a day!
......................................................
Systemic Lupus Erythematosus
Multisystemic autoimmune disease whereby the immune system akan attack your own body tissue.
Nak diagnose ni, need at least 4 criteria out of eleven ( A RASH POIN MD)
1. Athritis (Non erosive)
2. Renal abnormalities ( proteinurea .0.5g/day atau > 3 cellular cast)
3. ANA antibodies
4. Serositis (ECG, rub effusion) - pleuritis /pericarditis
5. Hematological do
6. Photosensitivity
7. Oral ulcer
8. Immunological do
9. Neurological do (seizure, psychosis)
10. Malar rash
11. Discoid rash
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