Well blog number 3 I was gonna quit this due to lack of time but I will try to push ahead, mainly due to my sister encouraging me.
On last tuesday we started a new Internal medicine practice. If I would try to explain it with my words. It would be that for me Internal is how I always imagined medicine, doctors diagnosing, just wards and patients and history taking. Just like Dr. House except less grumpy and less weird diseases. We already finished 4 weeks of Immunology. Immunology is when the body starts attacking itself, a so called auto immune disease, the body usually produces antibodies to ward off infections and other invading factors, but in auto-immune diseases they go after the body itself. But now we have started Rheumatology that focuses on the joints, soft tissue and connective tissue(bones). We had really good doctors showing us what happens how to diagnose and do an physical examination. We examined one patient that had osteoarthritis. It is a degenerative disease of the cartilage and even the bone. The patient had pain and stiffness in the joints of distal phalanges, knee and shoulders. When we examined her we saw an really distinct bone growth coming out from her distal phalanges, she also had a so called crepitation, a clicking feeling in the knee joint. Next week we will go into Rheumatoid Arthritis and the physical examination.
I also started a surgical elective, so called Surgical Operative Techniques. Last semester we took Basic Surgical Techniques so this is a continuation of that subject. Since I am thinking of becoming a surgeon I am trying to take as many elective courses that have anything to do with surgery. This course is a prerequisite of further surgery subjects, like Laparascopic surgery, Microsurgery and Robotic surgery. Today we learned some knotting techniques, like the vienna knot, instrumental knot and some others. They probably have different names depending on where they are being taught. You can search for surgical knots on youtube if you are interested in seeing how this knots are performed.
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