Medicine posting in 500 words

I grinned when that laborer told me that the precipitants of his migraine included ejaculation. And I was wondering if that's coital cephalgia. He must really hate sex then.

I chatted with the stubborn lorry driver with Crohn's disease complicated with perianal fistulae who refused to quit smoking. I sorta sympathized with him when he talked about her wife's infidelity and his recent unemployment. I saw hopelessness in his eyes. Could these have caused his flare up?

I examined the cute, hunky farmer who suffered from pleural effusion secondary to pulmonary tuberculosis.

I examined that pitiful woman with bulbar palsy with very beautiful tongue fasciculations who had dysarthria and a very clear carotid bruit. Carotid stenosis. She had the look of an elderly ill woman who'd been abandoned by her children. For some reason, my heart ached.

I examined the girl with Down's syndrome who had missed the boat for a surgical correction of her ventricular septal defect. I wondered why she had digital clubbing and cyanosis. And I later found out she had developed Eisenmenger's complex. Poor girl.

I talked to the hot fisherman with decompensated Child's C liver cirrhosis secondary to chronic Hepatitis B infection who could recall every single detail of his variceal bleeding. And I couldn't stop ogling at his son who was so damn hunky and muscular.

It's nice to meet the medical lab technologist with cholangiocarcinoma who was admitted due to liver abscess. She was able to give me a detailed history with medical jargons. She's the sort of patient you hope you can get in exam. You'll know how frustrating it is when you meet someone who can't even tell you the medications he'd been taking for the past 10 years. 

I realized how devastating the complications of haemophilia A can be when the hematologist brought us to see the guy who'd suffered from a subdural haematoma.

I like the friendly girl with myasthenia gravis who talked to me about her bilateral ptosis, double vision and how she progressed to the stage where her respiratory muscles were involved and required intubation. 

The gastroenterologist mentioned something about gay bowel syndrome during a discussion on inflammatory bowel diseases the other day. And I found that very relevant. Never knew such a syndrome existed. Gay bowel syndrome. Interesting. Speaking of this, did you know that AIDS was actually known as Gay-related Immunodefiency Disease (GRID) in the early 1980s?

I saw a diabetic with all the macrovascular and microvascular complications. Diabetic retinopathy, nephropathy, neuropathy, peripheral vascular disease and coronary artery disease. You name it, he has it. That was the day I decided to reduce my sugar intake. 

I saw a young father with systemic lupus erythematosus (SLE) in the rheumatology clinic. SLE rarely affects guys. But, when it does, the prognosis is bad. Does he know that SLE patients have a lifespan 10 - 20 years shorter in comparison to the general population?

I felt bad when I talked to patients who didn't know they were actually dying.

It's fun to appreciate the pansystolic murmur of that chap with severe mitral regurgitation. And to see the spider naevi of that chap with alcoholic liver disease and electrocardiogram of that man with sick sinus syndrome.

But, when exam comes, it's not that fun anymore.

I have to be prepared. For the battle next week.