tag:blogger.com,1999:blog-35666458168689203502024-03-05T12:10:40.688+08:00Chasing the pretty rainbow"Janganlah kamu berasa lemah & janganlah berdukacita kerana kamu adalah golongan yang tinggi jika kamu beriman" Ali Imran : 139Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.comBlogger367125tag:blogger.com,1999:blog-3566645816868920350.post-9040483016147774112012-04-13T17:16:00.000+08:002012-04-13T17:16:24.304+08:00My Endless Love<div class="separator" style="clear: both; text-align: center;">
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MUHAMMAD ADAM BIN MUHAMMAD HAZWAN
Rase mcm cepat jer masa blalu...da ada anak..cukup2 36minggu,bersalin 3minggu awal spatutnye 39minggu..ala xkisah...ni sbenarnye xdelah ada mood sgt nk menaip tp mcm sekadar catatan je..
Mengandung :
xblh minum air kelapa,air tebu,nenas masam,...elok mkn kekacang dgn buah kedondong & susu soya+kurma..nk akhir prgnt elok minum air kelapa,air durian belanda,kurma,madu..
Bersalin normal SVD..2.8kg,2.31pm,21.01.12
hmm...tu jelah..hehehe peace!!!Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-76890851539166792712011-11-01T11:54:00.004+08:002011-11-01T12:24:40.199+08:00Dulu & SkrgBismillahirrahmanirrahim...alhamdulillah idup lg tuan punye blog ni..heehe<br /><br />salam kpd yg mbaca..^^,<br /><br />rindu blog...muah-muah<br /><br />lama tul xtulis kt blog..berbulan2..<br /><br />D.U.L.U<br /><br />Dulu rajin tul duk dpn netbook kesayangan time belajar dlu lbh tepat sekali sblm kahwin zmn bercinta di alam maya...<br /><br />tulis kt blog ni mmg seronok..mcm2 leh tulis,mcm2 blh copy paste sbb byk masa...sbgai teman tuk study sbb kalo ngantuk leh bukak blog,baca blog org len..tgk fb org len..<br /><br />S.E.K.A.R.A.N.G<br /><br />Skrg da lain..sbb da kahwin & da start keje,xde masa nk duk dpn netbook..mungkin lps bersalin cuti 3 bln leh tulis blog skit2..<br /><br />Sedikit pic sbg pencerita ~_~<br /><br />Alhamdulillah sy bahagia dgn hidup yg SEKARANG <br /><br />Wassalam<br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDCErjWJ0Qmxg_Sa8r2ZruYvbM16ZWAPjPptwF6m-zjQvXfVQV5J9nTVEyc6_stqrH_3dYJDmr3C9S_LiLLPDN3h3FICZtOfbAZHWCXmjuFg3RR-U_gQq0Aatq2JO70pPKe3fnSGd68ro/s1600/310685_2457066070671_1372684090_2966332_646895652_n.jpg"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 266px; height: 400px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgDCErjWJ0Qmxg_Sa8r2ZruYvbM16ZWAPjPptwF6m-zjQvXfVQV5J9nTVEyc6_stqrH_3dYJDmr3C9S_LiLLPDN3h3FICZtOfbAZHWCXmjuFg3RR-U_gQq0Aatq2JO70pPKe3fnSGd68ro/s400/310685_2457066070671_1372684090_2966332_646895652_n.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5669876001860505010" /></a><br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh0n0Ob3xT2sCt6rUrJvBXHiFxWfbiwPoQ3QtIoNWbd4sOUBmBs45_np1i6OvzYhCc47YpM88_ESIf_2ONQwJqGCyHH3v-BdIZFrS6DCINSQR4lRTv2GeZjpZsuJIocMBiN_DxecbRr5No/s1600/320883_2456975148398_1372684090_2966295_2122202299_a.jpg"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 180px; height: 270px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh0n0Ob3xT2sCt6rUrJvBXHiFxWfbiwPoQ3QtIoNWbd4sOUBmBs45_np1i6OvzYhCc47YpM88_ESIf_2ONQwJqGCyHH3v-BdIZFrS6DCINSQR4lRTv2GeZjpZsuJIocMBiN_DxecbRr5No/s400/320883_2456975148398_1372684090_2966295_2122202299_a.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5669876000883677026" /></a><br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5Dbo0e4eAMv8c_EAsFnhD7MnD9aaOcJy7eK9Xe5ES8I_UPKXbwMBg6Rho73mlEizOD-JcOYZ7QlHfHoFPCZ2vdfH5WcQApphpuYL83EpzEJTF-aMkR7wmm-bibMZbomzuxhVT0a9kzs8/s1600/IMG_0529.JPG"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 400px; height: 299px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5Dbo0e4eAMv8c_EAsFnhD7MnD9aaOcJy7eK9Xe5ES8I_UPKXbwMBg6Rho73mlEizOD-JcOYZ7QlHfHoFPCZ2vdfH5WcQApphpuYL83EpzEJTF-aMkR7wmm-bibMZbomzuxhVT0a9kzs8/s400/IMG_0529.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5669875986954029010" /></a><br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2sxaROrnDdoQRIblO0uqdOXUgyQaJnd7U3elPXKqasxP5frDKqk43zIrrAiAaTl-LefQgJ1Ps3gWgjAbzCoiYrM6j35wcpH0QCuHrMJGN8IFeSRa8l3Oc1P26lPOa6m4XNEKBwkdP1ZU/s1600/IMG_0517.JPG"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 400px; height: 299px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2sxaROrnDdoQRIblO0uqdOXUgyQaJnd7U3elPXKqasxP5frDKqk43zIrrAiAaTl-LefQgJ1Ps3gWgjAbzCoiYrM6j35wcpH0QCuHrMJGN8IFeSRa8l3Oc1P26lPOa6m4XNEKBwkdP1ZU/s400/IMG_0517.JPG" border="0" alt=""id="BLOGGER_PHOTO_ID_5669875981614062514" /></a>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-25268758449175286572011-02-15T15:35:00.001+08:002011-02-15T16:16:55.970+08:00Maulidur Rasul<iframe title="YouTube video player" width="480" height="390" src="http://www.youtube.com/embed/8QGK_9fRd00" frameborder="0" allowfullscreen></iframe>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-58543881062060282452010-12-11T22:52:00.000+08:002010-12-11T22:55:45.065+08:00Tudung nikah...@_@http://mydiamondream.blogspot.com/2009/07/by-request-cara2-membuat-tudung.htmlFatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com1tag:blogger.com,1999:blog-3566645816868920350.post-83570243898356961982010-12-05T23:39:00.000+08:002010-12-05T23:42:56.482+08:00My Wedding!!!tajuk je dulu..busy3<br />sekian..hee =PPFatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-80143779334736055902010-11-04T09:13:00.001+08:002010-11-04T09:18:17.367+08:00Motor Assessment Scale<object width="640" height="385"><param name="movie" value="http://www.youtube.com/v/amQjxXru3a0?fs=1&hl=en_US&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/amQjxXru3a0?fs=1&hl=en_US&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="640" height="385"></embed></object>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-47208861611311767012010-10-30T18:35:00.000+08:002010-10-30T19:15:54.720+08:00Selawat Atas Mu<object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/uBXOKTG8yYU?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/uBXOKTG8yYU?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-40575744165540173772010-10-18T00:15:00.005+08:002010-10-18T07:38:15.487+08:00Selamat ulangtahun perkenalan 1<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizlU0HW7NECfv52K4WXWQRIUi9GWgGmXKOY6I1W8_X0Kc6amFELQk-hAuLX6PXcyJo4amnyxYy7dTiRnFn5Lf6Y3aFK8qEwVSldYjmshyxaKH-9cZt_Ar1yB630HPdKpMItMJkiau-zjs/s1600/HappyAnniversary.jpg"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 320px; height: 320px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizlU0HW7NECfv52K4WXWQRIUi9GWgGmXKOY6I1W8_X0Kc6amFELQk-hAuLX6PXcyJo4amnyxYy7dTiRnFn5Lf6Y3aFK8qEwVSldYjmshyxaKH-9cZt_Ar1yB630HPdKpMItMJkiau-zjs/s400/HappyAnniversary.jpg" alt="" id="BLOGGER_PHOTO_ID_5529156434305105234" border="0" /></a>
<br />
<br /><span style="color: rgb(153, 51, 153);">Happy Anniversary (anne pakai sari)</span>
<br />
<br />Detik perkenalan kita bermula pd tarikh 18.10.09 dan menjadi tarikh yg sgt bermakna bg kita berdua...da setahun kan?..hee,rasa mcm baru je semalam mengenali dirimu ~
<br />
<br />Tapi sedih utk our 1st anniversary sbb sy yg spoil kn & awak jatuh sakit...urmm..='(
<br />
<br /><object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/Onaaw69Q8aI?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/Onaaw69Q8aI?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object>
<br />
<br />Since you came along
<br />My life has changed
<br />I'm no longer insecure
<br />You took away my pain
<br />You showed me love
<br />Like I never knew before
<br />And though nothing's perfect
<br />Another year with you's been worth it
<br />I thank god for you and me
<br />
<br />
<br />I believe in happily ever after
<br />There's no joy like the sound of your laughter
<br />It seems that god has send an angel to me
<br />And in your arms is where I always wanna be
<br />Happy anniversary
<br />Happy anniversary
<br />
<br />
<br />Life has given us
<br />The most amazing
<br />And purest gift of love
<br />On your darkest days
<br />I'll be the light
<br />To help you find your way
<br />And through the years
<br />We'll keep on going
<br />I'll love you till my final moments
<br />Forever's meant for you and me
<br />
<br />
<br />I believe in happily ever after
<br />There's no joy like the sound of your laughter
<br />It seems that god has send me an angel to me
<br />And in your arms is where I always wanna be
<br />Happy anniversary
<br />Happy anniversary
<br />
<br />*Sempena anniversary kita yg 1st ni, sy minta maaf byk2 sbb ada buat awak kecewa,sedih,marah sepanjang perkenalan kita ini...insyaAllah sy akan cuba berubah utk menjadi kekasih yg baik utk awak ^_<
<br />Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-88006315364504401592010-10-16T12:13:00.001+08:002010-10-16T12:18:24.869+08:00Braga-hill -semenyihhttp://www.constantaperture.com/index.php/2009/03/29/broga-hill-semenyih<br /><br />nk pergi tgk sunset..mesti cantikFatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-11342858735933664062010-10-10T22:09:00.003+08:002010-10-10T22:15:42.924+08:00Baby Milestones - Primitive Reflexes<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2UYOXOTU1abDQV7A2BhSG4GHX5OeU7KH4kWHhBY0N6n17mz4GUkxE-tWNnaVwSGi4KCeBoGoVByehj2ubOeVGInLbdEz05r1gR9xSQbg9rIlEIFF3TT8mRj6eRhg-UjZbq25XNOccUDw/s1600/0504150740381rosy_cheeks.jpg"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 267px; height: 400px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2UYOXOTU1abDQV7A2BhSG4GHX5OeU7KH4kWHhBY0N6n17mz4GUkxE-tWNnaVwSGi4KCeBoGoVByehj2ubOeVGInLbdEz05r1gR9xSQbg9rIlEIFF3TT8mRj6eRhg-UjZbq25XNOccUDw/s400/0504150740381rosy_cheeks.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5526420764265882242" /></a><br /><br />Early development of baby milestones is marked by primitive reflexes - reflex actions that occur in response to certain stimuli. These primitve reflexes are important for babies to be able to cope alone after nine months being totally supported in the womb.<br /><br />Primitive reflexes do not usually persist (except the parachute reflex) and persistence can be a sign that all is not well with the neurological system of the baby.<br /><br />Moro reflex<br />Placing Reflex<br />Stepping Reflex<br />Rooting Reflex<br />Sucking Reflex<br />Palmar Grasp Reflex<br />Plantar Grasp Reflex<br />Atonic Neck Reflex<br />Forward Parachute Reflex<br /><br />Moro reflex<br />When:This occurs from birth until about 3 months of age.<br /><br />What:When the baby is held in the supine position and the head is suddenly allowed to fall back, there is symmetrical opening of the arms before they close again (extension then flexion of the limbs).<br /><br />Placing reflex<br />When:This occurs from birth until about 6 weeks of age of normal baby milestones.<br /><br />What:When the baby is held upright and the top (dorsum) of the foot is brushed against the edge of a table, the baby will lift the foot and place it on the table.<br /><br />Stepping reflex<br />When:This occurs from birth until about 6 weeks of age.<br /><br />What:When the baby is held in the upright position and the foot is placed on a firm surface, the baby will take steps.<br />Rooting reflex<br />When:This occurs from birth until about 4 months of age.<br /><br />What:When the baby is touched near the corner of the mouth, the baby will turn his head towards the stimulus. This is one of the baby milestones that is useful for getting babies to latch onto the breast - the baby will turn to the nipple if it is brushed on the baby's cheek.<br /><br />Sucking reflex<br />When:This occurs from birth until about 4 months of age.<br /><br />What:When an object is placed in the mouth, the baby will start sucking. This is one of the baby milestones that is vital for survival. Babies don't have to learn how to feed after birth, it is a natural reflex.<br /><br />Palmar Grasp reflex<br />When:This occurs from birth until about 3 months of age.<br /><br />What:The baby will close his hand if an object is placed in the palm.<br />Plantar Grasp reflex<br />When:This occurs from birth until about 10 months of age.<br /><br />What:The baby will close his foot around an object is placed against the sole.<br />Atonic neck reflex<br />When:This occurs from about 2 months until 6 months of age.<br /><br />What:When the baby is lying on his back and the head is turned to one side, the arm on that side will extend and the other arm will flex - a fencing posture.<br /><br />Parachute (forward) reflex<br />When:This occurs from about 9 months of age and persists.<br /><br />What:If the baby is held in a position where he is dropped forward, he will outstretch his hands. This is one of the baby milestones that is protective for falling.<br /><br />*PEADIATRICSFatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-28234034085272909812010-10-09T14:21:00.003+08:002010-10-09T14:56:50.535+08:00Lagu pengubat sedih<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdXlQBLai6S_Bg738snkNPTKTDSHL5YSbBiFvjcfNnXM7jFbfsMTQDDX4kZYMNV2S9Rt2I4Fc6p5JnmVhs9terG5KjECMXCk_c-rgU_nU_SlAmOTMAuzDdAoGfVYcN97WIbQhashtn1A4/s1600/1_495035622l.jpg"><img style="display:block; margin:0px auto 10px; text-align:center;cursor:pointer; cursor:hand;width: 400px; height: 240px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdXlQBLai6S_Bg738snkNPTKTDSHL5YSbBiFvjcfNnXM7jFbfsMTQDDX4kZYMNV2S9Rt2I4Fc6p5JnmVhs9terG5KjECMXCk_c-rgU_nU_SlAmOTMAuzDdAoGfVYcN97WIbQhashtn1A4/s400/1_495035622l.jpg" border="0" alt=""id="BLOGGER_PHOTO_ID_5525934114341699906" /></a><br /><br /><object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/ZRQJlPUqbp4?fs=1&hl=en_US&rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/ZRQJlPUqbp4?fs=1&hl=en_US&rel=0" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-40026831056562090382010-10-09T01:09:00.006+08:002010-10-09T21:10:49.344+08:00*_* PeningAssalamu'alaikum & salam sayang kepada pembaca ~_< <br /><br />Bismillahirrahmanirrahim..Dengan nama Allah yg Maha Pengasih & Maha Penyayang Selawat & salam ke atas Nabi Muhammad SAW,keluarga & para sahabat baginda Pening..huhuhu Why i pening meh?...nk cite je da penin sbb xtaw where to start ma.. Ok i start from dis date...19Dec2010 tarikh i nikah..i repeat again okey N.I.K.A.H Umur 21 kahwin Umur 22 kerja Umur 23 hee...(i think u know) Umur 24 insyaAllah nk pergi umrah *wink*wink* Umur ....before 30 nk pergi hajj *WINK*WINK* Err da melencong...uish,sorry2..ngee Mcm mana nak kahwin nie??????? Actually this things simple je...tapi suka tukar2 plan siapa tu yea...heee,me la siapa lg kn yg punya fikiran yg xbrp nk matang nie ~ Tgk jela pic2 yg tlh di pilih dari kaca mata ku ini <br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhVPUZJCoNxELs8sx5pQdJMOQQswYGQQhOi6Ay0G1FsR0LxhD-dhm7Wcc8RsjjKPwpntZJ8l7V308u2xTom9C-5NfrGivoVOrAHBoYzDtskXwRSPuHC5e2daijOZzW1rZWSoU1CXaZv5dI/s1600/pelamin+tunang+bunga+pink.jpg"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 400px; height: 300px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhVPUZJCoNxELs8sx5pQdJMOQQswYGQQhOi6Ay0G1FsR0LxhD-dhm7Wcc8RsjjKPwpntZJ8l7V308u2xTom9C-5NfrGivoVOrAHBoYzDtskXwRSPuHC5e2daijOZzW1rZWSoU1CXaZv5dI/s400/pelamin+tunang+bunga+pink.jpg" alt="" id="BLOGGER_PHOTO_ID_5526029876747341170" border="0" /></a><br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTI0zTHkiXzG26YNCNOXswQMPsZpP4gcaHDG_tsIMYoBkhEOzW9VHqGR9uA7IMvCDAlfWdxywDoByoGThih5t2fAc1HF0Ikm10b1UZuWG4ed18ACsr8GEyItDvuZ5oFRvy7FQwNAh-9QE/s1600/pelamin.JPG"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 400px; height: 300px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTI0zTHkiXzG26YNCNOXswQMPsZpP4gcaHDG_tsIMYoBkhEOzW9VHqGR9uA7IMvCDAlfWdxywDoByoGThih5t2fAc1HF0Ikm10b1UZuWG4ed18ACsr8GEyItDvuZ5oFRvy7FQwNAh-9QE/s400/pelamin.JPG" alt="" id="BLOGGER_PHOTO_ID_5526029877667536130" border="0" /></a><br /><br />..ingat nk kahwin tu senang ke??<br /><br />hee..to be cont<br />http://inimeeya.blogspot.com/2010/08/idea-for-mini-pelamin.html<br /><br /><br />*Lastly sesuaikan tajuk my post kali ni??..PENING<br />after this akan ada sambungan..akan datang ; PENING 2<br />dptkn di pasaran k..tungguuu ~Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-77922505855430996002010-10-08T23:32:00.004+08:002010-10-09T00:43:34.199+08:00Sushi for my love<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbYAOSDi9MmRLi1AAvbdGfZW1NA-N0MpCEkVDkhVXTkzzQfskwUJT2QfCenuFlt-FfQToc8p1fjqBkGr4JQQ7XDQxdrMfRzYe_ZUfLPQtC-XpoUXOG8bwYeX5cX8gxVhLpvDJkPFJZNrI/s1600/DSC04441.jpg"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 400px; height: 300px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgbYAOSDi9MmRLi1AAvbdGfZW1NA-N0MpCEkVDkhVXTkzzQfskwUJT2QfCenuFlt-FfQToc8p1fjqBkGr4JQQ7XDQxdrMfRzYe_ZUfLPQtC-XpoUXOG8bwYeX5cX8gxVhLpvDJkPFJZNrI/s400/DSC04441.jpg" alt="" id="BLOGGER_PHOTO_ID_5525712608642322290" border="0" /></a>
<br />
<br /><strong>
<br /><span style="font-family:trebuchet ms;">Bahan-Bahan:
<br />Nasi Sushi:
<br /><span style="color: rgb(51, 51, 255);">beras jepun (khas untuk sushi)</span>
<br />
<br />Inti tengah:
<br /><span style="color: rgb(51, 51, 255);">timun (dipotong memanjang)
<br />tuna
<br />kepingan daging ketam</span>
<br />
<br />Lain-lain:
<br /><span style="color: rgb(51, 51, 255);">rumpai laut (seaweed)</span>
<br />
<br />Cara:
<br /><span style="color: rgb(51, 51, 255);">Basuh beras dan masak dengan sukatan air yg diberikan.
<br />Nasi yang telah masak diletakkan di bahagikan rata di atas seaweed yang dihampar di atas tikar penggulung sushi.
<br />Letakkan semua inti.
<br />Balutkan dengan kemas.</span></span></strong>
<br /><strong><span style="color: rgb(51, 51, 255);font-family:Trebuchet MS;" >Hidangkan bersama wasabi.
<br />
<br /></span></strong><object height="385" width="480"><param name="movie" value="http://www.youtube.com/v/dPMaid87Es0?fs=1&hl=en_US"><param name="allowFullScreen" value="true"><param name="allowscriptaccess" value="always"><embed src="http://www.youtube.com/v/dPMaid87Es0?fs=1&hl=en_US" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" height="385" width="480"></embed></object>
<br /><strong><span style="color: rgb(51, 51, 255);font-family:Trebuchet MS;" >
<br /><span style="color: rgb(204, 51, 204);">
<br />
<br />*apa kata kalau hantaran dulang bulan12 ni,nini bg sushi?..heee ^_<</span>
<br /></span></strong>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-60366115877672934572010-10-02T22:46:00.000+08:002010-10-02T22:47:41.003+08:00Selawat beramai2<object width="640" height="385"><param name="movie" value="http://www.youtube.com/v/vVJJJDgkkRQ?fs=1&hl=en_US"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/vVJJJDgkkRQ?fs=1&hl=en_US" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="640" height="385"></embed></object>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-32234548933843567152010-10-02T21:33:00.001+08:002010-10-02T22:18:50.499+08:00Asyik ingatkan matitakutkan mati...<div><object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/G47B1SqV860?fs=1&hl=en_US"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/G47B1SqV860?fs=1&hl=en_US" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object></div>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-21938396737590890482010-10-02T11:11:00.000+08:002010-10-02T11:12:53.755+08:00My blogMy dear blog..<div>Mungkin tiada lg masa utk mu lg</div>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-59456176971462262052010-09-28T23:29:00.001+08:002010-09-28T23:32:26.533+08:00Telepathy<div>sweet_rainbow89: urmm</div><div>sweet_rainbow89: xretilah nk jodohkan org</div><div>sweet_rainbow89: suruh dia cari kt muslima.com</div><div>md_haz: hehe..</div><div>md_haz: suruh dia gi muslima.com</div><div>md_haz: HEHEHE</div><div>md_haz: SAMA</div><img class="emoticon" src="http://i305.photobucket.com/albums/nn235/izah87/minimo/34.gif" alt=":minimo_30:" title=":minimo_30:" />Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-59317905251481219512010-09-27T20:09:00.003+08:002010-09-27T20:14:10.199+08:00Gambateh!!Assalamu'alaikum<div>Dengan nama Allah yg Maha Pengasih lg Maha Penyayang</div><div>Selawat & salam ke atas Rasulullah SAW,keluarga & para sahabatnya</div><div><br /></div><div>Hidup mesti xboleh lari drpd cabaran & dugaan...kan3??</div><div>Disebabkan itu mesti kita akan stress....</div><div>Kadang2 tu otak da jem..apalagi air mata berguguran,waaa ~</div><div>Ya Allah terima kasih krn mengurniakan manusia air mata...</div><div>Lega sikit tension...SIKIT jelah..</div><div><br /></div><div>Sekian...bertahanlah wahai diri</div>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-83115275262789077902010-09-19T00:08:00.001+08:002010-09-19T00:15:18.730+08:00Mcm sedap je dgr<object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/dIqisGHETg4?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/dIqisGHETg4?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-11046833401615092112010-09-03T23:41:00.002+08:002010-09-05T21:10:33.835+08:00Diaphragm<div><br /></div><div><span class="Apple-style-span" style=" line-height: 16px; font-family:Verdana;font-size:12px;"><table id="relatedAnswers_tbl" align="left" style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; float: left; clear: both; margin-top: 5px; margin-left: -2px; "><tbody style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; "><tr style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; "><td style="padding-top: 5px; padding-right: 3px; padding-bottom: 0px; padding-left: 0px; vertical-align: top; "><br /></td><td style="padding-top: 5px; padding-right: 3px; padding-bottom: 8px; padding-left: 0px; vertical-align: top; "><a href="http://wiki.answers.com/Q/The_large_muscle_primarily_responsible_for_inhalation_is_the" name="&lid=RelAns_WA_2&lpos=NoAns_NotLgd" class="RelAnsQtitle" style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; color: rgb(0, 51, 153); text-decoration: underline; outline-style: none; outline-width: initial; outline-color: initial; font-size: 13px; ">The large <b style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; ">muscle</b> <b style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; ">primarily</b> <b style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; ">responsible</b> for inhalation is the?</a><br /><span id="RAsnippet1" style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; ">Diaphragm...also help to stabilize the trunk</span></td></tr><tr style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; "><td style="padding-top: 5px; padding-right: 3px; padding-bottom: 0px; padding-left: 0px; vertical-align: top; "><br /></td><td style="padding-top: 5px; padding-right: 3px; padding-bottom: 8px; padding-left: 0px; vertical-align: top; "><br /></td></tr><tr style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; "><td style="padding-top: 5px; padding-right: 3px; padding-bottom: 0px; padding-left: 0px; vertical-align: top; "></td><td style="padding-top: 5px; padding-right: 3px; padding-bottom: 8px; padding-left: 0px; vertical-align: top; "><a href="http://wiki.answers.com/Q/Is_the_diaphragm_muscle_skeletal_muscle" name="&lid=RelAns_WA_4&lpos=NoAns_NotLgd" class="RelAnsQtitle" style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; color: rgb(0, 51, 153); text-decoration: underline; outline-style: none; outline-width: initial; outline-color: initial; font-size: 13px; ">Is the diaphragm <b style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; ">muscle</b> <b style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; ">skeletal</b> <b style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; ">muscle</b>?</a><br /><span id="RAsnippet3" style="padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; ">The diaphragm is a skeletal muscle that separates the thoracic and abdominopelvic cavities. It is innervated by the phrenic nerve. The diaphragm is the main muscle of respiration, with diaphragmatic...</span></td></tr></tbody></table></span></div><div><br /></div>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-50842459379996019042010-09-03T23:40:00.001+08:002010-09-03T23:53:43.930+08:00Lagu kesukaan hidayahLagu yg biasa menjadi halwa telinga ku suatu masa dulu yg selalu di nyanyikan oleh hidayah...hanya dibiarkan masuk telinga kiri keluar telinga kanan,kalau tntg lagu2 ni xminat sgt..lgpun kalau nk dgr, hidayah selalu nyanyikan..td tiba2 jumpa lagu ni kt fb kwn..apa lg simpan utk kenangan tntg hidayah...rindukan hidayah,hee <div><br /><div><div><object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/afx_NN95Vuw?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/afx_NN95Vuw?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object></div><div><br /><object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/EVYL8vh0F4Y?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"><param name="allowFullScreen" value="true"><param name="allowscriptaccess" value="always"><embed src="http://www.youtube.com/v/EVYL8vh0F4Y?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object></div></div></div><br /><img class="emoticon" src="http://i305.photobucket.com/albums/nn235/izah87/minimo/48.gif" alt=":minimo_12:" title=":minimo_12:" />Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-52425479760949121042010-09-03T21:27:00.006+08:002010-09-03T21:41:27.559+08:00Primitive reflexes<div><object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/ewr9cXmIyjI?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"><param name="allowFullScreen" value="true"><param name="allowscriptaccess" value="always"><embed src="http://www.youtube.com/v/ewr9cXmIyjI?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object></div><div><br /></div><div><object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/NksbJQr5_xw?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"><param name="allowFullScreen" value="true"><param name="allowscriptaccess" value="always"><embed 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src="http://www.youtube.com/v/2GW3UT5EfI4?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object></div><div><br /></div><div><object width="480" height="385"><param name="movie" value="http://www.youtube.com/v/0v_ARjAghdY?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/0v_ARjAghdY?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="480" height="385"></embed></object></div><div><br /></div><div>*Paediatrics</div>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-7502123112718409162010-09-03T20:42:00.003+08:002010-09-04T00:09:27.283+08:00Muscle ToneBismillahirrahmanirrahim<div>Dengan nama Allah yg Maha Pengasih lg Maha Penyayang</div><div>Selawat & salam ke atas kekasih Allah Nabi Muhammad SAW,keluarga & para sahabatnya</div><div><br /></div><div>Assalamu'alaikum,</div><div><br /></div><div>Muscle tone...</div><div>Botulinum toxic..(botox)</div><div>Hypertonia..</div><div>Hypotonia...</div><div><br /></div><div>Antara soalan favourite yg ditanya semasa case presentation...mcm ni lah rupa apb ditanya & xdpt dijwb....<img class="emoticon" src="http://i305.photobucket.com/albums/nn235/izah87/minimo/20.gif" alt=":minimo_22:" title=":minimo_22:" />...hihihi,ok dgn ni sy telah melakukan sedikit investigation about this problem..& adakah to normalize muscle tone itu adalah salah???</div><div><br /></div><div>Before answer semua soalan di bwh..1st must know about muscle tone...normal muscle tone because nak handle abnormal muscle tone</div><div><br /></div><div><span class="Apple-style-span" style=" border-collapse: collapse; line-height: 20px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; font-size:small;"><span class="Apple-style-span" style="font-family:'trebuchet ms';"><span class="Apple-style-span" style="color:#FF6600;">Muscle tone is generally defined as the passive resistance to a change in length, in other words it refers to the stiffness of the muscle</span></span></span></div><div><br /></div><div><br /></div><div>Disorder in the nervous system...</div><div><br /></div><div><span class="Apple-style-span" style="color:#3333FF;">1) Why some patient gets > muscle tone</span>? (stroke pt,sci pt.....)</div><div><br /></div><div><span class="Apple-style-span" style="color:#3333FF;">2) Why some patient gets <>..what causes it?</span></div><div>(CP,dystonia...) </div><div>Hypotonia usually = joint hypermobility</div><div>Ok..low muscle tone bermaksud kekurangan daya tahan otot dari di regang/ xdpt nk hold / refers to a < class="Apple-style-span" style="font-family:Verdana, sans-serif;font-size:100%;color:#494949;"><span class="Apple-style-span" style="border-collapse: collapse; line-height: 20px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px;font-size:12px;">...<span class="Apple-style-span" style="color:#000000;">yg mungkin disebabkan struktur pd otot atau masalah pd neural systems yg control signals antara otot - spinal cord - brain.</span></span><span class="Apple-style-span" style="font-family:Verdana, sans-serif;font-size:100%;"><span class="Apple-style-span" style="border-collapse: collapse; line-height: 20px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px;font-size:12px;">Clinically muscle tone is assessed by passively moving the limb and feeling the resistance to the movement, as well as by palpating the muscle for firmness.</span></span><span class="Apple-style-span" style=" border-collapse: collapse; line-height: 20px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; font-family:arial, helvetica, sans-serif;font-size:small;">When a muscle is completely relaxed the stiffness (ie the resistance to lengthening) depends on the structure of the connective tissue elements of the muscle as well as the large elastic protein titin (a component of the muscle cell). This passive stiffness provides the limbs and trunk with a degree of inherent stability. Children with joint hypermobility lack this inherent stability and their muscles have to work harder to maintain positions.</span></div><div><br /></div><div><span class="Apple-style-span" style="color:#3333FF;">3) How to > or <></span></div><div><br /></div><div><span class="Apple-style-span" style="color:#FF6666;">*To be cont...hee..wink2</span></div>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-1761516568920558882010-09-03T14:16:00.004+08:002010-09-03T16:34:20.870+08:00Chest X-Ray<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAdLDuW5zz37nD_O7LUjqClzVaH0keaBxlXlICsESLBwJT0dnD7TYsUdKy89g3QVwgBXlbprBcfz39Hn5iPCNsM7kg2l6r1oejtGCohn_DPuhJ3Yuejlew6dDVIoct_4JVZY_H5ZoXOsE/s1600/03.jpg"><span class="Apple-style-span" style="color: rgb(0, 0, 0); -webkit-text-decorations-in-effect: none; "><strong></strong></span></a><strong><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjAdLDuW5zz37nD_O7LUjqClzVaH0keaBxlXlICsESLBwJT0dnD7TYsUdKy89g3QVwgBXlbprBcfz39Hn5iPCNsM7kg2l6r1oejtGCohn_DPuhJ3Yuejlew6dDVIoct_4JVZY_H5ZoXOsE/s1600/03.jpg">Chest x rays made easy</a></strong><div><p>The aim of this five part series is to give you a basic system for looking at chest x ray films. They should enable you to say something sensible when presented with a film in your finals and be confident that you are not missing serious disease when you view a film on your own as a house officer. </p><p>Looking at chest <i>x</i> ray films - the system By the time you do finals you will have learnt a system for examining the abdomen; you also need to develop a system for looking at x ray films. This will reduce your chances of missing abnormalities and it will provide a structured patter to come out with in exams when you are under pressure. </p><p>Let's start by looking at a normal chest <i>x</i> ray film (fig 1). Use this film as a reference point during the rest of the article. Firstly, some technical details: Quickly look at the film to get some useful information about the patient: </p><center><p> <img src="http://archive.student.bmj.com/issues/00/09/education/images/03.jpg" border="0" /><br /> <span class="author">Fig 1 Normal chest x ray film</span> </p></center> <ul> <li>Male or female? Look for the presence of breast shadows (this will help you to notice a mastectomy too).</li> <li>Old or young? Try to use the patient's age to your advantage by making sensible suggestions. A 20 year old is much less likely to have malignancy than someone who is 70.</li> <li>Good inspiration? It's easy to get tied up in knots over this - and sometimes not get any further. The diaphragms should lie at the level of the sixth ribs anteriorly. The right hemidiaphragm is usually higher than the left because the liver pushes it up.</li> <li>Good penetration? You should just be able to see the lower thoracic vertebral bodies through the heart.</li> <li>Is the patient rotated? The spinous processes of the thoracic vertebrae should be midway between the medial ends of the clavicles.</li> <li>Most chest <i>x</i> ray films are taken posterior anterior (PA) - that is, the <i>x </i>rays shoot through from the back of the patient to the x ray plate in front of the patient. If the patient is too sick to stand up for this, an anterior posterior (AP) film will be done - that is, the <i>x</i> rays shoot through from front to back. An anterior posterior film will always be labelled as AP, so if nothing is written on the film it is safe to assume it is PA. PA films are better, particularly because the heart is not as magnified as on an AP film, making it easier to comment on the heart size. Tip: You can avoid the whole PA/AP debate by describing all chest <i>x</i> ray films "frontal" - that is, you are looking at the patient straight on.</li> <li>Finally, some examiners like you to call <i>x</i> ray films radiographs; strictly speaking you can't actually see the x rays themselves.</li> </ul> <p>You can summarise all the above information in a simple opening phrase: <span style="color:red;">"This is a frontal chest radiograph of a young male patient. The patient has taken a good inspiration and is not rotated; the film is well penetrated."</span> </p><p>While you are saying this keep looking at the film. </p><ul> <li>First look at the mediastinal contours - run your eye down the left side of the patient and then up the right.</li> <li>The trachea should be central. The aortic arch is the first structure on the left, followed by the left pulmonary artery; notice how you can trace the pulmonary artery branches fanning out through the lung (see fig 1).</li> <li>Two thirds of the heart lies on the left side of the chest, with one third on the right. The heart should take up no more than half of the thoracic cavity. The left border of the heart is made up by the left atrium and left ventricle.</li> <li>The right border is made up by the right atrium alone (the right ventricle sits anteriorly and therefore does not have a border on the PA chest x ray film - a question that examiners love to ask. Above the right heart border lies the edge of the superior vena cava.</li> <li>The pulmonary arteries and main bronchi arise at the left and right hila. Enlarged lymph nodes can also occur here, as can primary tumours. These make the hilum seem bulky - note the normal size of the hila on this film.</li> <li>Now look at the lungs. Apart from the pulmonary vessels (arteries and veins), they should be black (because they are full of air). Scan both lungs, starting at the apices and working down, comparing left with right at the same level, just as you would when listening to the chest with your stethoscope. The lungs extend behind the heart, so look here too. Force your eye to look at the periphery of the lungs - you should not see many lung markings here; if you do then there may be disease of the air spaces or interstitium. Don't forget to look for a pneumothorax - in which case you would see the sharp line of the edge of the lung.</li> <li>Make sure you can see the surface of the hemidiaphragms curving downwards, and that the costophrenic and cardiophrenic angles are not blunted - suggesting an effusion. Check there is no free air under the hemidiaphragm.</li> <li>Finally look at the soft tissues and bones. Are both breast shadows present? Is there a rib fracture? This would make you look even harder for a pneumothorax. Are the bones destroyed or sclerotic? (see fig 2)</li> </ul> <center><p> <img src="http://archive.student.bmj.com/issues/00/09/education/images/04.jpg" border="0" /><br /> <span class="author">Fig 2 Sclerotic-white metastasis in the right seventh rib</span> </p></center> <p>You can summarise your findings as you are looking: <span style="color:red;">"The trachea is central, the mediastinum is not displaced. The mediastinal contours and hila seem normal. The lungs seem clear, with no pneumothorax. There is no free air under the diaphragm. The bones and soft tissues seem normal."</span> </p><p>If you have not seen any abnormality by this point, say so - <span style="color:red;">"I have not yet identified an abnormality so I will now look through my review areas"</span> - and then look at the "review areas" - places where you can easily miss disease. These are: apices, periphery of the lungs, under and behind the hemidiaphragms (don't forget the lungs will extend here), and behind the heart. By the time you have gone through the above, showing that you are looking at the film in a logical fashion, the examiner should guide you towards the abnormality. </p><p>You may be shown a lateral chest <i>x</i> ray (see fig 3), usually to confirm a diagnosis you have made on the PA film. Therefore don't panic when the lateral goes up because it means you've probably made the diagnosis. There are only two spaces to look at on the later- al film. </p><center><p> <img src="http://archive.student.bmj.com/issues/00/09/education/images/05.jpg" border="0" /><br /> <span class="author">Fig 3 Lateral chest <i>x</i> ray (normal)</span> </p></center> <p>The heart lies antero-inferiorly. Look at the area anterior and superior to the heart. This should be black, because it contains aerated lung. Similarly the area posterior to the heart should be black right down to the hemidiaphragms. The blackness in these two areas should be equivalent; therefore you can compare one with the other. If the area anterior and superior to the heart is opacified, suspect disease in the anterior mediastinum or upper lobes. If the area posterior to the heart is opacified suspect collapse or consolidation in the lower lobes. <br /></p></div>*http://archive.student.bmj.com/issues/00/09/education/316.php<div><br /></div><div>*Cardiorespiratory</div>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0tag:blogger.com,1999:blog-3566645816868920350.post-86994826927515228122010-08-31T21:55:00.002+08:002010-08-31T22:59:39.287+08:00The Arrivals<object width="640" height="385"><param name="movie" value="http://www.youtube.com/v/H2xMLOz-fCQ?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/H2xMLOz-fCQ?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="640" height="385"></embed></object><div><br /></div><div><object width="640" height="385"><param name="movie" value="http://www.youtube.com/v/fZAWX8dhxcM?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/fZAWX8dhxcM?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="640" height="385"></embed></object></div><div><br /></div><div><object width="640" height="385"><param name="movie" value="http://www.youtube.com/v/CqSLrBjVrUo?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/CqSLrBjVrUo?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="640" height="385"></embed></object></div><div><br /></div><div><object width="640" height="385"><param name="movie" value="http://www.youtube.com/v/gttVYtWlMNQ?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/gttVYtWlMNQ?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="640" height="385"></embed></object></div><div><br /></div><div><object width="640" height="385"><param name="movie" value="http://www.youtube.com/v/QqdgPX_Cdtw?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/QqdgPX_Cdtw?fs=1&hl=en_US&rel=0&color1=0xcc2550&color2=0xe87a9f" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="640" height="385"></embed></object></div><div><br /></div><div><br /></div>Fatinihttp://www.blogger.com/profile/03827557628974086771noreply@blogger.com0