Patient details
- 13 years old
- Previously in Sabak Bernam
- Has spinal bifida
- Developed pressure sore on foot (nerves damaged- L5/S1) , infected, foot smells badly
Mother's history (antenatal care, supplements, medication)
- Has she developed gestational diabetes -predispose to developmental problems
Patient's history
- Development/ milestones- speech, coordination
- Menarchy
- Difficulty walking
- Sensory loss
History of presenting illness
When started?
Taking any supplements?
Medications?
Past history of pressure?
Problems with daily activities?
Abnormal discharge on foot?
What treatments?
Smoking, alcohol history.
Menstrual history
Examinations of lower limb
-musculoskeletal
-PNS
-Bowel- urinary incontinence
Group Work
Education issues- (Amlah, Deena, Valerie, Teh)
Social issues- (Dev, Gurki, Charlene)
Psychological issues- (Jon, Rezza, Sharvin)
Learning issues:
What is spinal bifida and pathology- Amlah
Types of spinal bifida - Jon
Incidence and prevalence- Lincoln
Diagnosis and Investigation- Revathy and Nicole
Differential diagnosis - Deena and teh
Causes & Risk factors - Sharvin
Signs and symptoms- Rezza
Antenatal care- Charlene and Jin Li
Management and treatment -Dev
Education issues- (Amlah, Deena, Valerie, Teh)
Social issues- (Dev, Gurki, Charlene)
Psychological issues- (Jon, Rezza, Sharvin)
Learning issues:
What is spinal bifida and pathology- Amlah
Types of spinal bifida - Jon
Incidence and prevalence- Lincoln
Diagnosis and Investigation- Revathy and Nicole
Differential diagnosis - Deena and teh
Causes & Risk factors - Sharvin
Signs and symptoms- Rezza
Antenatal care- Charlene and Jin Li
Management and treatment -Dev
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