Doctors In Apron

Very often reduced fetal movement causes anxiety to mothers. They are often worried something might have gone wrong to their child. Let's us dive into this topic to understand more about it and hopefully may help future mothers to alleviate their anxiousness. So, how do we define fetal movement? Fetal movement, defined as any discrete kick, flutter, swish or roll, is very subjective. It is usually based on maternal perception and varies according to individual. Most mothers will be able to feel the movement by 20 weeks of gestation (primiparous:18-20 weeks or later than 20 weeks, multiparous: ~16 weeks onward). These movements would increase until 32nd week and will then be plateau. During afternoon and evening periods, the fetal movement is at its peak. After moving much, there will of course be a sleeping period, which could last for 20-40 minutes, rarely exceeding 90 minutes, and occur throughout day and night. Presence of fetal movement symbolises the maturity of central ne

Hello everyone. Let's revise on how asthma happens and what are the medications available. Pathogenesis of asthma  (The basis to understanding all the medications used below, so please spend time understanding the concise version of pathogenesis. Feel free to drop a comment if there is any part that is not clear or you would like to provide us with extra info) Reference: Robbins Pathology, 8th Edition Asthma medications are divided into 2: 1. Reliever (Relief of bronchoconstriction) 2. Controller (Reduction of symptoms and prevention of attacks) RELIEVERS Beta-2 agonist (eg: salbutamol and terbutaline) Pharmacology: Rapid onset (15-30 mins) Peak: 30-60mins Duration of action: 4-6hours Mechanism of Action:  Beta adrenergic receptors are coupled to a stimulatory G protein, Gs, of adenyl cyclase (AC). AC will then catalyze the production of second messanger cyclic adenosine monophosphate (cAMP). In the lungs, cAMP reduces calcium concentr

Welcome to our little blog. As an introduction, we are Jia Xin and Fion, medical graduates from USM  in 2016 far up in Kelantan . WE love to cook, bake and we're up for anything that spells adventure *squeals* Don't be surprised if there are more our versions of recipe in here than medical based blabbering instead. pff~ We are stil newbies and definitely, do comment if there is anything you would like to ask, discuss and do correct us if there is any mistakes at all. We are open to any suggestions. There is no end to learning in medicine, and we hope to learn from you guys too! Hitting 25 this year and believing or not, trying our best to face the quarter life crisis, hoping all is rainbows and unicorn but yet throw ourselves out in the wild world knowing whatever it becomes, it will definitely be a risk worth taking, an adventure worth living. ~ J&Fi ~