Sunday, 6 July 2014

0 Let's Call It A Happy Ending

بسم الله الرحمن الرحيم

10.20 a.m from home, going to exam with a blue ProjeKita t-shirt. At the entrance of Parasitology department, a list of names and groups were placed for reference. Saw my name at the last  row of group 4, did my signature with the assistant and went to room for group number 4. It was Dr Azza, a doctor that always has smile on her face.

Me: Assalamualaikum, good morning doctor.

Dr Azza: Good morning, have a seat. Pick one card.

First card was Ancylostoma duodenale.

Dr Azza: Do you know anything about Ancylostoma duodenale? Give me the clinical picture of disease caused by it.

Me: Yes, it's a hookworm. At the site of penetration, there is skin rash. During migration of the larva, pneumonitis occurs and in intestine it causes bleeding, diarrhea and also anemia in blood.

Dr Azza: Good. Is it commonly occur with farmers?

Me: Yes.

Dr Azza: Very good. Okay let's pick another card.

The second card was unexpectedly Ancylostoma again, but this time is Ancylostoma brazilliense.

Dr Azza: Ah, you are so lucky today. You got Ancylostoma again. Okay, so what's the clinical picture caused by cutaneous larva migrans?

Me: Also skin rash at the site of penetration but it can't go further beyond the germinal layer. A serpiginous tunnel could be seen subcutaneously with allergy reaction and itching.

Dr Azza: Congratulations, thank you.

With smile on her face she let me go home.

I think this is the end of my three years pre-clinical course. Three and a half years left for clinical course. May everything become ease and be able to serve society with the best service.

Three years and a half is quite long, huh?



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