First Visit

we spent our first visit today at the medical wards and the CCU . Starting with the medical ward at the third floor , this place provides rooms and beds for patients who suffer under one of these categories  :  

1) General   

2) Nephrology  

 3) Respiratory   

4) Endocrinology  

5) Neurology  

The doctor told us some of cases we may see in this wards , one of the cases that related to nephrology was : 

A 50 years old patient suffers of chronic kidney failure , came with uremia , he had infection treated with Vancomycin  for 10 day and it didn’t work , they send him for dialysis but still his blood culture positive to uremia , so the doctor asked him to do TEE ( Transesophageal Echocardiogram ) and TTE ( Transthorasic Ecocardiogram ) checking for cardiomyopathy . 

Coronary Care Unit   

Our next round for today was the coronary care unit , this place is designed to help patients with acute myocardial infarction and complications including cardiogenic shock, post-infarction angina and congestive heart failure.  

This unit is supported by a team of nurses , cardiologest , clinical pharmacists .  The doctor showed us the cheats that nurses filled it every hour , the vital cheat  and the medication cheat  .

I really enjoyed the round with Dr. Wejdan Almutlag , she was very passionate about nephrology and endocrine , she mentioned how we will study each course in 4th year , I like how she is organised mashala in her ideas . After this visit , endocrine and internal medicine still in my list of specialties . I see cardiology is interesting but i don't have that passion in cradio cases .