Hi there! Assalamu Alaikum. How are you? I am hoping that you are well. I am fine as well, Alhamdulillah. Here are my activities on the 27th of August 2022. It was Saturday. It is my Actifit report number 804! In this post, I have included the following things:

• Chamber updates on Saturday
• A story of a patient
• An invitation to join/try a few awesome programs/projects</center

Chamber updates

On Saturday, as usual, it was a busy time at my office. Being the single GP doctor, I worked for 10 hours and a half, instead of the regular daily 9 hours. I consulted 61 patients in the evening. In the visa medical section, 45 people came for the check-up. Alhamdulillah, there were no emergency cases.

Story of a patient with acute abdominal pain

One Pakistani guy came with an Egyptian (foreman). The patient was having quite severe pain in his lower abdomen. The pain was associated with a urinary burning sensation and vomiting for a few episodes. During the physical examination, I found the maximum pain in his right lower abdomen. From the history and physical assessment, my differential diagnoses were acute appendicitis and right renal stones.

I told them the possibilities and asked them to do at least 3 tests to reach the diagnosis; a complete blood count (CBC), a urine microscopic test and an Ultrasound of the whole abdomen (scanning). As the scanning wasn't available in my clinic, I gave them two options;

1. Do CBC and Urine test in my clinic. If reports come in favour of acute appendicitis, go to a surgeon immediately.

2. Go to a surgeon first and do everything there.

They opted for the second option and left.

They returned within one hour. (Most likely due to high cost) They could not see a surgeon. They wanted to do the available tests in my clinic. So, I ordered the test.

The test results didn't help me reach a unifying diagnosis. The blood test result was in favour of acute appendicitis and the urine report was in favour of renal stones. I explained it to them and asked them to do a scanning anyhow. They agreed. However, they wanted something to reduce the pain. Because they only could do the scanning after 5-6 hours from that point in time. So, I gave him injectable painkillers to reduce his pain. I gave a requisition paper to do the scanning. I also explained to them that if the scan report (ask the sonologist) shows the features of acute appendicitis, see a surgeon there and if the report shows the features of renal stones, come back to me.

They haven't come back yet!

Okay. It is all for now. I am alive, healthy and thriving, Alhamdulillah. How about you?

Invitation to join/try a few awesome programs/projects

I want you to come and join our tribe/community! ⤵👇

Here is a total guideline

If you are tired of making long posts or if you love to make short posts from the beginning and still want to be a content creator on the hive, d.buzz is the place for you. Join d.buzz, and enjoy the flavour of Twitter and microblogging. Follow @dbuzz for the regular updates

This report was published via Actifit app (Android | iOS). Check out the original version here on actifit.io

Aerobics

Height 165 cm		Weight 72.8 kg		Body Fat %
Waist cm		Thighs cm		Chest cm