Systems Review in Kayan

I would to thank my student Cristal Asong for getting her parents to help me with this. May it be of use to people. The Review of Systems in Kayan.
Below are also the Review of Systems for:

1. Iban
2. Bidayuh Bukar-Sadong
3. Melanau

So I would have the review of systems for most of Sarawakian languages but so far I haven't had much luck with the Sabahan ones.

Name change

If you noticed, it is no longer Klang Hospital House Officers' Resource Centre but University Hospital Students' and House Officers' Resource Centre because I left Klang almost 3 years ago.

Sodium Correction Calculation Formula

This is the calculation for sodium correction:

Formula One:

[Na]_serumold(Total Body Water)+[Na]_infusion(Volume Given)=[Na]_serumnew(Total Body Water+Voume Given)

Formula Two:

ΔNa=[Na]_serumnew-[Na]_serumold

Rearrange Formula Two:

[Na]_serumnew= ΔNa+[Na]_serumold

Replace Rearranged Formula Two into Formula One:

[Na]_serumold(Total Body Water)+[Na]_infusion(Volume Given)= (ΔNa+[Na]_serumold)(Total Body Water+Voume Given)

Expand:

[Na]_serumold(Total Body Water)+[Na]_infusion(Volume Given)= ΔNa(Total Body Water)+ ΔNa(Volume Given)+[Na]_serumold(Total Body Water)+[Na]_serumold(Volume Given)

Rearrange all with variable (Volume Given) to one side:

[Na]_infusion(Volume Given)-[Na]_serumold(Volume Given)-ΔNa(Volume Given)= ΔNa(Total Body Water)-[Na]_serumold(Total Body Water)+[Na]_serumold(Total Body Water)

Cancelling and grouping variables:

([Na]_infusion-[Na]_serumold-ΔNa)(Volume Given)= ΔNa(Total Body Water)

(Volume given)= ΔNa(Total Body Water)/([Na]_infusion-[Na]_serumold-ΔNa)

In Sarawak Handbook variable ΔNa was rearranged to one side:

ΔNa(Total Body Water)+ΔNa(Volume Given)=[Na]_infusion(Volume Given)-[Na]_serumold(Volume Given)

ΔNa(Total Body Water+Volume Given)=[Na]_infusion(Volume Given)-[Na]_serumold(Volume Given)

ΔNa=[Na]_infusion(Volume Given)-[Na]_serumold(Volume Given)/(Total Body Water+Volume Given)

Volume Given was assumed to be one litre so replacing “Volume Given” with 1 giving:

ΔNa=[Na]_infusion(1)-[Na]_serumold(1)/(Total Body Water+1)

ΔNa=[Na]_infusion-[Na]_serumold/Total Body Water+1

A YouTube Channel

On and off there will patients with good signs that I will show my students. Unfortunately this a generate an avalanche of students visiting a patient who is already ill. By recording the signs I hope to be able to show the signs without harassing the poor patient. The channel is at UM Clinical Skills or https://preview.tinyurl.com/yau8d9nq.

Short algorithm for communication skills

The communication skills station for PACES can be daunting but at the end of the day it is surmounted by a series of basic techniques techniques. This is my personal algorithm.