PBL 47 Whistling job by Praveinesh Rasaa https://padlet.com/rpraveinesh/24stvm8e9de5k22y en-us 2023-05-30 02:08:47 UTC 2023-05-31 17:35:40 UTC hello@padlet.com Trigger Part A rpraveinesh https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608435945
Mr. Asyraf, a 35-year-old married man with 2 children presented to emergency unit with severe
shortness of breath for the past three days. He is a chronic smoker but denied history of asthma
during childhood and in the family.
He was told to have occupational asthma when he repeatedly experienced cough and shortness
of breath for the past one year. His symptoms were gradually noted to get worse at work but
improved during holidays.]]> 2023-05-30 02:11:55 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608435945 1. Mr Asyraf , 35 yrs , married with 2 children aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608508828 - what is his job ? - to know about what is he expose to?
- bread winner of the family]]> 2023-05-30 03:07:43 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608508828 2. severe shortness of breath - past 3 days aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608509766 - chief complain
- characteristic of the SOB 
     - how severe?
      - how long ?
      - what activity causes it ?
- can be measured by rating of perceived dyspnea scale 
- any infections ?
-

]]> 2023-05-30 03:08:27 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608509766 3. Chronic smoker but denied history of asthma during childhood & family aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608515351 - how many packs per day ?
- what is the brand of cigarette ?
- denied asthma : acquired (not inherited ) 
- is he having any medications
- chronic : based on amount of the cigarette
- Children expose to smoke : secondary smoker]]> 2023-05-30 03:13:01 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608515351 4. told to have occupational asthma when he repeatedly experienced cough and SOB - past one year aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608522236 - def : one type of asthma 
- when breathe in chemical fumes , dust , gases during the job 
- what kind is his job ? when he start the work ?
- SOB (past 3 days ) is complication of the SOB for past one year
- occupational asthma ( 2 types )
     a) irritant induced
b) allergic induced - longer period
- general causes of SOB ? 

]]> 2023-05-30 03:18:44 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608522236 Types of Asthma aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608524494 2023-05-30 03:20:47 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608524494 aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608531280 2023-05-30 03:27:24 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608531280 5. noted to get worse & improve during holidays aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608532128 - classification of occupational asthma ?

]]> 2023-05-30 03:27:53 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608532128 Learning issues aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608535503 1) Type of asthma  - focus on occupational asthma 
2) general causes of SOB 
3) pathophysiology of Ronchi - how occupational asthma can cause ronchi 


LO1 Relate the risk factors and pathophysiology of occupational lung disease to its clinical
 presentations

- occupational disease vs work related disease (focusing on occupational lung disease) talk abt definition, different types of occupational lung disease (silicosis/asbestosis etc)

- Causes of SOB + Types of asthma + Overview of occupational asthma

-(symptoms, causes, risk factors, pathogenesis, complication)

-Pathophysiology of sign : (tachypnea, ronchi)

-Pathophysiology of symptoms : (SOB, cough) 

-occupational asthma  (Signs and symptoms) & types and common hazard in o&g industry (what substance)

-pathogenesis (based on causative agent) & role of smoking in occupational asthma


LO2 Discuss the preventive measures for occupational lung disease

-List protective gear that commonly used and their importance + rules and regulation governing PPE & Primary, secondary and tertiary prevention


LO3 Discuss the ethical concerns with regard to occupational lung disease

-MERCI (exceeded eligibility for annual leave, sought MC from different clinic) ]]> 2023-05-30 03:31:17 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608535503 Trigger PART B aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608536303 On further questioning, he has been working as a technician in an oil and gas company for the past five years. He felt uncomfortable when using the personal protective equipment that was supplied by his employer as required by regulations. On examination, the patient was tachypneic. He was afebrile and the vital signs were normal. Ronchi was heard over his anterior chest wall. No other abnormality was detected in other systems. Due to his illness, he has exceeded the eligibility for the annual leave and occasionally sought medical certificates from different clinics. ]]> 2023-05-30 03:32:08 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608536303 6. working as technician in oil and gas company - past 5 years aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608538006 - latency period
- symptoms show up for past one year 
- increase risk of exposure to chemical substances

]]> 2023-05-30 03:33:41 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608538006 7. uncomfortable using personal protective equipments aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608538710 - avoid using the ppe
- could not breathe properly 
- increase exposure to hazard substances 
- due to company or worker negligence 
- oil and gas : offshore ( have thought why need to wear ppe in middle of ocean ?)]]> 2023-05-30 03:34:25 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608538710 8. he was tachypneic aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608539219 - def : increase of breathing rate 
- due to SOB 
- ]]> 2023-05-30 03:34:53 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608539219 9. Ronchi was heard over his ant chest wall aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608541621 - over secreation of mucus 
- respi tract narrow
- often cleared by coughing 
- ronchi : sound of lungs ( low pitched wheeze ) 
- asthma patient lung sound ? 
- chronic asthma : airway obstruction
- low and high pitch can be presented in asthma but based on severity of asthma ]]> 2023-05-30 03:37:07 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608541621 10. exceeded the eligibility for annual leave and ocassionally sought mc from diff clinics aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608543882 - MERCI 
- switch to diff departments 

]]> 2023-05-30 03:39:27 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608543882 aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608559337 LO1 Relate the risk factors and pathophysiology of occupational lung disease to its clinical presentations
 LO2 Discuss the preventive measures for occupational lung disease 
LO3 Discuss the ethical concerns with regard to occupational lung disease ]]> 2023-05-30 03:56:39 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2608559337 Learning Issue PB aliaqistinahidyatul https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2610804396 LO1 Relate the risk factors and pathophysiology of occupational lung disease to its clinical presentations

- occupational disease vs work related disease (focusing on occupational lung disease) talk abt definition, different types of occupational lung disease (silicosis/asbestosis etc) 🫁 Anisha

- Causes of SOB + Types of asthma + Overview of occupational asthma 🫁 Pravei 

-(symptoms, causes, risk factors, pathogenesis, complication) 🫁 Omar

-Pathophysiology of sign : (tachypnea, ronchi) 🫁 ALIA

-Pathophysiology of symptoms : (SOB, cough) 🫁 SINEHAA

- types and common hazard in o&g industry (what substance) 🫁 Nafiz

-pathogenesis (based on causative agent) & role of smoking in occupational asthma 🫁 Iman


LO2 Discuss the preventive measures for occupational lung disease

-List protective gear that commonly used and their importance + rules and regulation governing PPE & Primary, secondary and tertiary prevention 🫁fatiha


LO3 Discuss the ethical concerns with regard to occupational lung disease

-MERCI (exceeded eligibility for annual leave, sought MC from different clinic) 🫁 (Jim) Thank u dow kasi merci utk last pbl🫶🏼🫶🏼]]> 2023-05-31 17:33:28 UTC https://padlet.com/rpraveinesh/24stvm8e9de5k22y/wish/2610804396