1st time raya Aidilfitri di PErantauan JAKARTA..

assalamualaikum :)

hari ni mood raya makin kuat..+ + tiap2 ari dok pasang lagu raya...hehe=, .makin nak dekat makin terase kehangatan raya.erk! kedinginan raya pom bole. tapi kesedihan untuk meninggalkan ramadhan tetap menyelubungi diri.semoga ramadhan ku ini lebih baik berbanding yg sblomnya.

hari ni xnak citer sal medic,,ari ni nak cter sal raya.raya yg pertama kalinya di perantauan iaitu di Bandung, Indonesia. bukan kerna pergi bercuti dan menyambut raya disana tetapi kerana ada masalah sedikit pasal visa so kami2 yg belajar di sana xbole balik sedang kan cuti dalam seminggu la jugak.so Sad. dah la masih baru kat negara orang, pertama kali lak

tuh...huh.memang mencabar minda dan batin btoi..apa2 pom rileks jer der sebab ada kawan2 yg menemani so "homesick" tuh kurang la ckit, even menangis apbila mndengar takbir di pg

raya..sobsobsob.....cool..cool...xmain la nangis depan orang ramai.x macho beb..

masa first year dulu tahun 2008 kitorg telah menyambut hari raya aidilfitri di kedutaan malaysia kat jakarta.jakarta memang agak panas dan sesak berbanding Bandung yg sejuk miyot itu. di kedutaan semua warga malaysia yg berbagai pangkat yg xblik ramai gak la yg menghadiri.pg tuh ade smyg raya jemaah..pastuh khutbah cikit then makan2.hehe.part best neh...tp disebabkn ramai sgt pelajar so mknan agak limited la...sabo jela.xsempat den nok rase lemang.hhhhuhu.masih segar peristiwa tu..

datin merah ngan spec nya =:

hari raya tuh da 3 gadis yg pki warna merah

meja khas untuk VIP ja

kuli-kuli makan bawah jaa..haha

disebabkan datin nih prihatin dan baik hati dia pom duk bawah bersama-sama kuli.kuang2

ini mereka.sentiasa peka akan kamera,haha.

p/s :tinggal3 ari lg nk blik raya.yeaa!dok sabonyer~

=)

Charcot's Joint

A.K.A Neuropathic arthropathy

Definition

• refers to progressive degeneration of a weight bearing joint, a process marked by bony destruction, bone resorption, and eventual deformity.

• it could result in joint deformity, ulceration and/or superinfection, loss of function, and in the worst case scenario: amputation or death if unchecked earlier.

• can occur at any joint; however, it occurs most commonly in the lower extremity, at the foot and ankle

onset :insidious

Causes

any condition resulting in decreased peripheral sensation, proprioception, and fine motor control:

• Diabetes mellitus neuropathy - Related to long-term poor glucose control.(most common)
• Alcoholic neuropathy
• Cerebral palsy
• Leprosy
• Syphilis (tabes dorsalis), caused by the organism Treponema pallidum
  
• Spinal cord injury
• Myelomeningocele
• Syringomyelia
• Intra-articular steroid injections
• Congenital insensitivity to pain

Radiographic Appearance

• At presentation the X-ray appearance of Charcot's joint may be normal or show a minor fracture but may already show quite gross bone destruction.

• Stage I is the destructive phase

-characterized by fracture as a result of repetitive trauma without splinting or allowing for repair. As the acute inflammatory response ensues, mechanical destruction.

• Stage II

-characterized by persistent hyperemia and chronic inflammation that leads to progressive loss of bone strength.

• Stage III.

-characterized by further mechanical destruction in the desensitized joint can result in a cycle of destruction and failed attempts at biological repair

Differential Diagnosis

• osteomyelitis
• osteonecrosis
• advanced osteoarthritis
• stress fractures
• CPPD (Calcium Pyrophosphate Deposition Disease )

Treatment

• primary focus of treatment is to provide stabilization of the joint.Treatment of the underlying disorder, even if successful, does not usually alter the joint disease. Braces and splints are help
• In the diabetic patient, early recognition and treatment of a Charcot's foot by prohibiting weight-bearing of the foot for at least 8 weeks may possibly prevent severe disease from developing

TeSt yourself..

this is clinical features of what disease?

clues :

1) this features principally result from depletion of dopamine-containing neurones in substantia nigra of basal ganglia and relative excess of acetylcholine stimulation.

2) usually present in elderly people

info nice to know :

• Parkinsonism is a generic term for a group of symptoms that can be seen in someone with Parkinson's disease such as tremor, stiffness, and slowness of movement. There are several conditions other than Parkinson's disease which can cause these symptoms.
• Parkinson disease is a specific disease process leading to these symptoms.

f.r.i.e.n.d.s

today i would like talk about friends.yes, all of us have friends but not everyone have a true friend right??what does friend means to u??is it just someone that we share our happiness??our sad stories??someone who act nice in front of us but talk dirty about us at the back??is it?just think back.just to tell all my friends that i love/syg ok! all my friend whatever u do,u look like or doesn't like me.may god bless u all.hoping that we allwill success duniawi and ukhrawi. plez maapkan sy if i do wrong or hurt u all..k! 0-0...there's a song that i would like to dedicate to u all :

Count On Me Lyrics

If you ever find yourself stuck in the middle of the sea
I'll sail the world to find you
If you ever find yourself lost in the dark and you can't see
I'll be the light to guide you

Find out what we're made of
What we are called to help our friends in need

You can count on me like one, two, three
I'll be there and I know when I need it
I can count on you like four, three, two
And you'll be there 'cause that's what friends
Are supposed to do, oh yeah, ooh, ooh

If you toss and you turn and you just can't fall asleep
I'll sing a song beside you
And if you ever forget how much you really mean to me
Everyday I will remind you

Find out what we're made of
What we are called to help our friends in need

You can count on me like one, two, three
I'll be there and I know when I need it
I can count on you like four, three, two
And you'll be there 'cause that's what friends
http://www.elyricsworld.com/count_on_me_lyrics_bruno_mars.html
Are supposed to do, oh yeah, ooh, ooh, yeah, yeah

You'll always have my shoulder when you cry
I'll never let go, never say goodbye

You can count on me like one, two, three
I'll be there and I know when I need it
I can count on you like four, three, two
And you'll be there 'cause that's what friends
Are supposed to do, oh yeah, ooh, ooh

You can count on me 'cause I can count on you

p/s: i miss a lot this moment~huhu

1 oGos 1 ramadhan

assalamualaikum dan salam 1 malaysia :0

hari ni hari isnin.

haribulan 1 ogos 2011 dan bersamaan 1 ramadhan 1432 bulan Islam.
selamat berpuasa bagi seluruh umat Islam yg berpuasa.
semoga kekuatan rohani bertambah dengan amalan2 yang berganda.
bagi yg berkemampuan berpuasa tetapi tak puasa insaf2 lah, kanak2 pom bole puasa..malu la cikit beb...
hari nih juga hari merdeka.
ahah...merdeka dari segala assignment2 yg berlambak dan exam yang da selesai.
amminnn..semoga beroleh markah yg baik2 shaja even presentation hari ini tidak memuaskan.uhukk...
dsebabkan suda merdeka.jom tidoq awal..esok bole bgun sahur ..
yeay!
jgn jeles k.kikiki...
semoga ramadhan ni lebih baik berbanding yg sebelom nyer...
dikala syaitton luaran diikat jgn la membiarkan diri mu dikuasai syaitan dalaman..
syaitan dalaman=nafsu2
rebutlah jualan murah yg dpromosikan di bulan ramadhan ini
1 amalan kebaikan dibalas 70x pahala beb.
xmaw ka???rugi lorhh...jom kejar..
ok selamat beramal semua :)