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Supat Chamnanchanunt

Home › Forums › Supat Chamnanchanunt

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@supat-cha

Active 5 months, 1 week ago
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  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic TMCD 524: Interesting Case Report in the forum TMCD 524: Interesting Case Report 5 months, 1 week ago

    Dear Dr. Saw

    Good review that you can learn from this interesting case report.

    BW
    Supat

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case demonstration in the forum TMCD 532 Travel Medicine II (2022) 5 months, 1 week ago

    👍

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case demonstration in the forum TMCD 532 Travel Medicine II (2022) 5 months, 1 week ago

    Dear Khin

    Good answer, that seem to have more evidence of venous thrombosis, and you also give the other causes of chronic legs swelling. Do not to forget to find out “what are the risk factors of this case; such history of taking hormonal drugs, history of surgery and other family members with thrombosis.
    👍

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case demonstration in the forum TMCD 532 Travel Medicine II (2022) 5 months, 1 week ago

    Dear Pietro
    You gave a good answer, her presentation of chronic legs swelling, and evidence of venous insufficiency syndrome from physical examinations.
    Risk factors showed no significant, but do not forget to find out others history such as history of taking hormonal drugs, history of surgery and other family members with thrombosis. This may…[Read more]

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Haematology and Tropical Disease in the forum TMCD 531: Tropical Clinical Pathology 11 months, 1 week ago

    You’re correct. We can use reticulocyte count for differential diagnosis in the patients with high MCV value.

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Haematology and Tropical Disease in the forum TMCD 531: Tropical Clinical Pathology 11 months, 1 week ago

    You’re correct. We can use reticulocyte count for differential diagnosis in the patients with high MCV value.

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Urinalysis in the forum TMCD 531: Tropical Clinical Pathology 11 months, 2 weeks ago

    Sahara, your answer #1 is correct, this urine color is red with babbles. This can see in intravascular hemolysis patients.
    But answer #2 the shape of RBCs is leakage out content, and contracted red blood cells showed.

    This is a patient with G6PD deficiency.

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Urinalysis in the forum TMCD 531: Tropical Clinical Pathology 11 months, 2 weeks ago

    Ashley, you done well, it’s nearly correct.
    Urine color is red and frothy are correct.
    I would like to add more information of blood smear that; red blood cells content contracted on one side. This call contracted red blood cells with some leakage out of red blood cells. Spike membrane is leakage of red blood cells content.

    this is a patients…[Read more]

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Study 3 in the forum TMID 302 Clinical Foundations of Medicine I (2021) 1 year, 3 months ago

    ดีมากครับ ที่เก็บรายละเอียดจาก case แล้วมาแปลเป็นข้อมูลทั้ง Positive และ negative findings
    ส่วนประเด็นการส่งตรวจ Chromosome เนื่องจาก โรคที่เราคิดถึงได้อีกโรคคือ Myelodysplastic syndrome (MDS) ที่สามารถพบได้ใน Case ผู้ป่วยสูงอายุที่มีภาวะโลหิตจาง โดยเมื่อเจาะไขกระดูกได้มีการตรวจ Chromosome study ในกรณี…[Read more]

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Study 3 in the forum TMID 302 Clinical Foundations of Medicine I (2021) 1 year, 3 months ago

    นักศึกษาท่านอื่นๆมีความคิดเห็นเพิ่มไหมครับ

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Study 3 in the forum TMID 302 Clinical Foundations of Medicine I (2021) 1 year, 3 months ago

    ดีมากครับ พัสกร ที่พยายามคิดเป็นระบบ และหาข้อมูลที่ได้จาก case
    น่าสนใจในกรณี Fanconi anemia จะพบในผู้ป่วยเด็ก มีความผิดปกติทางกระดูก ร่วมด้วยครับ
    และอีกประเด็นที่น่าสนใจ คือการให้ยารักษา ในกรณีที่มี Vitamin B12 deficiency ต้องทำการรักษาก่อนเพื่อให้ ความผิดปกติทางระบบประสาทกลับมาเป็นปกติมากที่สุด

    สุพัฒน์

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Study 3 in the forum TMID 302 Clinical Foundations of Medicine I (2021) 1 year, 3 months ago

    คำแนะนำ: ตอบคำถามในแต่ละข้อคำถาม นักศึกษาที่ตอบได้คะแนนสูงสุดจะได้รับของรางวัล
    หมดเขตส่งคำถามวันจันทร์ที่ 28 กุมภาพันธ์ 2565

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 5 months ago

    Very good answer and suggestions.

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 5 months ago

    Good answer.

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 5 months ago

    Good suggestions for her.

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 5 months ago

    Good answer.
    I performed CTA chest, and found negative for pulmonary embolism.

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 5 months ago

    Good suggestions.

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 5 months ago

    She underwent to screening malignancy and thrombophilia tests. All tests were negative.

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 5 months ago

    Good answer

  • Profile picture of Supat Chamnanchanunt

    Supat Chamnanchanunt replied to the topic Case Demonstration in the forum TMCD 532 Travel Medicine II 1 year, 5 months ago

    OK, clear

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