AMALINA NOTES

📢 Webinar Alert Childhood TB is the hardest to catch! 🦠Vague symptoms, rarely confirmed. Plus chronic cough, pneumonia, and sleep-disordered breathing 📆Date: 04 November 2026 (Wednesday) ⏰Time: 0845 - 1630 💻Mode: Online (WEBEX) 💸Fees: RM50 MAPTB members RM80 others ⏳Registration deadline: 02 November 2026 📌Register: https://forms.gle/dkFnoe5Wkiciaur18 MMA & USM CPD Point and Certificate will be provided 📧 chenoriah@usm.my ☎️ 09-7673348 (Puan Che Noriah) ☎️ 09-7676650 (Cik Kartini Daud)

Schizophrenia

WEBINAR Join us for an exclusive webinar to enhance your knowledge on medicolegal aspects, communication, and primary care management for mothers and children! 🌸Maternal & Child Health: The Art, Science and Law of Primary Care🌸 Know the Risk, Communicate with Care, Practice with Confidence ✨​Event Details ​🗓️ 14 November 2026 (Saturday) ​⏰ 8.30 AM – 1.30 PM ​💻 Google Meet ​🏆 CPD Points Available Why You Should Join 🎓 Learn from Notable Speakers ​🗣️ Master Difficult Conversations ⚖️ Protect Your Practice 🤱 Elevate Postpartum Care 🏆 CPD Points + Early Bird Savings ​🔥 Key Topics & Speakers 👶🏻 ​_SLOT 1: Vaccine Communication_ – Dr. Megat Mohamad Amirul Amzar (UMMC) ⚖️​ SLOT 2: Medicolegal in MCH Primary Care – Assoc. Prof. Dr. Aimi Nadia (UiTM) 🧕​_SLOT 3: Postpartum Period - A Guide for Mother & Partner_ – Prof. Dr. Imelda Balchin (DSH2) ​💰 Fees (Early Bird before 17 Oct 2026): ​FMS / GP: RM60 (Normal: RM70) ​MO: RM50 (Normal: RM60) ​Allied Health / Paramedic / Medical Students: RM40 (Normal: RM50) ​⚡ Save RM10 when you register early! ​📲 Register: https://forms.gle/xJ1xLjwPPJ7Ydpjd9 OR Scan the QR code on the poster For any enquiries; can reach us at Email: fmsn9web2@gmail.com OR Contact person: Dr Raihan - 014-3382959/Dr Poo - 010-8939839 See you there! 🚀

Ada yang mencari rumah kawasan bachok? https://vt.tiktok.com/ZS9S3pya5/

📌 Senarai Anxiety Disorders (ikut DSM-5) Generalized Anxiety Disorder (GAD) Panic Disorder Agoraphobia Specific Phobia Social Anxiety Disorder (Social Phobia) Separation Anxiety Disorder Selective Mutism ⸻ 🧠 Cara Diagnos (Step by step klinikal) 1. 🪪 Confirm symptom utama: ANXIETY Tanya: Rasa risau berlebihan? Susah kawal worry? Ada simptom fizikal: berdebar sesak nafas tremor sweating sakit dada rasa nak pengsan 👉 Kalau tiada anxiety → bukan anxiety disorder ⸻ 2. ⏳ Tempoh simptom GAD → ≥ 6 bulan Panic disorder → recurrent panic attack + worry ≥ 1 bulan Phobia/social anxiety → ≥ 6 bulan Separation anxiety → ≥ 4 minggu (kanak-kanak), ≥ 6 bulan (dewasa) ⸻ 3. 🎯 Trigger / situasi spesifik Ini paling penting untuk differentiate: Diagnosis Clue utama GAD Worry banyak benda (general) Panic disorder Panic attack tiba-tiba, unexpected Agoraphobia Takut tempat susah lari (mall, bas, crowd) Specific phobia Takut objek spesifik (ular, flight, darah) Social anxiety Takut dinilai orang Separation anxiety Takut berpisah dgn attachment figure Selective mutism Tak bercakap dalam situasi sosial tertentu ⸻ 4. ⚠️ Assess impairment Ganggu kerja? Ganggu hubungan? Elak situasi? 👉 Wajib ada functional impairment ⸻ 5. 🚫 Rule out differential Jangan terus label: Medical: hyperthyroidism arrhythmia Substance: caffeine stimulant Psychiatric: Major Depressive Disorder Obsessive-Compulsive Disorder Post-Traumatic Stress Disorder ⸻ 6. 🧪 Guna screening tool (optional tapi membantu) GAD-7 HADS-A DASS ⸻ 🧩 Contoh cara fikir (exam / klinik) 👉 Patient: Risau pasal kerja, kesihatan, keluarga Dah >6 bulan Ada insomnia + muscle tension ➡️ Diagnosis: GAD ⸻ 👉 Patient: Tiba-tiba berdebar, rasa nak mati Episode berulang + takut jadi lagi ➡️ Diagnosis: Panic Disorder ⸻ 👉 Patient: Takut present depan orang, elak meeting ➡️ Diagnosis: Social Anxiety Disorder ⸻ 🧠 Cara mudah ingat (pattern recognition) General → GAD Attack → Panic Place → Agoraphobia Object → Specific phobia People → Social anxiety Attachment → Separation anxiety Speech → Selective mutism