TIME'S UP!!!
Answer is B)
A= mungkin angina of effort ni walaupun bukan didada; exercise stress test in next few weeks or months useful lah dan acceptable
B= must refer to ED (most here GP will refer to ED) or urgently to the surgeons or gastroenterologist for urgent colonoscopy to rule out colorectal cancer
C= any breast mass kena investigate for cancer; it is a cancer sehinggalah tests menunjukkan ianya bukan; if GP macam reluctant aje dan kata nnt sy cek lagi bulan depan tgk if membesar ke tidak, overule dia sebab anda bukan isterinya atau daughternya atau emaknya; if it is a cancer, by next month, jumlah cells nya sudah bertambah beberapa billions or even trillions; hanya perlu satu je dari cells ini utk keluar dari breast dan pergi ke organ lain utk mengubah Stage 1 menjadi Stage 4; fight for your life, dont accept nasib ditentukan oleh other people
D= most likely White Coat Sy; in any case, BP pun tak lah giler2 tinggi and diastolic masih lagi hanya 80mmHg je; ABPM in few weeks or months kira OKlah..dan most likely will be normal
E= subarachnoid haemorrhage (SAH) until proven otherwise; keluarkan dia dari your responsibility secepat mungkin dan biar hospital besar yg handle; this penoreh getah might be dead or brain dead or cacat or veggie in the next 24-48hrs
|