# MO Kudat

> For general references


## Posts

- [Chemical Pathology Comments](https://mohkdt.com/chemical-pathology-comments/): Lab Result Comment Manager Current Clinical History Copy History Only History will be appended to comments and cleared automatically after copying a template. Hormonal D2 FSH, LH D2 FSH, LH Copy Comment Hormonal D21 Progesterone D21 progesterone Copy Comment Standard Reporting Serum Ferritin Guidelines A serum ferritin level less than or equal to 20 ug/L for pre-pubescent children (or age
- [Urea to Creatinine Ratio Calculator](https://mohkdt.com/urea-to-creatinine-ratio-calculator/): Urea to Creatinine Ratio Calculator Urea:Creatinine Ratio Clear All Clinical tool for identifying disproportionate elevation (Pre-renal vs. Renal patterns). Serum Urea (mmol/L) Serum Creatinine (µmol/L) Calculated Ratio: Calculation Logic Ratio = Urea (mmol/L) / [Creatinine (µmol/L) / 1000] A ratio > 100 suggests a pre-renal cause (dehydration, GI bleed, high protein intake) or catabolic states. Note: Clinical correlation is required. This tool is for educational purposes.
- [References](https://mohkdt.com/references/): References Home References Access clinical laboratory guidelines and diagnostic directories of other facilities No facilities found Try adjusting your search terms.
- [Smart Check Ordering](https://mohkdt.com/smart-check-ordering/): Smart Check – HSNI 🔍 Smart Check Ordering Add Note: Each row represented below requires a separate lab request form. If a test is not found, please search the Main Lab Test Directory or contact the respective lab unit for assistance. 🗑 Clear All List Initializing… ← Back to Handbook
- [Date of Birth Calculator (Backward)](https://mohkdt.com/date-of-birth-calculator-backward/): 2025 Advanced DOB & Age Calculator DOB & Age Calculator Reference Date for “Day of Life” Day of Life (on that date) Calculate Age At (Target Date) Calculate Now
- [ABG Analyzer](https://mohkdt.com/abg-analyser/): ABG Analyzer Quickly interpret arterial blood gases with clear outputs and compensation hints. Enter values pH Normal 7.35–7.45 pCO₂ mmHg Normal 35–45 mmHg pO₂ mmHg Room air often 80–100 mmHg HCO₃⁻ mmol/L Normal 22–26 mmol/L Calculate Reset Notes & Practice Please enter valid numbers for all fields. Results Parameter Value Interpretation Advanced interpretation Educational aid only. Correlate with clinical findings.
- [Compare Text](https://mohkdt.com/compare-text/): Left–Right Text Compare (10 Rows) Left–Right Text Compare (10 Rows) Exact match check • Case & spaces matter Left Right Match Reset all Compare all Tip: If you prefer to ignore case/whitespace, update the normalize() function in the script.
- [Transfusion Reaction](https://mohkdt.com/transfusion-reaction/): Clinical Presentation Feature Severe Reaction Non-Severe Reaction Fever >39°C or rise >2°C Mild (<38.5°C) Hypotension Present, may be profound Absent or mild Respiratory distress Dyspnea, hypoxia, bronchospasm Mild discomfort Hemoglobinuria Present (dark urine) Absent Pain Chest/back/flank pain Mild or absent Skin signs Generalized rash, urticaria, angioedema Localized rash or pruritus Shock or DIC May occur Never present Timing of onset Vital signs Laboratory investigations Test Severe Reaction Non-Severe Reaction Direct antiglobulin test (DAT) Positive in hemolytic reactions Usually negative LDH, bilirubin Elevated (hemolysis) Normal or mildly elevated Coagulation profile May show DIC Normal Renal function May worsen Normal Examples 🚨 […]
- [Blood Bank Oncall HSNI Q&A](https://mohkdt.com/blood-bank-oncall-hsni-qa/): dsdsd
- [Blood Bank Oncall (HSNI)](https://mohkdt.com/blood-bank-oncall-hsni/): ‘Antibody detected’ Things to know Situations Referral Forms Blood request (packed cell / whole blood) Code Blood request – safe ‘O’ Blood components request Blood transfusion in paeds Blood group selection for exchange transfusion Baby’s Blood Group: OABAB Mother’s Blood Group: OABAB Select Blood • O* is group O RhD positive whole blood with low titres of anti-A and anti-B and negative for haemolysin • In hospital blood banks which do not have facilities to identify O* by performing haemolysin test, blood group O RhD positive fresh red cell suspended in fresh AB plasma can be used. Blood group selection […]
- [MTP Flowchart HSNI 2025 - O&G](https://mohkdt.com/mtp-flowchart-hsni-2025-og/)
- [Ortho Case 0019](https://mohkdt.com/ortho-case-0019/): Objective(s) Case Presentation 13y boyNKMIalleged fall from 6 small stair height around 5 feet. Patient jump from 6 small stairs height ,landed on his left heellast wednesday 13/11/24post fall pain over left heelo/e alertBP 116/56 HR 72left heel tenderno swellingno open woundno redness Surgeon’s input
- [Ortho Case 0018](https://mohkdt.com/ortho-case-0018/): Objective(s) Case Presentation 12Y 11MO boy, NKMI, NKDFARight hand dominantPresented with:Progressive swelling of right hand x 2/7- had h/o alleged fall in the washroom , fell down with his right hand in flexed position- subsequently having difficulty to straighten both ring and little finger No open woundO/E: Alert, pink, ambulatingBP 113/63HR 73T 36.6SPO2 100% under RARight hand examination:Generalized swelling of the hand, no open wound/ skin changestender over 4th and 5th metacarpal upon palpationLimited ROM of ring and little finger due to painROM wrist and thumb, index finger and middle finger full (able to move actively but slowly) Sensation intact, […]
- [Ortho Case 0017](https://mohkdt.com/ortho-case-0017/): Objective(s) Case Presentation 53 years old gentleman ADL independentU/L 1) hypertension 2) dyslipidemia3) post TB bronchoectasis4) Iron deficiency anaemia Alleged fall down yesterday Upon going down stairs He misses his step Left hand hit over metal border Sustained pain and deformity over left wrist region Swelling increasing No open wound O/E : alert , not tachypneic BP 119/73HR 68 T 36.7Spo2 99 RA Left wrist : ? Dinner fork deformity, mildly swollen , no skin discoloration , tender upon palpation , pulse palpable , sensation intact ROM : able to pronate and supinate Radial deviation 20 Ulnar deviation 30 Flexion […]
- [Ortho Case 0016](https://mohkdt.com/ortho-case-0016/): Objective(s) Case Presentation A case in the ward updated to Orthopaedic team:60 years old / female (Awaiting for caretaker to settle Identification card for patient and to find for rumah kebajikan)Alleged MVA 2 months ago, sustained polytrauma Active issue:1) Open fracture of right tibia/fibula - On right above knee cast Surgeon’s input
- [Ortho Case 0015](https://mohkdt.com/ortho-case-0015/): Objective(s) Case Presentation 27 years old maleIssue: closed pathological fracture of left middle of tibia 2ry chronic OM (not displaced)- On left above knee POP During follow-up, mother requested to change to another type of POP that can allow the patient to move his knee Lessons / Notes
- [Plaster of Paris (POP) // Cast](https://mohkdt.com/plaster-of-paris-pop-cast/): Indications Above elbow cast Below elbow cast [ref] Above knee cast Below knee cast POP Care Source: Borang arahan prosedur Ortopedik To come to emergency department immediately if: Reference
- [Ortho Case 0014](https://mohkdt.com/ortho-case-0014/): Objective(s) Case Presentation 77 years old female Underlying1. CKD stage 3 with RTA type 2 with nephrocalcinosis2. IHD with HFpEFPRESENTED WITH alleged fall while going to toilet today at 2am - claimed she felt dizziness - no open wound - ++swelling Examination on Left hand ROM limited pulses palpable no wrist drop tenderness upon the # region sensation intact Management
- [Ortho Case 0012](https://mohkdt.com/ortho-case-0012/): Objective(s) Case Presentation 16yo malay girl u/l1)?thalassemiaAlleged sports injury while playing softball on 8/9/2024hit opponent while running from side.Post trauma complained of pain over right clavicle.right clavicle:deformed at mid clavicle tendernessNo skin tenting shoulder ROM limited d/t painelbow ROM fullradial pulse palpable able to do ok sign sensation intactcrt<2s, pink
- [Ortho Case 0011](https://mohkdt.com/ortho-case-0011/): Objective(s) Case Presentation 32 years old / Female MVA Hilux vs Pedestrian,Alleged hit by Hilux while crossing road at 7pm today- Hilux travel ~ 20km/hr while trying to get out from a junction- claimed hit over right leg and thrown at the side of the roadPost trauma,Pain and swelling over right lower leg above ankle Abrasion wound over right lower legNo head injuryO/E: Alert, conscious, good pulse volume, CRT <2s, warm peripheries, GCS full, pupils 3/3 reactiveLungs: clearCVS: DRNMPA: softExamination of right LL- Minimal swollen over lower leg- Wound over lower leg ~ 1cm, active bleeding able to stop- CRT […]
- [Ortho Case 0010](https://mohkdt.com/ortho-case-0010/): Objective(s) Case Presentation 38 years old / female / right hand dominant No known allergy UNDERLYING1) Right breast cys - TCA B&E in Nov 2023, KIV for op PRESENTED WITH 1) Right wrist pain for 3 weeks- On and off, pricking in nature - Right palm numbness, especially at nighy- Difficult to drive / write / type on keyboard due to pain (still able to perform those tasks) Further history, she played badminton and holding her mother to toilet in the ward about 4 weeks ago. 1 week subsequently she started having right wrist pain. On examination Alert, not tachypnoeicRight […]
- [Ortho Case 0009](https://mohkdt.com/ortho-case-0009/): Objective(s) Case Presentation 55yo / femaleu/l :1) HPT2) DLPmeds :T Amlodipine 5mg ODT Atorvastatin 40mg ONComplaint of 1. Left ankle swellingpost fall yesterday fall with foot in everted position No LOCNo ENT bleeding O/e : Alert, good perfusion, warm peripheries, CRT <2sec BP 154/90HR 70 SPO2 97% under RALeft ankle : swollen over ankle region, no open wound
- [Ortho Case 0008](https://mohkdt.com/ortho-case-0008/): Objective(s) Case Presentation 18 years old gentleman / NKDA / NKMI ADL independent Alleged self MVA today around 830AM Skidded due to uneven road village surface Fall over his left sideNot wearing helmet, unsure speed No LOC Pain and unable to lift left upper limb No retrograde amnesia O/e : Alert, good perfusion, warm peripheries, CRT <2sec BP 121/90 HR 91T 36.1 SpO2 98% under RALeft wrist - Tender upon palpation over the radius bone - Minimal swelling + deformity seen - ROM limited due to pain Left shoulder - Tender upon palpation over clavicle bone - ROM left shoulder […]
- [Clavicle Fracture](https://mohkdt.com/clavicle-fracture/): Management Indications for operation Absolute indications Relative indications Conservative treatment Cases: Reference
- [Ortho Case 0007](https://mohkdt.com/ortho-case-0007/): Objective(s) Case Presentation 13 years old boy / NKDA / NKMI Hx of closed left distal 1/3rd of radius ulna Aug 2023Treated conservatively Alleged fall today due to slippery floor and blackout surrounding Fall with outstretched hand Post fallNo LOC No ENT bleeding Sustained swelling over right wrist O/e : Alert, good perfusion, warm peripheries, CRT <2sec BP 121/78PR 87T 36.8SPO2 99% under RARight wrist Mild swollenAble to move fingers Peripheral pulse palpable CRT <2secSensation intact Surgeon’s input
- [Ortho Case 0006](https://mohkdt.com/ortho-case-0006/): Objective(s) Case Presentation 17yo male/ NKMI Alleged MVA 15/9/24Mechanism of injury: fell from motorbike Post fall sustained pain and welling over right knee region. Unable to ambulateNo open wound seen
- [Ortho Case 0005](https://mohkdt.com/ortho-case-0005/): Objective(s) Case Presentation 14 years old boy / NKDA / NKMI Alleged fall while playing football on 25/10/24 Fall due to misstep with right ankle in inverted position Post fall sustained pain and swelling over right ankle Came today due to swelling not subsided Asscociated with pain but no open wound Right foot Swollen over ankle region and mid foot DPA PTA palpable Surgeon’s input:
- [Ortho Case 0004](https://mohkdt.com/ortho-case-0004/): Objective(s) Case Presentation 56 years old lady / NKDA / NKMI ADL independent Alleged hit by a small fan with the batteries over her right foot Trauma on 28/11/24 - trauma D13 Came today due to persistent pain and swelling slowly reducing, initially was thought only a minor injuryRight foot Mild swelling over right 2nd toe middle phalanx No open wound seen Surgeon’s input
- [Ortho Case 0003](https://mohkdt.com/ortho-case-0003/): Objective(s) Case Presentation 43 yo femaleAlleged injury over left foot: was going up stair on rush, left foot was internally rotatedPost trauma, sustained pain over left over foot No open wound Surgeon’s input
- [Ortho Case 0002](https://mohkdt.com/ortho-case-0002/): Objective(s) Case Presentation 49Y male / NKMI PRESENTED WITH 1) Right lateral foot swelling, gradually increasing in size (initially sized about a small nodule less than 1x1 cm), swelling started since 1 year ago- Painless- No discharge / No bleeding No history of previous trauma / infection No loss of weight No loss of appetite On examination Right foot: - Swelling 4 x 4 cm, firm, no punctum, no skin erythema, well circumscribed, smooth surface- ROM right foot full, DPA, PTA palpable Right foot X-ray:: no osteomyelitic changes
- [Winking Owl Sign](https://mohkdt.com/winking-owl-sign/)
- [Ortho Case 0056 ⭐️](https://mohkdt.com/ortho-case-0056/): Objective(s) Case Presentation 25 years old male, motorbike rider. alleged MVA, fell over the right side. Post MVA, sustained pain and abrasion wound at right leg.
- [Ortho Case 0055 ⭐️](https://mohkdt.com/ortho-case-0055/): Objective(s) Case Presentation 85 years old female presented with fall at home. Post fall sustained pain at left hip and was unable to ambulate due to pain.
- [Ortho Case 0001](https://mohkdt.com/ortho-case-0001/): Objective(s) Case Presentation 12YO/ Boy / right hand dominant Date of trauma: 1/12/2024Mechanism of injury: alleged fall after running from dog, fell with left hand hit ground first supporting body’s weightPost trauma, sustained pain and swelling over the left wrist Surgeon's input: - Apply left above elbow cast - Convert to short cast after 3/52- TCA 3/52 with XOA
- [Disarticulation VS Ray Amputation](https://mohkdt.com/disarticulation-vs-ray-amputation/): Ray amputation ≠ Disarticulation Disarticulation Ray amputation
- [Wound Inspection in Ortho](https://mohkdt.com/wound-inspection-in-ortho/): Classification of wounds When we do WI, there are several things to note. One of them which is very important are the types of wounds. There are 4 classes of surgical wounds which have been classified. I’m going to relate this to orthopaedic surgery only, it also applies for general surgery, O&G etc. For wound inspection, we will inspect them differently for different patients. Class I : clean wounds These are our closed fractures or non penetrating trauma, carpal tunnel release or lumps & bumps. These don’t include the respiratory, alimentary, genital or uninfected urinary tract. Class II : clean-contaminated […]
- [Ortho Ward Round Presentation Template](https://mohkdt.com/ortho-ward-round-presentation-template/): Actually orthopaedic is straight forward, just get to know your patients. Talk to them. Follow the template as following: Trauma cases Post op trauma case Infection case Conclusion Follow this style of presentation, you wouldn’t even need to spend more than 15 mins to review. Just have a mindset that Source: from my Orthopaedic MO in 2021, a master student
- [Neck of Femur (NOF) Fracture](https://mohkdt.com/neck-of-femur-nof-fracture/): Shenton line in pelvic X-ray Complications Old patients are very susceptible to the complications above, especially when they have been bed-bound for long period of time due to hip fracture. Hence, Ortho will usually prioritise those patients if their conditions have been optimised and patient / family keen for surgical intervention. Management Follow this template and you won’t go wrong. So next time when we have NOF #, these management plans to be on board. Have to know neck of femur fracture before passing the posting. Miscellaneous Explained to son regarding the current condition- day 7 post trauma left intertrochanteric […]
- [Ortho Case 0038](https://mohkdt.com/ortho-case-0038/): Objective(s) Case Presentation 21 years old / Lady / Para 2Day 3 post delivery / SVD on 3/3/23 at 12.39am, Baby BW 3.16kg Mother complained of pain over pelvic region and bilateral lower limbs esp thigh regionUnable to ambulate due to painNo sensory lossNo history of trauma / fallNo urinary / bowel incontinenceNo fever / increase pv bleedingNo AUR Pelvic spring positive, tender over symphisis pubisNo deformity / spine tendernessROM hip flexion up to 60 degree. Limited due to painSensation intact Xray : widening of symphysis pubis joint > 1cm Surgeon’s input:– Conservative management with analgesia – No need brace […]
- [Ortho Case 0037](https://mohkdt.com/ortho-case-0037/): Objective(s) Case Presentation 29/ Female / Para 2 / Non SmokerC/O right inner thigh mass x 10 years + proximal inner thigh+ initially started at 18yo , 10c coin sizeGradually increasing in size for the past 10 years Otherwise , Non tender No LOA/LOWNo prolong cough / night sweat No HO trauma / fall Ambulating wellNo history of malignancy runs in the family Right inner thigh-mass prominent 4x5 cm width X 3 cm height Bluish discoloration with prominent veinsNo surrounding skin changes Soft , mobile Well demarcated margin
- [Ortho Case 0036](https://mohkdt.com/case-0036/): Objective(s) Case Presentation A case of closed left distal end radius fracture. Came today for review KIV off POP. Below are the X-rays updated to Orthopaedic surgeon:
- [Ectopic Pregnancy](https://mohkdt.com/ectopic-pregnancy/): Case scenario 22 years old female, presented with lower abdominal pain, pain score 5. Claimed non-sexually active. BP 100/60 mmHg and heart rate 100 bpm. In ED, triaged to Green Zone, and given T Paracetamol 1g stat. 2 hours later, found unconscious on chair, vital signs not recordable. Patient did not survive despite CPR. Postmortem finding: bleeding 3 liters, ruptured tubal pregnancy Introduction Locations Risk factors Major cause is disruption of normal tubal anatomy / function Ultrasound findings Transvaginal ultrasound (TVS) is more sensitive than transabdominal ultrasound (TAS) in detecting ectopic pregnancy Management Initial management Definitive management Dilemmas — ectopic […]
- [Cord Prolapse](https://mohkdt.com/cord-prolapse/): Introduction Example of clinical situation: Patient presented with leaking liquor, CTG noted fetal bradycardia. Cord prolapse is highly suspicious. Immediately do vaginal examination to check for cord prolapse Risk factors Diagnosis Early assessment
- [Postpartum Haemorrhage (PPH)](https://mohkdt.com/postpartum-haemorrhage-pph-2/): Introduction Causes Primary PPH Secondary PPH Assessment of severity of haemorrhage Identification of severity of haemorrhage Clinical stages of shock Management of major obstetric haemorrhage Uterine atony (commenest cause of PPH) Surgical intervention Use anti-shock garment during transfer if available Trauma Vulva / Vaginal tears Uterine rupture Extended uterine tear Tissue Examples: retained placenta Tips: Before performing manual removal of placenta (MRP), it’s essential to consider the possibility of accreta especially if there is a history of Caesarean in the past. Forcible removal of placenta can cause massive hemorrhage! Summary assessment of postpartum haemorrhage PPH
- [Maternal Collapse](https://mohkdt.com/maternal-collapse/): Introduction Causes Reversible causes: Physiological and anatomical changes that can affect resuscitation Early assessment Resuscitation Use DR CAB Circulation → Airway → Breathing Resuscitative hysterectomy / Perimortem Caesarean section (PMCS) Concurrent management Subsequent management Flowchart
- [Birth Before Arrival (BBA) Clerking Template](https://mohkdt.com/birth-before-arrival-bba-clerking-template/): PAC CLERKINGSB DR _ _ years old, Para _, delivered at _weeks _daysABO:HIV:VDRL:COVID 19 vaccination status: Post SVD _ hours (BBA) Presented withBBA at _ (e.g. home / toilet / car) Witness by Having irregular contraction since H _ / _ / 2025Subsequently having strong and regular contraction at _ H _ / _ / 2025SROM at _ H / _ / 2023Delivered baby _ (e.g. boy / girl) at H _ / _ / 2025Baby was born on the _ (e.g. floor / car seat / sofa) Patient claimed baby born vigorously and pink Umbilical cord was cut by […]
- [Partogram](https://mohkdt.com/partogram/): Example Step by Step Partogram of Normal & Abnormal Labour
- [Episiotomy](https://mohkdt.com/episiotomy/): A surgical incision made at the perineum to widen the vaginal How to perform episiotomy? How to repair episiotomy?
- [Labour: Normal & Abnormal Labour](https://mohkdt.com/labour-normal-abnormal-labour/): Normal labour stages & duration Stage Description Typical Duration (Primigravida) Typical Duration (Multigravida) First Stage Onset of regular contractions to full cervical dilation (10 cm) 10–14 hours 5–8 hours Second Stage Full dilation to delivery of the baby 1–2 hours <1 hour Third Stage Delivery of the baby to expulsion of the placenta 5–45 minutes 5–30 minutes First Stage: Cervical Dilation Second Stage: Expulsion Third Stage: Placental Delivery Abnormal Labour Abnormal labour may involve issues with: Type Definition Common Causes Clinical Implications Prolonged Latent Phase Latent phase >20 hrs (primigravida) or >14 hrs (multip) Inefficient contractions, sedation Maternal exhaustion, infection […]
- [Shoulder Dystocia](https://mohkdt.com/shoulder-dystocia/): Definition Risk Factors Pre-labour Intrapartum Complications Maternal Fetal Management Mnemonic: HELPERRR H Help Call for help E Episiotomy Perform adequate or generous episiotomy L Legs McRobert manoveure P Pressure Suprapubic pressure E Enter Wood screw manoveure R Remove Removal of posterior arm R Roll Roll patient over hand and knees (all four) R Repeat Repeatthe above procedure from L Advanced maneruvre• Cleidotomy• Symphysiotomy• Zavanelli manoveure Shoulder Dystocia Documentation Video (Sarawak General Hospital)
- [Magnesium Sulphate (MgSO4) Preparation](https://mohkdt.com/magnesium-sulphate-mgso4-preparation/): Magnesium sulphate (MgSO4) in pregnancy Use of MgSO4(i) To control and prevent seizure in pre-eclampsia with severe features / eclampsia(ii) Fetal neuroprotection if imminent premature delivery less than 32 weeks =======================Concentration: 1 ampoule = 2.47 g/5 mL Route of administration(i) Intravenous☘️ Loading dose ☘️ Maintenance dose (syringe pump) (ii) Intramuscular☘️ Loading dose ☘️ Maintenance dose ***Intramuscular (IM) route is preferred during transport patient from district or healthcare clinics to tertiary center =======================Frequency & Target Monitoring for Magnesium Toxicity (using MgSO4 toxicity monitoring chart)(i) Blood pressure every 15 minutes, target: ≤135/85 mmHg(ii) Pulse rate every 15 minutes, target: 60 – 100 […]
- [Instrumental Deliveries](https://mohkdt.com/instrumental-deliveries/): Vaginal breech delivery Forceps delivery
- [Miscarriages](https://mohkdt.com/miscarriages/): Introduction Risk factors Common presentation Summary
- [VTE Risk Assessment in Pregnancy and Puerperium](https://mohkdt.com/vte-risk-assessment-in-pregnancy-and-puerperium/): VTE prophylaxis choices Booking Weight (kg) SC Clexane SC Heparin <50 kg 20 mg OD 50 – 90 kg 40 mg OD 5000 units BD 91 – 130 kg 60 mg OD 131 – 170 kg 80 mg OD
- [Post SVD Template / Postnatal Review](https://mohkdt.com/post-svd-template-postnatal-review/): Template <Postnatal Review> _ years old, Para _, delivered at _weeks _daysABO:HIV:VDRL: ISSUE:1) _ H post SVD with Delivered baby at _ H _ / _ / 2025Birthweight: _ kgAPGAR score:Placenta complete, membrane raggedEBL: _ mL ANC:1. CurrentlyNo SOB / palpitations / chest pain / dizzinessAbdominal pain tolerableTolerating clear fluid, no vomitingBreastfeeding initiated On Examination:Alert, not paleNot tachypnoeic, warm peripheries, good pulse volume, CRT <2 seconds BP:HR:T: Lungs: clearCVS: DRNMAbdomen: softUterus contracted at _ weeks Perineal inspection in labour room by Dr _ at H on /_ /2025VE:No haematomaNo active bleedingNormal lochiaNo foreign body PRAnal tone intact PLAN:Monitor vital signsEncourage […]
- [Obstetric Management Template](https://mohkdt.com/obstetric-management-template/): IOL: Prostin Labour: Active phase of labour (Os >4 cm) Notes KIV for ARM during next assessment (may discuss with specialist prior to ARM) Labour: Early phase of labour (with resolved contraction) Labour: Latent phase of labour (Os <4 cm) Placenta praevia: Bleeding placenta praevia Placenta praevia: Expectant management Post ARM (artificial rupture of membrane) PPROM PROM <12H If patient is GBS positive, give benzylpenicillin instead of ampicillin: IV Benzylpenicillin 3g stat and 1.5 g 4 hourly Notes: consult specialist if in doubt e.g. LMSL / MMSL, might need to expedite delivery Preterm labour Reduced fetal movement (>30 weeks)
- [Vaginal Examination (VE)](https://mohkdt.com/vaginal-examination-ve/): Equipment Steps How to Estimate Cervical Dilatation (Os size) Finger Spread Estimated Dilatation Tip of one finger fits ~1 cm Two fingers just fit snugly ~2 cm Fingers slightly apart ~3–4 cm Fingers wide apart ~5–6 cm Full spread (almost flat hand) ~7–9 cm No cervix felt around head (rim only) 10 cm (fully dilated) Tips to improve accuracy: How to Differentiate 8 cm vs. 10 cm Cervical Dilatation If you feel any residual cervix, even thin — not yet 10 cm If you feel no cervix at all — likely fully dilated. Example of documentation VV: NADOs: _ cmCx: […]
- [PAC Clerking Template](https://mohkdt.com/pac-clerking-template/): Clerking template <PAC CLERKING>S/B DR ___ _ years old, G_P_ at _ weeks _ daysLMP:EDD: _ (verified at _ w)REDD: _ (verified at _ w)ABO:HIV:VDRL:MGTT x_:Hb (): PRESENTED WITH: ______ Otherwise,Good fetal movementNo show / No PV bleedingNo leaking liquorNo SOB / palpitations / chest painNo UTI / URTI symptoms ANC:1) ON EXAMINATION Alert, not pale BP:HR:T: Per abdomen:Soft, non-tenderUterus at _ weeksSingleton, cephalicHead _ /5th palpableEFW _ – _kg Contraction in PAC: NIL / _ in 10 minutes Per speculum by Dr _ on _ /7/2025 [if indicated] VV: NADOs: closedCx: healthyPooling of liquor _Cough impulse _Litmus paper _HVS […]
- [Newborn Examination](https://mohkdt.com/newborn-examination/): APGAR Score APGAR Score Calculator Category 0 Point 1 Point 2 Points Score Appearance (skin colour) Cyanotic / Pale all over Peripheral cyanosis only (acrocyanosis) Pink 012 Pulse (heart rate) 0 <100 100 – 140 012 Grimace (reflex irritability) No response to stimulation Grimace or weak cry when stimulated Cry when stimulated 012 Activity (tone) Floppy Some flexion Well flexed and resisting extension 012 Respiration Apnoea Slow, irregular breathing Strong cry 012 Calculate Score Reset Total Score: — Head to Toe Examination
- [Amniotomy / Artificial Rupture of Membranes (ARM)](https://mohkdt.com/artificial-rupture-of-membranes-arm/): Steps Post ARM Plan Contraindications for ARM Some common contraindications for ARM such as:
- [Referral for Paeds Standby](https://mohkdt.com/referral-for-paeds-standby/): Common Indications for Paeds Standby Referral (follow local hospital protocol) Steps of referring a case for Paeds standby Don’t forget to inform which OT/LR that they need to attend
- [Basic Obstetric Scan](https://mohkdt.com/basic-obstetric-scan/)
- [O&G Counseling Templates](https://mohkdt.com/og-counseling-templates/): Big baby Explained to patient regarding TAS findings. Explained regarding scan descripencies of +- 500 grams. Mode of delivery discussed.If SVD, explained regarding the risk of shoulder dystocia. Complications of shoulder dystocia explained: If LSCS, risk explained: Patient understood Bilateral Tubal Ligation (BTL) Explained to patient, risk of failure resulting unplanned pregnancy, sterilisation failure that leads to ectopic pregnancy (1 in 200), regret leading to request for female sterilisation, and very common in patient age less than 30. However, if adhesion involving Fallopian tube and unable to get window to reach for BTL, procedure may be abandoned as a failure […]
- [Lower Segment Caesarean Section (LSCS)](https://mohkdt.com/lower-segment-caesarean-section-lscs/): Post-LSCS Plan VTE prophylaxis choices Booking Weight (kg) SC Clexane SC Heparin <50 kg 20 mg OD 50 – 90 kg 40 mg OD 5000 units BD 91 – 130 kg 60 mg OD 131 – 170 kg 80 mg OD LSCS Tutorial LSCS and BTL notes by Dr Chai Ming Cheng LSCS video by Sarawak General Hospital:
- [Abdominal Examination (Obstetrics)](https://mohkdt.com/abdominal-examination-obstetrics/): Leopold’s Maneuvers Estimated Fetal Weight by Gestational Age (by palpation) Gestational Age (Weeks) Estimated Fetal Weight (grams) 12 weeks(Just above pubic symphysis) ~50–100 g 16 weeks(Midway between symphysis & umbilicus) ~100–150 g 20 weeks(At level of umbilicus) ~300–350 g 24 weeks(2 fingers above umbilicus) ~600–700 g 28 weeks(Midway between umbilicus & xiphisternum) ~1.0 – 1.2 kg 30 weeks ~1.3–1.5 kg 32 weeks(2 fingers below xiphisternum) ~1.6 – 1.8 kg 34 weeks ~2.0 – 2.2 kg 36 weeks(At xiphisternum) ~2.4 – 2.6 kg 38 weeks ~2.8 – 3.0 kg 40 weeks ~3.0 – 3.4 kg Fetal Lie Fetal Presentation
- [Inhalers Made Easy](https://mohkdt.com/inhalers-made-easy/): Abbreviation & Classes of Inhalers Inhaler Table Initial Pharmacological Treatment for COPD Notes The GINA Asthma Treatment Strategy — Adults & Adolescents
- [NAC Protocol (Paracetamol Overdose)](https://mohkdt.com/nac-protocol-paracetamol-overdose/): NAC Administration Protocol PARACETAMOL OVERDOSE REGIMEN (2-BAG REGIMEN) Patient’s Name Ward/Bed MRN Actual Body Weight (kg) Name of Specialist Protocol Type With Fluid Restriction or Body Weight
- [NAC Protocol (Non-Paracetamol Acute Liver Injury)](https://mohkdt.com/nac-protocol-non-paracetamol-acute-liver-injury/): NAC Administration Protocol NON PARACETAMOL ACUTE LIVER FAILURE REGIMEN Patient’s Name Ward/Bed MRN Actual Body Weight (kg) Name of Specialist Protocol Type With Fluid Restriction or Body Weight
- [Neonatal Jaundice (NNJ)](https://mohkdt.com/neonatal-jaundice-nnj/): Risk Stratification Link Calculator
- [Panic Disorder](https://mohkdt.com/panic-disorder/): DSM-5 Diagnostic Criteria A. Recurrent unexpected panic attacks. A panic attack is an abrupt surge of intense fear or intense discomfort that reaches a peak within minutes, and during which time four (or more) of the following symptoms occur: B. At least one of the attacks has been followed by 1 month (or more) of one or both of the following: C. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., hyperthyroidism, cardiopulmonary disorders). D. The disturbance is not better explained by another mental disorder […]
- [Generalized Anxiety Disorder](https://mohkdt.com/generalized-anxiety-disorder/): DSM-5 Diagnostic Criteria A. Excessive anxiety and worry (apprehensive expectation), occurring more days than not for at least 6 months, about a number of events or activities (such as work or school performance). B. The individual finds it difficult to control the worry. C. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the past 6 months): D. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning E. […]
- [Schizophrenia](https://mohkdt.com/schizophrenia/): DSM-5 Diagnostic Criteria A. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be (1), (2), or (3): B. For a significant portion of the time since the onset of the disturbance, level of functioning in one or more major areas (e.g. work, interpersonal relations, or self-care) is markedly below the level achieved prior to the onset (if the onset is in childhood or adolescence, there is failure to achieve expected level of interpersonal, academic, or occupational functioning). C. Continuous […]
- [Major Depressive Disorder (MDD)](https://mohkdt.com/major-depressive-disorder-mdd/): DSM-5 Diagnostic Criteria A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure: B. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. C. The episode is not attributable to the physiological effects of a substance or another medical condition. D. The occurrence of the major depressive episode is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or […]
- [Bipolar Disorder](https://mohkdt.com/bipolar-disorder/): Bipolar I Disorder Diagnosis of bipolar I disorder: Bipolar II Disorder Diagnosis of bipolar II disorder:
- [Asthma Action Plan](https://mohkdt.com/asthma-action-plan/): Note:– If printing in A5 paper, adjust the scale at the Print setting to 70% Asthma Action Plan Print Asthma Action Plan PAM BIRU (VENTOLIN) TARIKH PAM KEKERAPAN PAM COKLAT (BUDESONIDE) Guna 2 kali pam, 2 kali sehari (setiap hari) BILA PERLU DATANG KE HOSPITAL? Sekiranya sesak nafas tidak hilang setelah 8 kali pam di rumah, datang ke kecemasan hospital dengan kadar segera
- [Venous Thromboembolism (VTE) - Pulmonary Embolism / Deep Vein Thrombosis (DVT)](https://mohkdt.com/venous-thromboembolism-vte-pulmonary-embolism-deep-vein-thrombosis-dvt/): Treatment Medications
- [Immune Thrombocytopenia (ITP)](https://mohkdt.com/immune-thrombocytopenia-itp/): Causes Clinical Features Symptoms Signs Diagnosis Prognosis Investigations Diagnostic Management Therapy is indicated only when absolutely required (e.g. persistent platelet <30), to minimise side effects due to treatment (i) Platelet >30 ×10⁹/L and asymptomatic (ii) Platelet <30 ×10⁹/L First line therapy Second line therapy (iii) Platelet <5 – 10 ×10⁹/L / Excessive bleeding / CNS bleeding Absence of excessive bleeding: Excessive bleeding / CNS bleeding: Cases
- [Streptokinase](https://mohkdt.com/streptokinase/): Introduction Dose 1.5 MU diluted in 100 mL normal saline, given over 1 hour Notes: Make sure no bubble in the solution Contraindications Notes • Streptokinase should not be given again between 3 days – 12 months after initial treatment with streptokinase • Streptokinase is antigenic; it’s is a bacterial product which promotes production of antibodies. It will be less effective in the above mentioned period body has the ability to build up an immunity to it.Further info: Wikipedia /  Myokinase Q&A
- [Acute Coronary Syndrome (ACS) - Unstable Angina / STEMI / NSTEMI](https://mohkdt.com/acute-coronary-syndrome-acs-unstable-angina-stemi-nstemi/): Introduction Clinical spectrum of ACS Anatomy-related • Left anterior descending () artery: anteroseptal infarct • Circumflex branch of LCA: posterior wall of LV; • Right coronary artery: posterior and inferior wall of LV; posterior part of septum; right ventricle; SA node; AV node Differential diagnoses • Aortic dissection Presentation / History Taking Features of chest pain suggesting ACS • S: retrosternal • C: pressure • R: jaw / left shoulder / arms • A: relieved by nitrates within minutes • T: 5 – 15 mins • E: / exercise/cold/emotion, perspiration, nausea/vomiting• S: nausea / vomiting / palpitations / diaphoresis Gender […]
- [Heart Failure](https://mohkdt.com/heart-failure/): Echocardiogram Eyeballing of ejection fraction: https://t.me/c/1765521842/1007
- [Synchronized Cardioversion](https://mohkdt.com/synchronized-cardioversion/): Steps Doses of Synchronized Cardioversion Initial recommended doses:• Narrow regular: 50 – 100 J• : 120 – 200 J biphasic OR 200 J monophasic • Wide regular: 100 J • : defibrillation dose (not for synchronized cardioversion) Aim Risks / Complications[1] Defibrillation VS Synchronized Cardioversion Related Post References
- [Digoxin](https://mohkdt.com/digoxin/): Preparation IV digoxin: 0.5 mg/2 mL Indications IV Digoxin Notes
- [Amiodarone](https://mohkdt.com/amiodarone/): Dosage Preparation: 150 mg/3mL = 50 mg/mL Notes
- [Atrial Fibrillation](https://mohkdt.com/atrial-fibrillation/): Classification / Types Haemodynamically stable AFHaemodynamically unstable AF =====Fast AFRate controlled AF =====First detected AFParoxysmal AFPersistent AFPermanent AF Causes (1) Cardiac causes (2) Non-cardiac causes Presentation Symptomatic• Palpitations, SOB, angina Asymptomatic• Identified from features in cardiac monitor / ECG Investigations Aim to identify causes of atrial fibrillation Blood ECG • Rate: can be >150 bpm• Rhythm: Irregularly irregular • P wave: absent• QRS complex: narrow Imaging Management Initial management Pharmacotherapy / Medications Emergency Treatment Rate control Rhythm control May be desirable for patients who become symptomatic during episodes of atrial fibrillation Pharmacological cardioversion Electrical cardioversion Anticoagulation Required in patients for […]
- [HSNI Medical](https://mohkdt.com/hsni-medical/): Ward Active / Passive Status Ward Status Checker Choose a date: Please select a date. Please select a date to see the status of Ward 5 and Ward 6. Please select a date to see the status of Ward 6B. Please select a date to see the status of Ward 3. Please select a date to see the status of Ward 4. Templates Discharge
- [Ventilator Strategies](https://mohkdt.com/ventilator-strategies/): IMPORTANT NOTES: IF THE PATIENT DOES NOT HAVE ARDS / OBSTRUCTIVE AIRWAY / SEVERE METABOLIC ACIDOSIS, WE SHOULD USE STANDARD VENTILATOR SETTINGS INSTEAD. Elastance, Compliance, Resistance Acute Respiratory Distress Syndrome (ARDS) Obstructive Airway Diseases Severe Metabolic Acidosis Cases / Examples Pitfall
- [Ventilator Settings (General)](https://mohkdt.com/ventilator-settings/): Settings Mnemonic M: ModesO: O2 (FiO2) V: Volume (Tidal volume) E: Expiratory pressure (PEEP) A: All others (driving pressure, pressure support, flow graph shape)I: I.E RatioR: Respitatory rate (RR) FiO2 Tidal Volume (VT) Higher VT Lower VT Lower PaCO2 Higher PaCO2 Higher pH Lower pH Higher Pplateau Lower Pplateau Positive End Expiratory Pressure (PEEP) Pressure Support (PS) Inspiratory-Expiratory (I:E) Ratio Longer inspiratory time (e.g. I:E = 1:2) [inspiration time is 50%] Shorter inspiratory time (e.g. I:E = 1:3) [Inspiratory time is 25%] Possibly better oxygenation Higher Pmean Lower Pmean Higher risk of auto-PEEP Lower risk of auto-PEEP Respiratory Rate (RR) […]
- [Sgarbossa Criteria](https://mohkdt.com/sgarbossa-criteria/): Introduction Concordant & Discordant Smith-Modified Sgarbossa Criteria Modified Sgarbossa’s Criteria are met if ANY criteria are positive: How to apply? ECG Examples Further Reading
- [Laboratory Tests (HSNI)](https://mohkdt.com/lab-test-hsni/): Lab Test Ordering Lab Test Ordering Add Tube Type Form Tests Remark
- [Dengue Clerking Sheet](https://mohkdt.com/dengue-clerking-sheet/): Symptom List Copy Summary Scroll to Summary Name ID Age: Select age unitYearsMonthsDays Gender: Select GenderMaleFemale Pregnancy status: Select Pregnancy StatusNot applicable (not yet attained menarche)MenopausedPregnantNon-pregnantNon-pregnant (UPT Negative) LMP: Period of gestation: Weight: kg Height: cm BMI: Adjusted bodyweight: Allergy: NoYes Co-morbidity: NoYes PRESENTATION Chief Complaint: Fever: NoYes ___ days – Onset: – Last PCM on: – No documented temperature at home Abdominal Pain: NoYes Vomiting: NoYes Diarrhoea: NoYes Bleeding tendency: NoYes Lethargy: NoYes Other Symptoms: Oral intake: Urine: FURTHER HISTORY: Living / Travel to dengue prone area: NoYes Recent traveling: NoYes Swimming or water-based recreational activity: NoYes Rat infestation: […]
- [STOPBANG Score Calculator](https://mohkdt.com/stopbang-score-calculator/): STOP-BANG Score Calculator Snoring loudly? Often feel tired during the day? Anyone observed you stop breathing during sleep? High blood pressure? Body Mass Index (BMI) > 35 kg/m2? Age > 50 years? Neck circumference > 40 cm? Gender: Male? Calculate Score Reset STOPBANG Score Reference Range: Low Risk: 0-2 Intermediate Risk: 3-4 High Risk: 5-8
- [CTG Interpretation](https://mohkdt.com/ctg-interpretation/): HWKKS CTG Interpretation Guide Step by Step CTG Interpretation Summary Reassuring Non-reassuring Abnormal Baseline (bpm) 110 – 160 100-109 or >160 <100 or >180 Variability (bpm) 5 – 25 <5 for >40mins <5 for >90 minsSinusoidal Decelerations None / Early decelerations Variable deceleration with no concerning characteristics for <90 mins Variable decelerations Single prolonged deceleration up to 3 minutes                                                         Atypical variable decelerations Late decelerations Single prolonged deceleration greater than 3 minutes Accelerations Present     Concerning features: Overall Impression: Normal All four features fall into the reassuring category   Suspicious One features falls into non-reassuring category and the remainder […]
- [Non-Invasive Ventilation (NIV)](https://mohkdt.com/non-invasive-ventilation-niv/): Types of NIV Benefits of NIV over invasive mechanical ventilation Indications Contraindications Complications HACOR score
- [BMI, BSA, IBW, ABW, LBW Calculator](https://mohkdt.com/bmi-bsa-ibw-abw-lbw-calculator/)
- [Arterial Blood Gas (ABG) Interpretation & Practice](https://mohkdt.com/blood-gas-calculator/): ABG Analyzer pH: pCO2 (mmHg): pO2 (mmHg): HCO3- (mEq/L): Calculate Reset Parameter Value Interpretation Normal range of ABG Step 1: Check the pH Step 2: What is the primary disorder? STEP 3: How is the compensation – compensated? appropriate? acute or chronic? Note: If measured HCO3 or pCO2 is different from expected HCO3 or pCO2, there is a mixed acid-base disorder: Step 4: What is the diagnosis? Case scenario / Examples Note: Examples 7 – 13 are taken from https://academics.otc.edu/media/uploads/sites/66/2021/12/Teaching-acid-base-interpretation-handout.pdf
- [Ventilator Setting](https://mohkdt.com/ventilator-setting/): Introduction
- [Potassium Correction in Paediatrics](https://mohkdt.com/potassium-correction-in-paediatrics/): Potassium correction Potassium infusion rate Note: try to adjust part (i) Amount of KCl in 1 pint until you get a nearest total amount of potassium infused after 24 hours (g), and not exceeding the allowed potassium infusion rate
- [Fluid in Paediatrics](https://mohkdt.com/fluid-in-paediatrics/): Maintenance fluid amount, rate and type Children aged 1 year onwards:• HSD5% or NSD5% for maintenance• Amount for maintenance: using Holliday-Segar formula Fluid of choice for bolus & correction of deficit: normal salineFluid of choice for dengue fever bolus / maintenance: normal saline Fluid calculator
- [Rapid Sequence Intubation Calculator (Children)](https://mohkdt.com/rapid-sequence-intubation-calculator-children/): Laryngoscope Endotracheal tube (ETT) Agents for RSI in neonates Agents for RSI in children Example of combination of agents for RSI in children: atropine + midazolam + Scholene Emergency drug infusion dose & rate 💉IVI AdrenalineDilution: 0.3mg/kg in 50ml D5%Infusion rate: 1ml/hour (0.1mcg/kg/min, max: 2mcg/kg/min) 💉IVI DobutamineDilution: 30mg/kg in 50ml D5%Infusion rate: 1ml/hour (10mcg/kg/min, max: 20mcg/kg/min) 💉IVI DopamineDilution: 30mg/kg in 50ml D5%Infusion rate: 1ml/hour (10mcg/kg/min, max: 20mcg/kg/min) 💉IVI FentanylDilution: 1000mg (pure, 20ml)Infusion rate: 0.1ml/hour (5mcg/kg/hour) 💉IVI MidazolamDilution: 3mg/kg in 50ml NSInfusion rate: 1ml/hour (1mcg/kg/min) 💉IVI MorphineDilution: 1mg/kg in 50ml NSInfusion rate: 1ml/hour (20mcg/kg/hour)
- [Rapid Sequence Intubation Calculator (Adult)](https://mohkdt.com/rapid-sequence-intubation-calculator-adult/): Body weight, BMI, drug doses Choice of induction agents High paralytics, low sedative strategy in patients with shock

## Pages

- [Headings](https://mohkdt.com/headings/)
- [Labhandbook HSNI](https://mohkdt.com/labhandbook-hsni/): Lab Handbook HSNI Lab Handbook HSNI Lab Test Directory Search 🛠️ Show Handbook & Tools 📄 PDF Handbook 🚫 Sample Rejection 📝 Feedback Form 🔍 Smart Check 📚 References Initializing… 🖨️ Print Test Details ← Back to Search
- [Blood / Blood Product Code](https://mohkdt.com/blood-blood-product-code/): Loading… Non‑Urgent Blood Request Code Generator Date Time (24‑hour) Component Packed CellsCryoprecipitateFresh Frozen Plasma (FFP)Platelet Packed Cell Letter Choose any letter available in the dropdown list. Preset Letter Allowed letters per component: CRYO = D/E/F, FFP = J/K/L, PLT = T/U/V. Quantity (units) Urgency Emergency (select if emergency request) Leave unchecked for non‑urgent requests. Use current date & time Generate Code Generated Code — Copy Link for edit
- [White Blood Cell Counter](https://mohkdt.com/white-blood-cell-counter/): White Cell Differential – Pro Counter WBC Differential Manual Tally Mode ↶ Undo Reset Mode: 100-cell Copy Summary Target count Total WBC (×10⁹/L) Sample ID Tally 0 Target 100 % Complete 0% Abs Neut – Cell Breakdown Precursors Filter Copy Include Absolute Cell Type Count Percentage Abs (×10⁹/L) Total 0 0% –
- [Reminder](https://mohkdt.com/reminder/)
- [Ortho](https://mohkdt.com/ortho-ho/): Introduction Topics
- [Pathology](https://mohkdt.com/pathology/): FBP tools Blood Bank oncall Sample rejection Pathology HSNI Folder Age Calculator Date of Birth Calculator (Backward) Age Calculator Time of Birth Calculator Enter your date and time of birth below. Date of Birth (ddmmyyyy) Time of Birth (24 Hr Format: hhmm) Please enter a valid date (ddmmyyyy) and time (hhmm). Calculate Age Reset Your Current Age Details (Total Time Elapsed) Others
- [O&G Testing](https://mohkdt.com/og-testing/): sdsdsdsd
- [O&G HO](https://mohkdt.com/og-ho/): Work Related Introduction Procedures Topics Obstetrics Gynaecology Beyond
- [Terms and Conditions](https://mohkdt.com/term_conditions/)
- [Become an Instructor](https://mohkdt.com/become_a_teacher/)
- [Instructor](https://mohkdt.com/instructor/)
- [Instructors](https://mohkdt.com/instructors/)
- [Courses](https://mohkdt.com/courses/)
- [Checkout](https://mohkdt.com/lp-checkout/)
- [Task List](https://mohkdt.com/task-list/): Job List with Patient’s Name Ward Bed Number & Patient’s Name Task Remark Status Action Add Row Clear Stored Data Copy Data to Clipboard Copy Without Ward and Status Undo Last Action Free Text Notes
- [Website Updates](https://mohkdt.com/website-updates/): 2025-01-31
- [Extension (HSNI)](https://mohkdt.com/extension-hsni/)
- [Forms (HSNI)](https://mohkdt.com/forms-hsni/)
- [Links For Work (HSNI)](https://mohkdt.com/links-for-work-hsni/): WhatsApp Quick Sender Sending WhatsApp messages without saving numbers × Open WhatsApp You may copy any WhatsApp number, with or without spaces, dashes, or symbols.
- [HSNI Weekend Discharge](https://mohkdt.com/hsni/): This content is password-protected. To view it, please enter the password below. Password:
- [glossary](https://mohkdt.com/glossary/)
- [Medications & Protocols](https://mohkdt.com/medicationsprotocols/)
- [Medical Notes List](https://mohkdt.com/medical-notes-list/): Caj Rawatan dan Ujian Makmal Warga Asing (Tahun 2018) Medical Notes (PDF) Search By: Title Clear No. Title
- [ECG](https://mohkdt.com/ecg/)
- [Procedures](https://mohkdt.com/procedures/): External
- [Medical Topics](https://mohkdt.com/medical-topics/)
- [Logout](https://mohkdt.com/signout/): Logged out
- [O&G](https://mohkdt.com/og/)
- [Emergency & Trauma](https://mohkdt.com/emergency-trauma/): ED Templates
- [Test IT](https://mohkdt.com/testit/)
- [Casemix / ICD 11 / Procedures](https://mohkdt.com/casemix-icd-11-procedures/): Caj Ujian Makmal Warga Asing Caj Rawatan Warga Asing Common Procedure List
- [Ubah Suai Pengambilan Ubat Dalam Bulan Ramadan](https://mohkdt.com/ubah-suai-pengambilan-ubat-dalam-bulan-ramadan/): Original file forwarded by Azean Diabetic Medications During Ramadan (taken from FB Dr Hanif Arshad)🔴Patient perlu buka puasa bila mana : ✅ Metformin***Dose tak perlu kurang kan ▶️Pre ramadhan : Metformin 500mg OD (pagi)⏩During ramadhan : Ambil metformin waktu berbuka puasa ▶️Pre ramadhan : Metformin 500mg BD (pagi/petang)⏩During ramadhan : Ambil metformin waktu sahur dan berbuka puasa ▶️Pre ramadhan : Metformin XR 500mg OD (petang)⏩During ramdhan : Ambil metformin XR waktu berbuka puasa ✅ Gliclazide▶️Pre ramadhan : T. Gliclazide 80mg OD (Pagi)⏩During ramdhan : T. Gliclazide 80mg waktu berbuka puasa. ▶️Pre ramadhan : T.Gliclazide 80mg BD (Pagi/petang)⏩During ramadhan : T. […]
- [MPIS](https://mohkdt.com/mpis/): Report Duplicated Patient’s Profile Tutorial Speed testhttps://dashboard.hospital.moh.gov.my/speedtest/# Google Drivehttps://drive.google.com/drive/u/0/folders/1TRwEUNAYiT1IKkLdLFlnfdTexq8MqszI ETU PAC Ward
- [ThemeNcode PDF Viewer SC [Do not Delete]](https://mohkdt.com/themencode-pdf-viewer-sc/): This page is used for Viewing PDF.
- [ThemeNcode PDF Viewer [Do not Delete]](https://mohkdt.com/themencode-pdf-viewer/): This page is used for Viewing PDF.
- [Forms (HKDT)](https://mohkdt.com/forms/)
- [Ortho Cases](https://mohkdt.com/ortho-cases/): Cases
- [Paediatric Calculators](https://mohkdt.com/paediatric-calculators/): General calculators Fluid calculators [link] Potassium correction calculators
- [Calculators](https://mohkdt.com/): External Calculators
- [Templates](https://mohkdt.com/templates/): Main Templates MPIS Templates Other Templates Miscellanous Camelia
- [Medications](https://mohkdt.com/medications/)
- [Adults](https://mohkdt.com/opd-adults/): Medical Psychiatry DSM-5 diagnostic criteria for common psychiatric illness Others
- [Microsoft Office 365](https://mohkdt.com/office/): This content is password-protected. To view it, please enter the password below. Password:
- [Paediatrics](https://mohkdt.com/opd-paediatrics/)
- [Your Membership](https://mohkdt.com/register/your-membership/): [subscription_details]
- [Welcome](https://mohkdt.com/register/welcome/): Welcome! This is your success page where members are redirected after completing their registration.
- [Login](https://mohkdt.com/signin/)
- [Links for Work (HKDT)](https://mohkdt.com/links/): Open WhatsApp


[comment]: # (Generated by Hostinger Tools Plugin)