GP POSTING REPORT

Practical Exercise 1 : Student Record of Patient Diary

NO

PATIENTS
INITIAL

AGE

SEX

PRESENTING
SYMPTOM/PROBLEM

ACTIVITY PERFORMED

LEARNING ISSUES

SF

20

High Fever 2/7

Observed GP take history +

Assist GP to take blood
+perform NS1 Antigen test

Dengue Fever ( Signs &

symptom)

AS

Fever + blister on hand

and foot +painful throat
for 1/7

Took history from patients

parent and observed GP
explain condition to the
parents+ assist in inserting
suppository pill for fever

Hand, foot and mouth

disease (HFMD)Pathogenesis, Clinical
Presentation and Prevention

YH

31

Eye redness + teary for

2/7

Observed GP checking eyes

and take history

Conjunctivitis

HS

33

Headache + pain around

eyes for 3/7

Observed GP palpate around

eyes, forehead and nose

Migraine (with and without

aura) + sinusitis

SM

59

Blocked right ear for 3/7

Assist GP in ear irrigation

procedure

Ear canal anatomy + Sinus

ear connection

TK

17

Blood in feces for 3/4

Took history and observed GP

doing abdominal palpation

Hemorrhoids

LT

47

Vomit + fever (11/30)

+headache +periorbital
pain

Took history + took PB +

discuss about treatment
method

Rickettsia tsutsugamushi
fever

KS

45

Back (Lumbar) pain 2/7

Assist GP to give injection

(Voltaren 50mg) to patient

Causes of Muscle Pain

KM

29

Pain in upper abdomen

+ heartburn (2/7)

Took history

Gastritis- Pathogenesis and

Clinical Presentation

10

PST

21

Rash and itchiness at

pubic area + around
vagina (3/7)

Took history and assist GP to

inspect the area

STD (Herpes Simplex Virus) Pathogenesis, Clinical

Presentation and Prevention

NO.

PATIENTS AGE
INITIAL

SEX

PRESENTING
SYMPTOM/PROBLEM

ACTIVITY PERFORMED

LEARNING ISSUES

11

MG

40

Persistent cough for

more than 3/12

Auscult lungs for wheezing +

observed nebulizer usage

COPD (Chronic Bronchitis) +

Asthma- Presentation and
treatment

12

PJS

11

Persistent coughing and Took history and observed GP

need a course of aerosol discuss complications
antibiotic

Cystic Fibrosis (CF)

Pathogenesis, Clinical
Presentation & Treatment

13

HHBM

65

Follow-up for Diabetes

Took history and observed GP

educate patient about
compliance

Diabetes MellitusPathogenesis, Clinical

Presentation & Treatment

14

OHS

24

Refill medication for

asthma

Observed GP educate patient

about triggers for asthma and
inhaler usage & took history

Asthma - Pathogenesis, Clinical

Presentation and Treatment

15

ABAJ

52

Follow-up for
Hypertension

Took history and observed GP

discuss about compliance and
complications.

Hypertension - Pathogenesis,
Clinical Presentation and
Treatment

16

Dr. MV

45

A second opinion about

medication for father
( depression + paranoia)

Observed GP discussing the

benefit and drawbacks on
given medication and dosage

Presentation of depression and

Prevention

17

TCB

56

Swelling on right scrotal

hernia

Observed GP during palpation

+ help writing referral letter

Direct Inguinal Hernia

18

FRG

28

Elevated Liver Enzymes

(full blood test)

Observed GP explaining the

condition and refer patient to
GH

Hepatic enzymes tests (GGT,

ALP, AST, ALT) and conditions in
which enzyme elevate.

19

DG

38

Medical check-up for

bank loan

Observed GP perform tests

and assist in doing vision test ,
colour blind test and urine
(dipstick)

How to interpret dipstick

result?

20

BN

28

Asking for help to find

nurse to take care
husband(paralysis due
to accident)

Observed GP discuss about

facilities needed and
complications

Side effect of long term

immobilization (DVT)

Practical Exercise 2 : Constructing A Family Genogram

Chosen patient: No.13 (HHBM)
Interviewee: Patient (HHBM) and her daughter (FRBM)
Patient came for regular diabetes (DMT2) follow up. She is
on tablet medication but sometimes forget to take medication
causing her to feel dizzy. Her glucose level was 10.3 mmol/l and
patient has no believe in getting well. She still consumes high-sugar
diet despite doctors warning.

*Genogram drawing

Practical Exercise 3: Preventive Health Care Activities in General

Practice

1. Observed Preventive Health Care Activities

i. Weight Loss Management talk to prevent osteoarthritis
ii. Vaccination for babies, foreigners and students against Hep B and DPT
iii. Advising patient to reduce/stop processed food intake and smoke to
prevent getting cancer (patient has strong family history of multiple cancer)
iv. Advising the patient to restraint touching others as the patient was having
Hand, Foot and Mouth disease
v. Advising about having safe sex to prevent getting STD (patient have active
sexual lifestyle with multiple partners)

2. Description about Weight Loss Management talk to prevent

osteoarthritis
GP advised a patient (69kg, 150cm) to lose weight as she has strong genetic
link of getting osteoarthritis. The doctor further told the patient that by
having an active lifestyle, her life quality will improve and the risk of getting
osteoarthritis and osteoporosis will significantly reduce. The
GP encourages the patient to take part in group (tai chi) exercises or
go to swim with friends. An individualized meal plan was given to the patient
based on several test. The GP assures that she will achieve the ideal weight if
she consistently do exercise and have a balanced diet.