BBC Off-Day

Today marked the first time BBC loosened its strict rules on always sitting behind. To put it in another way, it was one of those rare occasions where BBC would suddenly choose to sit in the lower tier of the lecture hall apart from the usual twice-a-month BBC "Sit-in-front" Day.

Nevertheless, in keeping true to the BBC spirit, its members did not foray to much into the front portion - choosing to still sit in the upper half of the lower tier.

BBC Off-days are one of a kind - only applicable during special circumstances with the discretion of the President who would wield his Kuasa Veto in making such a decision.

The highlight of today was, however, the Clinical Scenario lecture by Dr. BK Lim. It was one of the most enjoyable lectures that we ever had. You feel that sense of close-to-home reality listening to his way of presentation.

When you want to say to someone that he is an idiot, you don't say, "You idiot!!"
Rather, you should say, "You ARE SUCH AN IDIOT!!"
This was just to underline the point to give complete answers and statements.
For instance, in answering questions, one does not say, "Clavicle." or "Pnemonia"
But rather, one should say, "Left clavicle". or "Pnemonia of the right lower zone"

Some highlights:
Monophonic wheezing - caused by obstruction of a single airway
Polyphonic wheezing - caused by multiple airway obstruction
Pleuritic chest pain (pleurisy) - friction of lungs rubbing against pleural during inspiration and expiration

Analogy of accumulation of fluid in pleural space:
The skin of the orange is like the skin, subcutaneous fat and muscles.
The flesh of the orange is like the lungs.
Imagine fluid accumulating in between the small space of the skin and the flesh of oranges.

Chest Radiograph:
Extended lungs - 10th rib visible
Right border of hear, right side of diaphgram can't be seen - consolidation of right lower zone of lungs

Anyway, the question for the day:
Is low PO2 or high PCO2 worse?

By the way, hypercapnic patients would usually go into coma, while hypoxic patients would be disillusioned.