Abdominal Examination Master Class - Medical School OSCE Revision - Clinical Skills - Dr Gill from hsm medical abdomen Watch Video

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Dr James Gill

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A mum-to-be was diagnosed with cancer at five months pregnant - when her extreme morning sickness turned out to be a symptom of the disease. <br/><br/>Caitlin McAlinden, 24, put her cancer symptoms - including a golf ball-sized lump on her neck, nausea and fatigue - down to morning sickness.<br/><br/>But after losing two stone in four months she was referred to a haematology team at Arrowe Park, the Wirral. <br/><br/>They gave her a neck biopsy and diagnosed her with stage one Hodgkin lymphoma in March 2024. <br/><br/>Caitlin is expected to make a full recovery but has to take a steroid injection and a blood-thinning pill every morning. <br/><br/>After her baby boy is born, on May 8, she’ll start a four-week course of chemotherapy. <br/><br/>Caitlin, a primary school teacher, from Wirral, Merseyside, said: “This isn’t the pregnancy I was hoping for - I haven’t felt well this entire time. <br/><br/>“Everything I want to do after my baby is born has to be put on pause due to the chemo. <br/><br/>“My odds are really good - but having my baby will be a good distraction for everything I’m going through.”<br/><br/>Caitlin found out she was pregnant on September 16, 2023 - after feeling nauseous at her birthday dinner the week before. <br/><br/>Her first trimester was “rocky” and she originally believed she had a severe form of morning sickness.<br/><br/>She was vomiting at least once a day and would fall asleep intermittently throughout the day. <br/><br/>But it wasn’t until Christmas Day that she first noticed the pain in her neck and after weighing herself, noticed she’d lost two stone. <br/><br/>She said: “I went back to County Armagh to visit my family for Christmas. <br/><br/>“I remember Christmas Day, falling asleep on the sofa and waking up with a really sore neck. <br/><br/>“I thought I’d just slept funny, but I started massaging my neck.<br/><br/>“That’s when I found a lump, about the size of a pea.”<br/><br/>Caitlin didn’t want to see a GP at first - believing the lump was just another “weird” sign of pregnancy. <br/><br/>But in just a week, her tiredness became worse and the pea-size lump tripled in size.<br/><br/>“I was so, so tired,” she said. <br/><br/>“Walking up the stairs alone would make me need to go for a lie down.<br/><br/>“I felt my neck again one day and the lump had become golf ball-sized.”<br/><br/>Her partner, Connor, 27, a procurement manager, told Caitlin she needed to see a doctor as soon as possible. <br/><br/>She visited her GP on January 2 and was referred for an initial ultrasound on her neck. <br/><br/>They gave her a biopsy on January 16 and the clinician asked Caitlin if she had any family history of Hodgkin lymphoma. <br/><br/>She told them one of her second cousins had gone through it years before and they urgently sent her for more blood tests. <br/><br/>“My doctor’s whole demeanour changed when I said I had a family history of it,” Caitlin said. <br/><br/>“I went for a blood test on the same day.”<br/><br/>Caitlin was diagnosed with stage one Hodgkin lymphoma on March 12, 2024, and instantly started steroid treatment to shrink the mass on her neck.
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Narcissistic Personality Disorder, otherwise known as NPD is a personality disorder characterized by grandiosity. We may see it in people who have inflated self-esteem with little regard for others. It is important to note that NPD is a psychiatric condition and is more complex than simply being arrogant. The condition causes much distress to the people with it and to the people around them. In this video, we hope to shed some light on the condition, and signs that a person should seek help. <br/><br/>Disclaimer: Please do not self-diagnose nor use this to diagnose others. This video is not medical advice, rather, it is for informative purposes only. Please talk to a doctor or mental health professional if you feel you have NPD or any personality disorder.<br/><br/><br/>Writer: Sid Thompson <br/>Script Editor: Isadora Ho <br/>Script Manager: Kelly Soong <br/>VO: Amanda Silvera <br/>Storyboarder: Yi Lin <br/>Animator: Rimo (new animator) <br/>YouTube Manager: Cindy Cheong <br/><br/>Ambardar, S. (2019, November 10). What is the prevalence of narcissistic personality disorder (NPD) in the US? Retrieved from www.medscape.com/answers/1519417-101779/what-is-the-prevalence-of-narcissistic-personality-disorder-npd-in-the-us<br/><br/>Grohol, J. M. (2020, January 14). Narcissistic Personality Disorder: Symptoms & Treatments. Retrieved from psychcentral.com/disorders/narcissistic-personality-disorder/<br/><br/>Narcissistic Personality Disorder. (2020, January). Retrieved from www.healthline.com/health/narcissistic-personality-disorder<br/><br/>Narcissistic personality disorder. (2017, November 18). Retrieved from www.mayoclinic.org/diseases-conditions/narcissistic-personality-disorder/symptoms-causes/syc-20366662<br/><br/>Narcissistic Personality Disorder. (2019, February 7). Retrieved from www.psychologytoday.com/us/conditions/narcissistic-personality-disorder<br/><br/>Narcissistic Personality Disorder (NPD) Resources. (2019, May 6). Retrieved from bandbacktogether.com/master-resource-links-2/mental-illness-resources/personality-disorder-resources/narcissistic-personality-disorder-npd-resources/<br/><br/>Skodol, A. (n.d.). Narcissistic Personality Disorder (NPD) – Psychiatric Disorders. Retrieved December 2019, from www.merckmanuals.com/professional/psychiatric-disorders/personality-disorders/narcissistic-personality-disorder-npd<br/><br/>Smith, M., & Robinson, L. (2020, April 16). Narcissistic Personality Disorder. Retrieved from www.helpguide.org/articles/mental-disorders/narcissistic-personality-disorder.htm<br/><br/>Source: Psych2Go
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