Si tukang jahit sakit pinggang.

One young indian guy (from India) came yesterday,  accompanied by his friend sebab die tak pandai cakap bahasa melayu.
Kawan pt : Dr, kawan saya ni sakit belakang dah 2 minggu?
Cara die cakap tu nampak macam serius sangat. Tapi, aku tengok patient tu ok je.
Bile tanye masalah lain...sume takde.
- No fever, no dysuria, no increase in frequency of urination, no haematuria, no history of passing stone during PU, no recent fall, no abdominal pain.
No other associated problems.
O/E : Alert, well. Vital signs normal. Per abdomen NAD. Renal punch negative.
No limbs weakness or numbness. Gait normal.
    
Ix : UFEME clear. (Tak perlu FBC)
Macam pening pulak nak diagnose die ni.
Kawan die nampak very concern dgn sakit pt ni. Tp, pt pulak aku tengok senyum je...x nampak macam in pain pon.
Aku : En, u kerja ape?
Kawan pt : Die tukang jahit, Dr.
Lame2 baru die bgtau...bile pergi kerja baru die sakit. And tiap kali pergi kerja je yang sakit.
Aku : Owh macam tu... U kerja jahit kan duduk tegak je. And lame kan? U menjahit mestilah tak sandar, kan? I pon skit belakang macam u...sebab the whole day i tengok pt tak bersandar dekat kerusi. Basically, tu sakit otot je.
I do mean he's actually having MUSCULOSKELETAL PAIN only.
Bukan sakit buah pinggang or anything serious than that.
Foooohhh...
Term:
Dysuria - sakit semasa PU
PU - passing urine a.k.a kencing
Increased in freqbof urination - kerap kencing
Haematuria - kencing berdarah
NAD - no abnormality detected ( not actually done..hehe...yang ni lawak je)
Musculoskeletal pain - sakit otot rangka