d56 measles outbreak

.::Suke sangat gelak dengan che sue..ngan mommy jual mahal sikit..hehe..ngan mommy nak nenen je keje die..main2 xnak..hehe.::.

.::Marissa suke main2 n gelak2 ni mommy.kalo daddy ade lagi best mommy.tapi daddy pergi keje lak.::.

.::Renungan manja marissa::.

.::Saye budak chubby!geram nak gegett je budak tecik nii::.

semalam ada status senior ni kata ade measles outbreak kt kota bharu sekarang ni.die kate ade few staff nurses datang buat survey pasal measles ni..maybe betol kot sebab kak zety punye baby aritu admitted sebab measles..mmg high grade temperature semua..takut jugak sebab marissa x immunised lagi against measles ni..memang tak terbawak keluar la marissa camni..huhu..
measles ni sangat contagious and spread via droplets..usually die punye incubation period 8-12days. I still remember the 3 Cs - coryza, conjunctivitis and cough plus high grade fever. Pathognomonic measles ni - Koplik's spot..tapi rarely seen..i'd seen once je sepanjang 5 yrs medical school and 3yrs services as a doctor..Rashes die pulak usually generalised and maculopapular..Maculopapular ni usually merah2 kecik yang timbul sikit..came from 2 different words-macule and papule.
Complications measles?of course la anxiety-parents anxiety..hahaha..takdelah..tu x kire complications tu..complications die encephalitis (subacute sclerosing panencephalitis) , bronchitis, otitis media, pneumonia & corneal scarring...
incidence die skarang ni increasing in number sebab few parents xnak anak die amik mmr vaccine..am not so sure malaysia camne sebab xbelaja public health malaysia.tapi kat western countries few parents xnak amik sebab dieorg risau anak die kene autism..diorg believe that MMR boleh link dengan autism..dulu ade studyla published in 1998 (if im not mistaken..) tapi dh retracted dh and doctor yang tulis tu found guilty for misconduct..wallahualam la kan..tapi study done by erk x ingat tapi yang lagi besar laa kate no link between MMR and autism..=)
haishhh teringin nak g tesco beli brg2 nak masak sebab sangat teringin nak masak and baking.hahaha..lame gile dah xde mood tu..kene g cepat2 ni b4 mood tu ilang..hehehe...