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Closed Fracture of Left Distal Clavicle

35 years old lady, sustained a fall from motorcycle and landed with her left hand in a out stretched position She came to us with intense pain over left shoulder region with very limited range of movement of left shoulder. X-ray of the left shoulder was done and showed distal fracture.

Foreign Worker Screening – Likely Pulmonary Tuberculosis

44-year-old, Indonesian male came to us for foreign worker screening for work permit application. He denied typical pulmonary tuberculosis symptoms such as cough, loss of appetite, loss of weight or night sweats. Chest X-ray done showed bilateral mid to upper zone haziness, worst on the right. He had not received any treatment before back in …

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Pellet from Shotgun as Foreign Body – Skull X-ray

75 years old gentleman, came to use with a fall from chair and landed on his occipital. He has swelling and bruises over the scalp. Skull X-ray was ordered to look for evidence of fracture. Skull X-ray (AP/Lateral) – small, round and well defined, radio-opaque shadow noted. Incidental finding of small radio-opaque shadow. Further questioning …

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Left Ear Foreign Body – Ant

30 years old lady, came to us early morning due to sudden left earache which wakes her up from the sleep. Otoscopy done showed a small red ant in the left ear canal. Ear syringing done and the ant was flushed out successfully after 1 attempt.

Ruptured Left Tympanic Membrane with Hearing Impairment

48 years old gentleman, came to us for annual audiometry. Audiometry results as below: Audiogram done showed bilateral hearing impairment with average frequency 0.5, 1.0, 2.0, 3.0 >25.0. Right side – likely noise-induced hearing loss with dip over high frequency at 6k and 8k. Left side – showed dip over all frequency range, which is …

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Compression Fracture of L1

Click to enlarge 47 years old gentleman, sustained a fall from a ladder, landed on siting position. On examination, he has localized tenderness over mid lower back region. He has no neurological deficit. X-ray done showed L1 Compression Fracture. He was then referred to tertiary centre for further management.

Chip Fracture of Left Tibia Tuberosity

40 years old gentleman, sustained a fall forward and landed with his left knee. He came to us few days later due to persistent mild pain, associated with swelling and bruises. X-ray done showed a chip fracture of left tibia tuberosity. He was treated conservatively.

Displaced Closed Fracture of Right 3rd Metacarpal

40 years old gentleman, punched his fist upon a concrete wall, and sustained pain, swelling and bruises immediately. Client came to us a week after the incident. X-ray done showed displaced fracture of right third metacarpal. Callus started forming at the fracture site. Due to the displaced metacarpal, he was referred to see orthopaedic surgeon …

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CHRONIC LARVA MIGRANS (CLM)

30 years old Indonesian construction worker, came to us with 2 weeks history of left calf itchiness. Picture showed track-like lesions with mild erythematous surrounding skin and also old healed track scar. DIAGNOSIS: CHRONIC LARVA MIGRANS (CLM)

Closed Fracture of Right Radius & Ulnar

12 years old boy, sustained pain over right forearm after a fall in the school. He is right handed. He came to us with a sling, with pain, swelling and slight deformity over his right forearm. X-ray of the right radius ulnar done and showed displaced fracture of the radius and ulnar.