59 years old lady, came to us in March 2020 for prolonged fever, cough and mild shortness of breath. She has underlying hypertension & asthma(under Seretide Accuhaler). At that time, in Sarawak, Malaysia, we have not declared to have any COVID19 cases yet. On examination, patient was tachypnoeic with respiratory rate of 20/min, T37.7C, and …
55 years old lady, post menopausal for few years, came to us with pain over right shoulder. She had a fall and landed on sitting position with her right hand trying to support her fall. On examination, she had greatly reduced range of movement of her right shoulder. Bruised and swelling noted over her right …
12 years old boy, sustained a fall from bicycle and landed on his left forearm. He complaint of pain and mild deformity immediately after the fall. X-ray done showed displaced fracture of the left distal 1/3 of the radius.
4-year-old toddler, sustained a fall from bed, no witness of the incident. Mother noted baby crying, and the baby refused to move his right hand since the fall. On examination, child crying, refused examination but noted child not moving much of his right hand. Swelling noted over right clavicular area. X-ray done and showed midshaft …
51 years old lady, slipped and twisted her right ankle at the staircase 3 days back. She went for traditional massaging, however, swelling, pain and bruises remained. X-ray done and showed undisplaced fracture of the right 5th proximal metatarsal bone.
31 years old gentleman, fall from staircase and landed with his right hand. He came to us with swollen right wrist and limited range of movement. X-ray done showed displaced closed fracture of his right distal radius.
25 years old gentleman, fall from motorcycle and landed with his right hand. On examination, he had swollen and bruised right hand. X-ray done showed fracture of 3rd and 4th proximal metacarpals.
40 years old lady, 3 days history of severe left loin to groin pain, associated with frequent urination and occasional haematuria. She had visited emergency department(ED), and was given pain relieve injection and antacid. Obviously pain persisted and patient came to us for treatment. Per abdomen, no mass felt but pain over left flank and …
40 years old gentleman, motorcyclist was hit from the back by a car. He landed with his hand on the road. He sustained immediate pain and swelling over his right thenar region. X-ray done showed fracture of his right 1st proximal metacarpal.
57 years old lady came to us with fall and twisting injury of her right ankle region. She sustained pain immediately and unable to bear weight since the fall. She had history of similar injury before and screw fixation was done 5 years back. X-ray done showed spiral fracture over right distal fibula at the …
Fracture of Right Distal Fibula (Old screw site) Read More »
82 years old elderly lady, with history of fall on sitting a week ago, came to us in wheelchair, complaining of pain over left hip. Pre-morbidly, she could still ambulate slowly with walking aid. On examination, no open wound. Client unable to stand and bear weight, and left leg was in a fixed awkward position. …
24 years old gentleman, left hand accidentally kicked by a friend during a football match. He came to use with pain, bruises and swelling over the left hand, no open wound. X-ray done showed fracture of the left 4th proximal metacarpal.
75 years old elderly lady, came to us with swollen ankle for 3 days. She sustained a fall 3 days back, with swollen and bruised ankle. X-ray done showed left 3rd and 4th proximal metatarsals bone.
CASE 1: Pulmonary Fibrosis: 57 years old gentleman, non-smoker, came to us with few weeks history of cough and mild shortness of breath. He has mild fever. No loss of appetite/weight. On examination, both lungs were full of rhonchi, no crepitations. Respiratory rate was around 14/min. Temperature at 37.2C. No recession. Occupational history unsure. Chest …
CASE 1: INCIDENTAL FINDINGS OF SCOLIOSIS DURING PRE-EMPLOYMENT CHECK UP: 25 years old lady, came for pre-employment check-up for office work. Incidental noted her to have severe scoliosis. Her job scope mainly confined to desk job, thus this physical condition does not impede her ability to work. She was supposed to have operation done years …
CASE 1: RIGHT PLEURAL EFFUSION: 47 years old chronic heavy smoker, came with 2 weeks history of right sided chest pain, associated with right top of shoulder pain. He has no cough, but has slight reduced effort tolerance. He has no fever. Unsure about weight loss history. Clinically, reduced air entry over right lower zone. …
CASE 1: LIKELY LUNG CARCINOMA/LYMPHOMA: 60 years old gentleman, wit no known medical illness came to us with 2 months history of chronic cough and upper chest discomfort. He has no fever, no shortness of breath, no contact with people with pulmonary tuberculosis. His weight reduced by 3-4 kgs over the course of 2 months. …
CASE 1: BILATERAL PERFORATED EAR DRUM SECONDARY TO CHRONIC INFECTIONS: 37-year-old lady, office worker with no history of exposure to loud noise, came to use with bilateral ear discomfort for years. Further history revealed that she had few episodes of recurrent ear infections more than 10 years ago. Otoscopy showed bilateral perforated tympanic membrane. Audiogram …
42-year-old gentleman, came to us with day 6 fever, associated with poor appetite, lethargic. He has no know medical illness. On further questioning, he has history of hiking to Bengoh 2 weeks ago and to Matang a week ago. On examination, he has no jaundice, hydration fair with BP 120/70, HR93/min, no baseline. He is …
77-year-old gentleman, underlying hypertension on Tablet Amlodipine 10mg, came to us for bilateral pedal edema for months. Blood test was ordered to investigate the kidney functions. However, incidental noted to have:1) Very high erythrocyte sedimentation rate(ESR) – level >100mm/Hr2) Unexplained iron deficiency anaemia(IDA) He was then referred to tertiary center for further management. Final Diagnosis: …
