28 years old gentleman, came to us for annual medical surveillance. He works in a paint production factory. Full blood count showed marked raised white blood cell(WBC), and peripheral blood film(PBF) showed presence of blast cells. Per abdomen, he has no enlarged liver/spleen. He is otherwise well, not complaining of any symptoms. He was then …
50 years old gentleman, came to us for periodic offshore(OGUK) medical check up. Bilateral upper limbs – multiple tophi noted over both small phalangeal joints, wrist and elbow. This gentleman has limited range of movement over his both hands, with unable to flex his fist fully. Lower limb – bilateral tophi over the podagra He …
46 years old lady, came to us with symptoms of anaemia – giddiness, lethargic and shortness of breath. She has been having prolonged heavy menses for the past 2 weeks. On examination, this lady appeared pale. Her vitals were still stable with: Blood pressure : 90/60mmHgHeart Rate: 90/min, strong volume Full Blood Count was done …
42 years old lady came to us with lethargy, shortness of breath on exertion and palpitation. She was noted pale with heart rate of 90/min. Further questioning revealed that she has prolonged menses for a couple of weeks prior to seeing us. Full Blood Picture & Serum Iron was done and showed low Haemoglobin level …
Iron Deficiency Anaemia (secondary to menorrhagia) Read More »
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: …
