7 years old child presented with Day 6 high fgrade fever, associated with cough, no tachypnoeic. She was given Augmentin suspension during day 2 of illness. Fever and cough did not improved at all. She was then brought in by the mother for reassessment. On examination, child appeared lethargic, with normal respiratory rate. Chest X-ray(PA) …
Acute Bronchiolitis / Pneumonia a 7 years old child Read More »
16 years old boy, right foot kicked by friend while playing football, and sustained pain, bruises and swelling over the right dorsum. X-ray of right foot – AP/Oblique (Click to enlarge) Xray done showed small chip fracture over the 5th proximal aspect of the proximal phalange.
38 years old gentleman, grasscutter, came to us with small punctured wound over posterior calf. While cutting grass with the grass cutter, he experienced a shooting injury over his calf. Since then he has extreme pain, but very minimal bleeding. He was then referred to tertiary centre for wound exploration.
45 years old gentleman, BMI>40, had a fall on sitting and landed with left hand supporting his body. He experienced immediate pain over left elbow, and unable to extend/flex the elbow fully due to the pain.
69-years-old gentleman, retired policeman came to us with chronic neck and shoulder pain. He requested for cervical X-ray. Multiple radio-opaque shadow were seen all over his neck and right shoulder region. Further history revealed that he was shot with shot gun with multiple pellets remained inside for more than 10 years! He is otherwise well …
Multiple Pellets presented as Foreign Body in X-ray Read More »
22 years old motorcyclist, fell down from the bike and landed with right hand on the floor supporting his body weight. Clinically swelling and bruises over his right clavicle region. He is unable to lift up his right shoulder. X-ray done showed closed fracture of his mid clavicle.
6 years old boy, fall from bed and complaint of right shoulder pain. He refused to move his right arm. No deformity over the right shoulder/clavicle region. X-ray ordered and showed right clavicle fracture. He was then reviewed 2 weeks later, showed complete recovery, no more pain, and moving his right arm in full range …
69 years old gentleman, smoker, came to us with few weeks history of cough, shortness of breath, loss of appetite and loss of weight. Clinically, patient appeared tachypnoeic with SpO2 94% under room air. Chest X-ray was done: X-ray showed right upper lung mass with tracheal deviation to the right, and multiple small well-defined haziness …
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 …
59 years old lady, history of left breast cancer, operated more than 10 years ago, came to us with worsening left hip pain and weakness for 2 weeks. She has no history of trauma. X-ray of the pelvis and lumbosacral was done. Pelvis X-ray showed bone erosion over left pubis. Lateral lumbosacral showed L3 erosion. …
Bone Metastases Secondary to Recurrent Breast Cancer Read More »
17 years old lady, came to us with chronic right ear itchiness and discomfort for few months. Otoscopy as below: This is likely a cotton bud left in the ear canal for months. She was then referred to a ENT surgeon for foreign body removal.
37 years old gentleman, came for OGUK offshore medical screening. Routine chest x-ray noted multiple fibrotic changes, mostly over left middle zone and minimal over right middle zone. Further questioning revealed that he had Category 5 COVID19 infection in 2020, and was intubated for 5 days in ICU. He is otherwise well, with no reduced …
41 years old male foreigner, came to us for work permit application medical check up. Routine chest X-ray(PA) showed left upper zone haziness with likely fibrotic changes. He is otherwise well, no cough, no shortness of breath and no loss of weight. Further history revealed that he has completed a 6 months treatment back in …
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 …
15 years old girl, presented to us with recurrent right ear pain, itchiness and minimal ear discharge. She was previously treated elsewhere as acute otitis externa with antibiotics. Scope was done and showed likely fungal infection of the right ear. She was prescribed with topical clotrimazole ear drop, to be applied 3-4 times a day …
42 years old lady, came to us with pain over her right hand for one day after slammed by car door while closing the door. Right hand showed bruises and swelling, with very limited range of movement over 5th finger. X-ray done: She was then referred to nearest tertiary centre for further management.
7 years old boy was brought in by the parents due to pain over left ankle. Parents claimed that the boy had a fall and since then unable to walk. However, they were unsure of the mechanism of fall due to no witness. The boy was carried in by the father, and left distal tibia …
Closed Fracture of Left Distal Tibia in a Young Boy Read More »
This is a case of an elderly gentleman, came with traumatic injury over his left hand. His left hand was hit by a fallen brick a day ago. He came to us with pain, swelling, bruises and reduced range of motion over his left hand. X-ray of the left hand was done and showed fracture …
29 years old lady, came to us with 2 months chronic cough, associated with throat discomfort and weight loss. She has no fever, no shortness of breath. Due to her prolonged cough, Chest X-ray was ordered. Chest X-ray showed left lower and middle zone haziness and consolidation. Apical zone appeared to be normal. She was …
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 …
