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 …
Foreign Worker Screening – Likely Pulmonary Tuberculosis Read More »
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 …
Pellet from Shotgun as Foreign Body – Skull X-ray Read More »
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.
Click to enlarge 60 years old lady, came to us with worsening backache for the past few weeks. She had a history of fall on sitting one year ago and since then sustained mild lower backache. She has no signs of neurological deficit. On examination, she has local tenderness over T11-T12 region. X-ray done and …
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.
Left Foot X-ray – AP/Lateral (Click to enlarge) 19 years old college student, alleged fall and landed on her left lateral foot aspect. She experienced pain immediately and bruises and swelling came later that night. X-ray done showed closed displaced fracture of her left 5th proximal phalange.
3 years old boy, brought in my mother for consultation. Mother expressed concern regarding the boy who might accidentally swallowed a coin. Boy is otherwise well, no symptoms. Abdominal X-ray done showed a oval to round radio-opaque shadow over the L1 region. Ingested foreign body is a twenty cents Malaysia coin. Family was advised to …
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 …
Displaced Closed Fracture of Right 3rd Metacarpal Read More »
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.
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. …
