Abdominal liposarcoma

Clinical: A 47 years old lady Para 3, last child birth 14 years ago Underlying DM, HPT and hypercholesterolaemia on treatment Complaint of abdominal distension for 2 months No LOA,…

 Posted in Gastrointestinal Tract

Rathke cleft cyst

Clinical: A 55 years old lady Para 1, last child birth 13 years ago (2007) Conceived spontaneously, breast feeding for 12 months Initial presentation in 2008 at 43 years old…

 Posted in Central Nervous System

Complicated diverticulitis

Clinical: A 63 years old man History of stab injury at left flank in 1991, managed with simple T&S Presented with altered bowel habit for one month Constipation with mucoid…

 Posted in Gastrointestinal Tract

Sacroiliatis

Clinical: A 59 years old lady Presented with left lumbar pain No history of trauma Clinically: no neurological deficit Per abdomen: no mass palpable Radiographic findings: KUB radiograph performed to…

 Posted in Musculoskeletal System

Superior cerebellar artery infarction

Clinical: A 64 years old man Underlying HPT, DM and old CVA Complaint sudden onset giddiness, vomiting and nausea, tinnitus, unsteady gait with tendency to fall to left side. Clinically:…

 Posted in Central Nervous System

Internuclear opthalmoplegia due to pontine infarction

Clinical: A 63 years old lady Day 8 post laparotomy for multiple liver abscess Developed sudden onset blurring of vision and diploplia Clinical examination showed isolated impaired adduction with nystagmus…

 Posted in Central Nervous System

PCA infarction

Clinical: A 54 years old male Presented with left sided headache, dizziness, slurred speech and right sided visual problem Clinical examination show right homonymous quadrantanopia CT Brain on the same…

 Posted in Central Nervous System

ACA infarction

Clinical: A 71 years old lady Known case of ESRF on CAPD, T2DM, HPT Sudden onset of reduce consciousness during PD, right body weakness and slurring of speech. Able to…

 Posted in Central Nervous System

Young stroke with MCA stenosis

Clinical: A 34 years old man Young stroke under investigation. Risk factor: smoking, type II DM, hypercholesterolaemia and obesity. CT scan shows lacunar infarctions CT findings: Hypodensity at the left…

 Posted in Central Nervous System

Labyrinthitis ossificans

Clinical: A 2 years old boy History of recent prolong fever for 6 weeks with signs of meningism. Admitted to hospital and treated as viral fever. Parent noticed unresponsive to…

 Posted in ENT, Paediatric