Saturday, 30 June 2012

Interesting cases



Case 1 - 2 March 2012

left pleral effusion

Case 2 - 21 March 2012

right pleural effusion
 
Case 3 - 9 May 2012

17 y.o patient came in c/o bilateral leg swelling for one week given history of fall and being kicked by friends while playing football a week ago.vitals stable, no other complaints. upon examination, both legs are swollen, cellulitic-like with the right leg having a huge haematoma.


9 May 2012 - clerking sheet of pt's case
 Send him off for xrays of both legs to rule out any fractures. And because of the huge haematoma and did not seem to corelate with the history, i decided to proceed with full blood count.

This was the blood result, deranged platelet and white counts
 Because of the deranged result, i asked the lab technician to repeat the test with another full blood count machine

this was the repeated blood test, platelet reading unredable because the value is too high for that machine to read

So i refer the case to the mergency department for medical admission. Pt very comfortable, not an emergency case but need a prompt attention. I followed up his case in which pt was then admitted for a day for further testing, bone marrow aspiration was done and the result......possible myloproliferative malignancy. Pt then referred to haematology Hospital Ampang, KL. 

Case 4 - 16 May 2012

17 y.o. pt came for college admission medical examination. Pt asymptomatic, very comfortable, vitals stable, no abnormal physical examination findings. Case referred to my FMS and was referred to medical for a CT scan.

noted mediastinal mass on the left side
Case 5 - 5 June 2012 

enlarged heart silhouette, possible hyperthrophic cardiomyopathy
 Case 6 - 14 June 2012

TB changes on the left side; mcavitation on the left upper zone with blurry cardiac border.

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