Displaying publications 61 - 80 of 146 in total

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  1. Sachithanandan A, Fahmi PA, Faisal I, Badmanaban B, Abdul Muis J, Mohd Arif MN
    Med J Malaysia, 2013 Jun;68(3):227-30.
    PMID: 23749011 MyJurnal
    Emergency lung resection for chest trauma is a rare event with a reported incidence of 0.08-1.3% but is associated with a high morbidity and mortality especially if a pneumonectomy is required, if due to blunt chest trauma or when concomitant injuries are present. We report three cases of young adult males with penetrating chest injuries that required emergency thoracotomy (ET) and anatomical lung resection to achieve definitive control of life threatening pulmonary haemorrhage. All patients survived to hospital discharge and remained well on follow-up. Indications for an ET and what constitutes the optimal operative management of such patients is discussed.
    Matched MeSH terms: Case Reports
  2. Mallika PS, Chong YJ, Tan AK, Tang IP, Aziz S, Lee HK
    Med J Malaysia, 2011 Oct;66(4):361-2.
    PMID: 22299559 MyJurnal
    Intraorbital foreign bodies (IOrbFB) are associated with both sight and life threatening injuries. We report a case of an IOrbFB associated with retrobulbar hemorrhage and injury of the frontal sinus in an 11 year-old boy, after history of fall from the tree. Imaging studies revealed a metallic foreign body (FB) in the orbit and fracture of the walls of the frontal sinus. The usual entry route of an IOrbFB is either through the eye or orbital walls and extremely rare through the paranasal sinuses. This is the first reported case of a FB entering the orbit through the frontal sinus.
    Matched MeSH terms: Case Reports
  3. Iszuari M, Mazita A, Tan GC, Hayati AR, Shareena I, Cheah FC
    Med J Malaysia, 2010 Dec;65(4):317-8.
    PMID: 21901957
    Tracheal agenesis is a rare congenital airway anomaly that usually results in a fatal outcome. The diagnosis is usually made through post-mortem examination. In the current literature, there has been no reported long-term survival although a few reports claimed prolongation of life of several hours to days. This condition is commonly associated with premature birth, polyhydramnios and a male predominance. In 90% of the cases, it is associated with multiple cardiovascular, gastrointestinal and genitourinary tract anomalies which are incompatible with life. We report a case of a premature newborn with severe respiratory distress, absent cry and cyanosis soon after birth. Attempts at endotracheal intubation failed as it was no possible to negotiate the tube beyond the vocal cords. Needle cricothyrotomy and attempted tracheostomy also failed to secure the airway. The diagnosis was confirmed at post-mortem examination.
    Matched MeSH terms: Case Reports
  4. Mohamad N, Baharuddin KA, Ahmad R
    PMID: 20578469
    Traditional Malay herbal medicine is still used in Malaysia especially in rural areas, instead of using modern medicine. Datura or "kecubung" has been used to treat allergic rhinitis in certain places. Inaccurate doses can potentially cause severe or fatal neurologic anti-cholinergic toxidromes. A good knowledge of toxidromes with optimization of supportive care can prevent fatal complications and lead to a more speedy recovery. We present a case of kecubung poisoning.
    Matched MeSH terms: Case Reports
  5. Khoo SB
    Malays Fam Physician, 2010;5(3):139-44.
    PMID: 25606206 MyJurnal
    This case history illustrates the real life experience and dilemma of an 80-year-old woman in pursuit of medical care for her left shoulder pain. Points for discussion range from clinical features of Pancoast tumor, importance of pain management, good principles of Family Medicine and Palliative care to ethical issues of conspiracy of silence, limited treatment plan and palliative versus curative radiotherapy treatment without a known biopsy report. This paper provides opportunity for analysis of a real complex clinical situation, application of medical knowledge to problem solving in clinical practice and relevant topics for discussions. (For anonymity sake, the names of patient, doctors, general and private hospitals are not mentioned. The aim of this paper is solely for continuous medical education without any intention to ridicule any party).
    Matched MeSH terms: Case Reports
  6. Cheong AT, Khoo EM
    Malays Fam Physician, 2009;4(1):33-6.
    PMID: 25606157 MyJurnal
    This case illustrates an 80-year-old lady who presented with acute low back pain and finally succumbed from complications of osteoporotic vertebral fracture. Among the contributing factors are delayed diagnosis and a lack of continuity of care. It reminds the practitioners of the importance to look out for red flag symptoms and to have a high index of suspicion for vertebral fracture in high risk patients presenting with low back pain.
    Study site: Accident and Emergency Unit, University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia
    Matched MeSH terms: Case Reports
  7. Bastion ML, Prakash K, Siow YC, Loh SS
    Med J Malaysia, 2006 Aug;61(3):366-8.
    PMID: 17240593 MyJurnal
    A 41 year-old Malay man had been treated by general practitioners for bilateral red eyes with profuse discharge of three weeks' duration with no improvement. He then presented to an ophthalmologist who noted profuse purulent discharge, bilateral corneal perforation, lid swelling and chemosis. Culture of the ocular discharge grew Neisseria gonorrhoeae. Treatment with systemic and topical antibiotics prevented microperforations in the right eye from progressing to overt perforation and was able to control disease in the left eye.
    Matched MeSH terms: Case Reports
  8. Sithasanan N, Kihne M, Naidu RR, Ramanujam TM
    Med J Malaysia, 2006 Aug;61(3):369-70.
    PMID: 17240594 MyJurnal
    Catheter knotting is a rare complication of bladder catheterisation. Retention of catheter parts resulting in calculus formation is even rarer. We report a case of a vesical calculus formed over a broken and retained supra-pubic catheter which to the best of our knowledge has yet to be reported, along with three other cases of bladder catheter knotting.
    Matched MeSH terms: Case Reports
  9. Tan TH, Lee BN, Amir Hassan SZ, Ch'ng ES, Hussein Z
    Nucl Med Mol Imaging, 2012 Dec;46(4):300-3.
    PMID: 24900078 DOI: 10.1007/s13139-012-0160-x
    Ectopic thyroid or thyroid ectopia is a rare developmental anomaly with the prevalence of 1 per 100,000-300,000 population. Even rarer, such an anomaly manifests as dual thyroid ectopia. To our best knowledge, only one case has been reported on dual thyroid ectopia with Graves' disease in the English literature. We present here a case of dual thyroid ectopia complicated by Graves' disease, whereby the diagnosis was rendered through judicious use of various diagnostic modalities coupled with a close clinical follow-up. In this case, therapeutic consideration should be personalized with proper informed consent of the patient.
    Matched MeSH terms: Case Reports
  10. Wahab AA, Rahman MM
    EXCLI J, 2013;12:997-1000.
    PMID: 27034639
    Pseudomonas aeruginosa is a gram-negative bacillus that causes wide spectrum clinical infections. However, it is most frequently associated with hospital-acquired infection. In this case a 58-year-old male with underlying hypertension and dyslipidaemia was admitted for acute right leg cellulitis. Pseudomonas aeruginosa was identified from the case, though it was not a usual suspected organism. It might be due to community-acquired infection.
    Matched MeSH terms: Case Reports
  11. Poulose V
    Med J Malaysia, 2002 Jun;57(2):209-10.
    PMID: 24326653
    Metformin Associated Lactic Acidosis (MALA) is a rare, but serious complications of Type 2 diabetes mellitus treatment with a mortality rate of around 50%. It most commonly occurs in the setting of hepatic, cardiac or renal insufficiency. We report the case of an elderly female with MALA and concomitant starvation ketosis in the absence of any known risk factor, who went undiagnosed for a period of at least a month and made a complete recovery in the hospital.
    Matched MeSH terms: Case Reports
  12. Kang BH
    Med J Malaysia, 1991 Sep;46(3):287-9.
    PMID: 1839927
    A 25 year old female presented with hypothyroidism which was followed by the development of hyperthyroidism about 1 1/2 years later. This uncommon phenomenon is postulated to result from changes in the relative amounts of stimulatory and inhibitory TSH receptor antibodies. This case illustrates the possible continuum between Graves' disease and Hashimoto's thyroiditis within the broad spectrum of autoimmune thyroid disease.
    Study site: Primary care clinic. University Malaya Medical Cengtre (UMMC), Kuala Lumpur, Malaysia
    Matched MeSH terms: Case Reports
  13. Woon TH, George S
    Med J Malaysia, 1980 Mar;34(3):281-4.
    PMID: 7412668
    A forty-four year old wife of an alcoholic husband with irregular employment sought repeated medical care for her headache, bodyache, chest pain and alleged falls at home. The family backgrounds of the battered wife and the violent husband, his alcoholism and their financial problems all contributed to the violence in marriage. Their six children had lived in fear and two of them had behaviour problems. Awareness of the multiple problems associated with a battered wife should prompt cooperation between medical, social and other workers involved in the management.

    Study site: medical outpatients clinic of
    T.H. Woon
    M.B., B.S., M.D., M.R.A.N.Z.C.P.
    Associate Professor and Head
    Department of Psychological Medicine
    Faculty of Medicine
    University of Malaya
    Kuala Lumpur, 22-11
    and
    Shirley George
    M.B., B.S., M.P.M.
    Psychiatrist
    Psychiatric Unit
    General Hospital, Seremban.
    Running Title:
    Battered wife - psychodynamics and social background of a
    Malaysian family - alcoholic husband - medical symptoms -
    multidisciplinary management.
    University Hospital to the psychiatric Walk- inClinic
    Matched MeSH terms: Case Reports
  14. Tan SL
    Med J Malaysia, 1980 Dec;35(2):162-3.
    PMID: 7266411
    A 103 year old patient was admitted with pain in the right iliac fossa. There was no response to conservative treatment. Subsequent laparatomy showed the presence of a perforated ulcer in the pyloric region. The condition improved gradually after the surgical management.
    Matched MeSH terms: Case Reports
  15. Ramanathan M
    Med J Malaysia, 1988 Mar;43(1):59-61.
    PMID: 3244322
    We report a patient with unusual manifestations of hyperthyroidism which initially suggested lymphoma. The pathophysiology of these features in thyrotoxicosis is discussed. The need to consider thyrotoxicosis in an otherwise unexplained case of lymphoid hyperplasia will be stressed.
    Matched MeSH terms: Case Reports
  16. Loke KH, Rashid MA, Chin S
    Med J Malaysia, 1984 Jun;39(2):151-5.
    PMID: 6513855
    In general, psychotic symptomatology falls within the major categories of mental disorders such as schizophrenia, affective disorder and organic mental
    disorder. Those that do not fit the proposed diagnostic criteria for the aforementioned disorders are usually classified under the DSM-IV diagnosis of atypical psychosis. In the eastern culture, such symptoms are accepted as part of the cultural beliefs rather than being regarded as illness. Several such cases were seen at -the University Hospital, Kuala Lumpur and two such casesare reported in this paper. Cultural influences in determining symptomatology are also discussed.
    Matched MeSH terms: Case Reports
  17. Arshad R
    Med J Malaysia, 1984 Jun;39(2):159-62.
    PMID: 6513857
    A case of Tracheoesophageal Fistula (TOF) was presented where the blind upper esophageal pouch was mistakenly intubated; in spite of this, adequate lung ventilation was possible for more than one hour. This was only noticed by the surgeon upon incision of the lower end of the pouch.
    Matched MeSH terms: Case Reports
  18. Myint K, Iqbal QM, Kanagasuntheram R
    Med J Malaysia, 1980 Sep;35(1):61-3.
    PMID: 7254001
    Numerous aetiopathologic factors have been enumerated as the possible causes of injuries to the common peroneal nerve at knee. This report presents a case of postero-lateral displacement of the upper end of fibula consequent to the displacement of fractured lateral tibial plateau leading to common peroneal nerve palsy which has not been reported before.
    Matched MeSH terms: Case Reports
  19. Ramanathan M
    Med J Malaysia, 1987 Mar;42(1):65-7.
    PMID: 3431505
    This report deals with the problems of a young man who was clinically euthyroid but biochemically hyperthyroid. The possibility of peripheral resistance to thyroid hormones to explain this paradoxical state is discussed. The importance of recognising this condition to avoid the erroneous diagnosis of thyrotoxicosis and inappropriate therapy is stressed.
    Matched MeSH terms: Case Reports
  20. Ho CC
    Med J Malaysia, 1980 Jun;34(4):375-8.
    PMID: 7219267
    A case of pseudomyxoma peritonei is reported. Pathogenesis, clinical features and modes of treatment are discussed. This patient appears to have responded to laparotomy, paracentesis and instillation of cyclophosphamide intraperitoneally.
    Matched MeSH terms: Case Reports
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