Volume 3 Issue 6

Issue 6 Articles

An Unusual Bullous Subconjunctival Haemorrhage from Blunt Trauma

Clinical Image
We present an 88-year-old Chinese gentleman who hit his right eye against a tap. He was washing his face when his knees buckled. Medical conditions include warfarin for atrial fibrillation and ischaemic cardiomyopathy. He presented to the emergency department with persistent copious bleeding from his right eye. CT brain showed pre-septal right orbital haematoma with lateral displacement of an 1. Keywords Geriatric, Trauma, Subconjunctival haemorrhage, Anticoagulation intact globe. International normalised ratio (INR) was supratherapeutic, 5.04....

Yet Another Elderly Patient with Dizziness and Multimorbidity

Case Report
A 78-year-old woman was admitted to the acute geriatric medicine service for a fall precipitated by worsening dizziness over 5 days, associated with left ear tinnitus. There was no preceding chest pain or breathlessness to suggest a cardiovascular event. There was also no change in vision, weakness or numbness. She has had recurrent episodes of dizziness over 6 years which was attributed to vestibular neuronitis and left benign positional paroxysmal vertigo. These episodes were transient...

A Very Rare Case of Cutaneous Toxicity of API Protocol

Clinical Image
ItÂ’s a 36yearsoldfemalepatient treated 7 years ago for an osteochondroma of the upper third of the left humerus by surgery alone. She was under follow-up since then. 5 months ago, she presented a mass in the same previous location. CT scan showed a localy advanced tumor of the left humerus.

Epidermoid Cyst Mimicking Mucinous Cystic Neoplasm

Clinical Image
A 77-year-old Japanese woman with cystic tumor of the pancreas was received regularly check-up in the other institution twice a year. She was introduced to our institution because her carbohydrate antigen 19-9 (CA19-9) level was elevated up to 487 IU/mL to investigate the cause. The physical examination was unremarkable and laboratory examination revealed elevated amylase (227 IU/L) and SPAN-1 (75 ?L/dL). Contrast-enhanced computed tomography showed an oval-shaped cystic lesion 40 mm in diameter in the...

Effect of Time of Echo on 1H-magnetic Resonance Spectroscopy Imaging of Metabolites in Maxillofacial Carcinoma

Research Article
The aim of this study is to evaluate the effect of time of echo (TE) on magnetic resonance spectroscopy imaging (MRSI) of metabolites in maxillofacial carcinoma. 1.2. Methods: Twenty maxillofacial carcinoma patients and 10 healthy volunteers were recruited to undergo 1.5-Tesla high-resolution routine MRI and multi-voxel MRSI with a TE of 35 ms and 144 ms. The peak area for metabolites was calculated by an automated MRSI processing protocol and analyzed for comparison between the...