Authors: Eyrique Boay Heong Goh, Surendra A/L Sabramaniam, Serene Soo Lin Teo, Muhammad Syamil Ibrahim, Noorriyanti Fazreen Al Shaari.

Citations: IeJSME 2023 17 (1): 19-21

DOI: https://doi.org/10.56026/imu.17.1.19

Authors: S T Kew, Wei Yen Lim

ABSTRACT

A healthy 30-year-old woman underwent health screening, and was incidentally found to have a well-defined echogenic lesion in Segment VI of her liver, measuring 4.2 X 1.8cm in her ultrasound scan. She was asymptomatic, has no cutaneous lesions, nor stigmata of chronic liver disease. She has no hepatomegaly. CT scan of her abdomen found multiple liver haemangiomas, varying in size from 21 X 28mm to sub-centimeter lesions.

Diagnosis of hepatic haemangioma in this patient is based on typical appearance on contrast imaging. Their appearance is important to recognise as they do not need intervention and attempts at instrumentation for diagnosis or surgery may result in more harm than good.

Keywords: Hepatic haemangioma (HH), Benign tumour of the liver, Conventional ultrasonography (US), Computer tomography (CT).

Citations: IeJSME 2022 16 (3): 22-24

DOI: https://doi.org/10.56026/imu.16.3.22

Authors: Zuraida Zainun, Zamzuri Idris, Muhammad Munzir Zuber Ahmad, Nur Syakirah Bt Che Mat Amin.

ABSTRACT

Pineal region tumours are primary central nervous system (CNS) tumours. Pineal region tumours may cause increased pressure inside the skull due to the production of too much CSF or blockage of its normal flow known as hydrocephalus. Imbalance is one of the features in this case. Vestibular Rehabilitation (VRT) is a specific form of physical therapy designed to habituate symptoms and promote adaptation to and substitution for various aspects of deficits related to a wide variety of balance disorders. Bal Ex is a home-based module of VRT with specific modules that are available in three forms; manual book, poster and DVD. This module was developed with a combination of customized Cawthorned Cookseey Exercise and prayer movements. The patient is a 14-year-old boy, disabled (mute and deaf), known case of pineal gland tumour since 2016, then post tumour removal 2 weeks ago. The patient experienced balance problem 8 years ago before he was diagnosed with pineal tumour. He did not complain of any dizziness and vertigo according to his mother. The patient then underwent intensive BAL Ex therapy inward for 3 sessions starting with Level 1, once per day, 40 minutes each session, and without taking any medicine during the treatment. He underwent one-to-one sessions with the trainer and also followed the balance exercise video in every session. After 1 week of balance exercise only in level 1, the patient showed a small difference and 10% improvement.

Keywords: Bal Ex, Postural improvement, Bal Ex Module, imbalance

Citation: IeJSME 2021 15 (3): 57-60

DOI: https://doi.org/10.56026/imu.15.3.57

Author: Dennis Nyuk Fung Lim

ABSTRACT

A 66 year old Caucasian female presented with haemolytic uraemic syndrome (HUS) following a prodrome of diarrhoea. During the course of her illness, she developed acute heart failure secondary to myocardial ischaemia. Cardiovascular complications associated with HUS involving children have been reported in the literature. The mortality of adult patients with acute heart failure is significantly higher even with the initiation of therapeutic plasma exchange.

Keywords: Haemolytic uraemic syndrome, Cardiovascular complication.

Citation: IeJSME 2007: 1 (2): 80-82

DOI: https://doi.org/10.56026/imu.1.2.80

Authors: Sivalingam Nalliah, Murali Ganesalingam, Ravindran Jegasothy.

ABSTRACT

The simultaneous presence of polycystic ovary syndrome with pelvic endometriosis presents compounded gynecological effects on women with subfertility and pelvic pain as the common symptoms. We describe one such case. The molecular basis for etiology is discussed and the need for individualized treatment is suggested.

Keywords: Polycystic ovary syndrome, pelvic endometriosis, simultaneous presence.

Citation: IeJSME 2008: 2 (2): 27-29

DOI: https://doi.org/10.56026/imu.2.2.27

Authors: Sanadi Rizwan M

ABSTRACT

Gingival fibromatosis is frequently an isolated condition of little consequence apart from a cosmetic problem and occasional associations with uncommon syndromes. This case report of a 38 year old female patient describes the gingival enlargement associated with chronic periodontitis. The enlargement extended beyond the middle thirds of the clinical crowns of the teeth. It was associated with generalized mobility, pocket formation and bone loss. The patient also complained of bleeding gums and difficulty in speech and mastication. This is the first case report of gingival fibromatosis associated with chronic periodontitis.

Keywords: Bleeding gums, chronic periodontitis, gingival enlargement, gingival fibromatosis, mobility, pocket formation.

Citation: IeJSME 2009: 3 (2): 24-27

DOI: https://doi.org/10.56026/imu.3.2.24

Author: Rizwan M Sanadi

ABSTRACT

Idiopathic gingival fibromatosis is a rare benign oral condition characterized by a slowly progressive, non-hemorrhagic, fibrous enlargement of maxillary and mandibular attached and non-attached gingivae. A 14 year old female patient suffered from unusual gingival enlargement, more on the left side along with generalized aggressive periodontitis. The enlarged gingiva covered more than two-thirds of the clinical crowns. Marked inflammatory hyperplasia of epithelium and connective tissue of the gingiva was observed histopathologically. Perioscan test was performed, the results of which were negative. The diagnosis of Idiopathic gingival fibromatosis with aggressive periodontitis was made. Conventional periodontal therapy was performed followed by excision of the enlargement using gingivectomy procedure.

Keywords: Aggressive periodontitis, Bleeding gums, Gingival enlargement, Gingival fibromatosis, Mobility, Pocket formation

Citation: IeJSME 2010: 4(2): 54-58

DOI: https://doi.org/10.56026/imu.4.2.54

Author: Loh Huai Seng

ABSTRACT

A 3-year old preschool boy presented with a pruritic red streak at the dorsum of his right foot traveling upward from the affected site which was red and swollen. Insect sting was the more likely trigger which had caused the cellulitis and subsequently the acute lymphangitis.

Keywords: cellulitis, insect stings, lymphangitis, preschool child, streptococcal infections.

Citation: IeJSME 2012 6(2): 46-48

DOI: https://doi.org/10.56026/imu.6.2.46

Authors: Meera Thalayasingam, Lynette Pei-Chi Shek.

ABSTRACT

Anaphylaxis in the operating room although infrequent can be potentially fatal.1 The diagnosis of perioperative anaphylaxis is complex due to a multitude of factors. Firstly, patients under anesthesia cannot verbalize their complaints, the anesthetic agents themselves can alter vital parameters (e.g. heart rate and blood pressure) and cutaneous signs in a completely draped patient may be missed.2 Secondly, the differential diagnosis of intraoperative anaphylaxis is wide. Conditions such as asthma exacerbation, arrhythmia, hemorrhage, angioedema, mastocytosis, acute myocardial infarction, drug overdose, pericardial tamponade, pulmonary edema, pulmonary embolus, sepsis, tension pneumothorax, vasovagal reaction, venous air embolism, laryngospasm, blood transfusion reaction and malignant hyperthermia need to be considered.3 Thirdly, the diagnostic workup is challenging due to the multiple medications administered and other exposures encountered such as latex and chlorhexidene. However, through a timely allergy consultation and a systematic approach, identification of the culprit agent and safe alternatives can be established to prevent future occurrences as illustrated in the case below.

Keywords: Allergy, anaphylaxis, cefazolin, cephalosporin, perioperative anaphylaxis.

Citation: IeJSME 2015 9(2): 37-39

DOI: https://doi.org/10.56026/imu.9.2.37