Category: Clinical Cases and Challenges

A 30-year-old male patient was admitted to our hospital with a history of epigastric pain radiating to the back of 4 days’ duration. The pain was associated with recurrent vomiting on the first day. The patient had been a chronic  alcoholic  for the past 4 years. There was no history of  jaundice, abdominal distension. There […]

One day a 39 year old female Mrs Toaiba (name changed) presented to our clinic at King Fahad Medical City, Riyadh with a history of progressive painless jaundice of 2 weeks duration without any viral prodrome or offending drug intake. The lady was accompanied by her husband and two small kids. Anxiously her husband pulled […]

This case was Contributed by : Dr Farooq A Qurashi.  M.B.B.S. M.S (Advanced Fellowship in Laproscopic surgeries ) Laproscopic surgeon  Omron General   Hospital  AlHafoof  Saudi Arabia  Clinical scenario:                A 65 yr old female presented with a discharging swelling  in the umbilical area of 2 months duration  .She had […]

Thyroid hormone plays a crucial role right from conception to old age The endocrine   system finely  tuned by hypothalamus & its beloved Pituitary gland. meticulously manages the body ,based on a negative feedback  Thyroid  function tests are often prescribed by physicians to evaluate high liver enzymes, constipation etc. it is extremely important to identify hypothyroidism […]

Clinical scenario : A 16-year-old female from a poor socioeconomic status with no known medical illness was admitted with hematemesis, melena of 2 days duration with no history of jaundice or similar illness in the past. Examination : She was a thin built girl with gross pallor,pulse of 130 beats/min and blood pressure (BP) of 90/ […]