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A 35 year old female presented with pain of her both hands of 4 weeks duration . On examination she had contactures and skin lesions as shown . The joint involvement was symmetrical and feet were also involved . On evaluation she had Hb 9.4gm/dl ESR 70mm CRP= 48 (High) RA factor = Positive , […]

1 min read

Dialysis improved his vision !

This case was contributed by Dr Irshad Sirwal  Consultant Nephrologist King AbdulAziz Specialist Hospital Taif KSA Clinical scenario:   A 48-year-old male presented with history of progressive visual loss  in both eyes of two weeks duration .He also complained of generalized fatigue of same duration .He denied any history of  trauma or offending drug intake […]

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Vacuum extraction as a treatment modality of neonatal skull depression !

Clinical scenario:     Twin infants were born at 39 weeks of gestation to a healthy multiparous lady in our hospital. She had no history of any known trauma  during the pregnancy or at delivery. Her  gestational course was uncomplicated .  The antenatal ultrasound  in the third trimester revealed twin pregnancy and normal maternal uterus,her […]

2 mins read
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