Category: Clinical Cases and Challenges

Clinical scenario : A 19-year-old male was referred to our hospital with breathlessness on exertion and fatigue for 1 year and a history of gastrointestinal bleeding. Three months ago, he had three episodes of painless hemetemesis when he  was admitted to another hospital and was found to have variceal bleeding. He was transfused with four […]

A 37-year-old female presented with a history of epigastric pain (6/10 )of 3 weeks duration. The pain was a burning type with no reference or radiation. She stated that for the previous 2 weeks her pain was aggravated by food intake. She denied any alarming symptoms in the form of loss of appetite and weight […]

This case was contributed  by Dr Abed Al- Lahibi Chairman Dept. of  Gastroenterology  King Fahad Medical city Riyadh KSA Clinical scenario: A 32-year-old female presented with a history of high-grade fever and jaundice of 2 weeks duration following a lower section cesarean section at a local hospital. The patient had started icterus 1-week prior to […]

Clinical scenario: A 25-year-old male presented with high-grade intermittent fever of 2 months duration and progressively increasing   jaundice of  1 month .It was associated with anorexia and significant loss of weight. His past and family history were not contributory. The examination displayed deep jaundice, no features of chronic liver disease and mild hepatomegaly. After baseline […]

Years back while working as the senior resident in Medicine, a young business man Mr Raj  (name changed) was admitted for evaluation of swelling of feet of 3 weeks duration. On evaluation he was found to be losing proteins in urine (Nephrotic range proteinuria)  A kidney biopsy was planned by the admitting dept for this […]