74 year old lady who developed bilateral parkinsonism secondary to an intrinsic cerebral tumour.

Sudden Bilateral Sensorineural Hearing Loss Secondary to Cerebral Venous Thrombosis

Introduction: Sudden sensorineural hearing loss (SSNHL) is an important otological emergency. Up to 90% of the cases are idiopathic. Cerebral venous thrombosis (CVT) is an extremely rare identifiable cause as it only represents 0.5% of all strokes.   Case Report: In this paper, an unusual case of bilateral SSNHL secondary to bilateral CVT with rapid and complete recovery is reported. The patie...

A colonic duplication cyst causing bowel ischaemia in a 74-year-old lady

Colonic duplication cysts are rare congenital malformations that predominantly present before the age of 2 years. We report the case of a 74-year-old lady who presented with sudden onset abdominal pain. A computed tomography scan noted a calcified structure adjacent to abnormal loops of bowel. Intraoperative findings revealed an ischaemic loop of small bowel wrapped around a mass in the mesente...

Reducing the risk of infection in a 74-year-old man who is to receive prednisone.

A 74-year-old woman with diabetes.

Ms M, a 74-year-old woman with type 2 diabetes of 6 years' duration, has a glycated hemoglobin (HbA1C) value of 7.4% despite taking 3 oral antidiabetic medications, as well as coexistent hypertension and abdominal obesity. She has no known microvascular or macrovascular complications of diabetes and is otherwise healthy. She is reluctant to commence insulin treatment as she dislikes the idea of...

A clinical analysis of an intrahepatic lesion detected in a 65-year-old lady who admitted for severe epigastric pain

Although there are a number of published case reports of hepatic subcapsular fluid collection, it is not straightforward to make a correct diagnosis when both imaging and laboratory test are equivocal and unclear for physicians. Lack of experience and specific literature makes diagnosis and management of intrahepatic lesions or fluid collection very difficult. Here the author just wants to desc...