This section is for medical students and postgraduate medical students in specific.
A young man came to the OPD with fever and shivering for the past two months. Fever was undocumented with shivering and especially would spike at night. It was associated with sweating as well. The patient has been visiting different hospitals and private clinics and received antibiotics and analgesic medicines multiple times. He also received …
Fever With Shivering for Two Months in a Young Man Read More »
Fever of unknown origin is a frustrating diagnosis for both the patient and the physician. It is rather a failure on the part of the physician being not been able to make a diagnosis. When the physician is not able to make a diagnosis, the frustrated physician then tries to prescribe very broad-spectrum antibiotics. These …
This is another interesting case of 32 years of age female, a diagnosed case of cardiomyopathy, who was admitted in our ward with a petechial skin rash which developed after she was prescribed rivaroxaban by a cardiologist for atrial fibrillation. History of the patient … The patient was labeled as a case of cardiomyopathy for …
Cardiomyopathy, atrial fibrillation, and thrombocytopenia – Dx? Read More »
An elderly patient was referred to Pakistan Institute of Medical Sciences OPD for the work-up of hepatomegaly and weight loss. The patient, aged 65 years, with no previous premorbid conditions, was alright 8 months back when he developed abdominal pain. The pain was diffuse, moderate in intensity, and dragging in nature. It was associated with …
A middle-aged female was referred to the medical OPD with eye swelling. The patient was alright a few weeks back when she developed swelling of the left eye. The eye swelling gradually progressed with associated watery discharge, redness and impaired vision. Ophthalmologist review of the eye swelling The patient was taken to an ophthalmologist and …
Eye swelling and redness in a middle-aged female Read More »
This is an elderly diabetic patient, with facial lesions and fever. The patient is a type 2 Diabetic patient for the last ten years on metformin and premixed insulin twice daily. His blood sugars are mostly in the range of 200 to 300 mg/dl and glycated haemoglobin of 9.8 %. Five days back he developed facial …
This is a case scenario of a young female with upper right abdominal pain and jaundice. History of the patient, examination, and investigations are presented here. Viewers should try to diagnose this patient. This will be followed by a discussion of the case after a few days. Case presentation of the patient with upper right …
Upper right abdominal pain and jaundice – Diagnosis? Read More »
This is a case scenario of a young male patient with fever, flank pain, and swollen lymph nodes. This case scenario has a theme which will be discussed later. Case scenario of the patient with fever, and swollen lymph nodes… A 22 years old male patient, a laborer by profession, was admitted in our hospital …
Swollen lymph nodes, fever and flank pain. Diagnosis? Read More »
Fever and joint pains are two common manifestations of a variety of underlying diseases. These diseases may range from simple viral infections to some very serious diseases like cancers. The following post is about a 22 years old male patient with fever and joint pains. He was investigated and managed at our Hospital. Here I …
This is a case scenario of a middle-aged female, who presented to our OPD with Fever and Sore throat for the last two months. This patient was extensively investigated before she was diagnosed with a relatively common disease. Healthy comments and criticism will be appreciated. Case presentation – Fever and Sore Throat A middle-aged female presented …
Fever and Sore Throat – common symptoms, difficult diagnosis!! Read More »