Images in Medicine
A man with bark-like skin
A 65-year-old Chinese man was admitted for evaluation of chronic anaemia. He had a history of hypertension and chronic kidney disease, and his regular...
TB or not TB? The axillary lump question
An 81-year-old woman of healthy weight presented with a 2-week history of a painless right axillary lump. Physical examination revealed a 2cm firm nodule...
Neck pain with prevertebral soft tissue thickening
A 37-year-old man presented with a history of sudden-onset neck pain, which was worse on movement and neck extension. He reported no history of...
White precipitate in a dialysis circuit
An 81-year-old man who had been fully vaccinated against COVID-19 was admitted to the medical intensive care unit on day 5 of his COVID-19-induced...
An unusual case of ear pain in a child
A previously healthy 4-year-old French boy presented to the children’s emergency department complaining of left otalgia for 3 days. He had initially experienced left...
Cause of vaginal spotting in an older woman
A 77-year-old Chinese woman with a past medical history of Sjogren’s syndrome, nodular goitre and right-sided neck lymphadenopathy, presented to the gynaecological service for...
Nitrous oxide and cervical myelopathy
A 25-year-old woman presented with progressive paraesthesia and numbness, both of which started from the left hand. Her symptoms progressed to the fingertips of...
A 52-year-old woman with beading of intracranial arteries
A 52-year-old woman of Indian ethnicity with a history of well-controlled hypertension, hyperlipidaemia and recurrent transient ischaemic attacks presented with altered mentation and slurred...
Unusual biliary gem: Cause of acute obstructive suppurative cholangitis and pancreatitis in a patient...
A 72-year-old man with a 10-year history of subtotal gastrectomy with Billroth II anastomosis and laparoscopic cholecystectomy presented with abdominal pain, high fever and...
Pericardial effusion and tamponade in a young woman
A young woman presented to the Singapore General Hospital with a history of cough in the 2 weeks prior. She had no significant past...