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Small Head with Big Vessels

White Matter Disease in a Young Adult Presenting as Rapidly Progressive Parkinsonism

Images in Medicine

Catheter Entrapment During Cardiac Electrophysiology Study

A 50-year-old man underwent cardiac electrophysiology study for palpitations. Under fluoroscopic guidance, 1 deflectable decapolar and 2 quadripolar diagnostic catheters were introduced smoothly into the...

Non-Pruritic Acral Rash in a Middle-Aged Male

A 56-year-old man presented with progressive rash on the face, hands and feet for over 6 months. He was treated with topical steroids cream...

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...

Upper Lateral Neck Swelling: Rare but Important Differential Diagnosis

A 20-year-old Malay female with no medical illness presented with a painless right upper neck swelling of few weeks duration. It was slowly increasing...

A Massive Pleural Effusion: What Lies Beneath?

A 21-year-old male of Chinese ethnicity attended the institution’s radiology department for an outpatient chest radiograph for right lower chest reduced air entry. Concurrently,...

Delayed and Extra-pontine Myelinolysis after Osmotic Dysregulation

A 58-year-old Chinese man was admitted because of increasing lethargy and confusion over 4 days. He had been taking hydrochlorthiazide for hypertension and regularly...

Transfusion-dependent Microcytic Anaemia in a 10-year-old Girl

A 10-year-girl from Bangladesh presented with a moderately severe anaemia (lowest recorded haemoglobin level of 5.6 g/dL) and a mild jaundice (latest serum bilirubin,...

Watch the Tongue

A 35-year-old male newly diagnosed with human immunodeficiency virus (HIV) infection (last negative test was 1.5 years ago) presented with an odd sensation on...

Fever in a Patient with a Previous Gastrectomy

A 64-year-old male retiree developed fever, vomiting and lethargy over 1 day. He had a significant past history of gastric adenocarcinoma (stage T3N0) and...

An Uncommon Cutaneous Reaction for a Common Drug

A 72-year-old Chinese female presented with a rapidly progressing, generalised rash over a 2-week period. Her medical history includes hypertension for which nifedipine had...
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Emergency Department Asthma: Compliance with an Evidence-based Management Algorithm