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Medical Journal of Malaysia

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https://www.readbyqxmd.com/read/28889142/dengue-shock-syndrome-with-retroperitoneal-haematoma-requiring-repeated-artery-angioembolization
#1
Y H Teh, Y P Tan, M M Zain
Eyelid reconstruction is complex and challenging since it is not only for structural and functional restoration, but also for an acceptable aesthetic result. In full thickness eyelid injuries, it will involve both anterior and posterior lamella. Therefore, when reconstructing the defect, it requires at least two layers; one will be a flap with blood supply, and the other can be a free graft. In this case, a rotational advancement cheek flap and composite graft were used to reconstruct the lower eyelid.
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889141/case-report-a-case-of-pericardial-effusion-presenting-to-primary-care
#2
N K Devaraj
This is a rare but interesting case of Mr. MZ who had a lifethreatening pericardial effusion presenting to the primary care clinic. Through great clinical acumen and prudent targeted investigations, diagnosis of this rare condition was reached and urgent referral made to the cardiology team which performed an emergency pericardiocentesis which proved to be life -saving. However, the hovering poor prognosis of Mr. MZ may prompt for a referral to the palliative care team to provide quality end of life care for this unfortunate patient...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889140/multiple-bilateral-renal-abscesses-in-a-previously-healthy-young-patient
#3
R Y Tang, B M Cheong
The incidence of renal abscesses is not common. Patients usually have risk factors like diabetes mellitus or an underlying condition which predisposes to urinary tract infections. We report a case of a previously healthy young girl with multiple bilateral renal abscesses. Ultrasonography revealed multiple renal abscesses with a possible differential diagnosis of polycystic kidney disease with infected cysts. No renal calculi were seen. CT-scan of kidneys confirmed the diagnosis. Blood and urine cultures were repeatedly negative...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889139/bohring-opitz-syndrome-a-case-of-a-rare-genetic-disorder
#4
N Visayaragawan, N Selvarajah, H Apparau, V Kamaru Ambu
The diagnostic challenge of Bohring-Opitz Syndrome, a rare genetic disorder has haunted clinicians for ages. Our patient was born at term via caesarean-section with a birth weight of 1.95 kilograms. She had mild laryngomalacia, gastroesophageal reflux disease and seizures. Physical signs included microcephaly, hemangioma, low set ears, cleft palate, micrognatia and the typical BOS posture. Chromosomal analysis showed 46 xx -Bohring-Opitz Syndrome overlapped with C- syndrome. Goal-directed holistic care with integration of parent/carer training was started very early...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889138/pulmonary-actinomycosis-masquerading-as-lung-cancer-a-case-report
#5
Y L Boo, K N How, D S Pereira, P W Chin, K K Foong, S Y Lim
Pulmonary actinomycosis is a rare yet important and challenging diagnosis to make. It is commonly confused with other lung diseases, such as tuberculosis and bronchogenic carcinoma, leading to delay diagnosis or misdiagnosis. A 49-year-old man presented with a chronic cough, hemoptysis, and pleuritic chest pain. His initial imaging studies including computed tomography (CT) was suggestive of bronchogenic carcinoma. A subsequent CTguided biopsy was consistent with pulmonary actinomycosis and excluded the possibility of bronchogenic carcinoma...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889137/perforated-gastric-ulcer-in-severe-dengue-infection-a-case-report
#6
C Y Ng, S L Lee, S L Foo
Abdominal pain is one of the common presentations in severe dengue infection. We report a rare case of perforated gastric ulcer in a young man diagnosed with severe dengue infection and the challenges we faced in managing this patient. Perforated gastric ulcer need to be considered if there are signs of peritonitis and persistent abdominal pain that does not conform to the natural history of dengue. Proper imaging and early surgical intervention in perforated gastric ulcer is vital in preventing further complication and reducing the risk of mortality...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889136/electro-navigational-bronchoscopy-for-bilateral-peripheral-lung-lesions-a-case-report
#7
A H Faisal, A W Sopian, H Tidi
Electromagnetic navigational bronchoscopy (ENB), one of the methods of navigational bronchoscopy is an advanced diagnostic tool allowing tissue sampling at the lung peripheries which were previously accessible only by computed tomography (CT) guidance or video-assisted thoracoscopic surgery (VATS). We report a 53-year-old man who presented with a cough and dyspnea with constitutional symptoms for one month. CT thorax revealed multiple bilateral peripheral lung nodules and there were no endobronchial lesions on flexible bronchoscopy...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889135/acute-outcome-of-chronic-total-occlusion-cto-recanalizsation-in-the-elderly
#8
J E Guelker, T Rock, R Ott, M Katoh, K Kroeger, R Guelker, H G Klues, D I Shin, A Bufe
OBJECTIVES: Percutaneous coronary intervention (PCI) of total chronic total occlusion (CTO) still remains a major challenge in interventional cardiology. There is only insignificant knowledge reported in the literature about age differences in CTO recanalization. We analyzed in this study the issue of the impact of age on procedural characteristics, complications and short-term outcome. METHODS: Between 2012-2016 we included 440 patients. They underwent PCI for at least one CTO...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889134/pesticide-applicators-questionnaire-content-validation-a-fuzzy-delphi-method
#9
S K Manakandan, I Rosnah, J Mohd Ridhuan, R Priya
BACKGROUND: The most crucial step in forming a set of survey questionnaire is deciding the appropriate items in a construct. Retaining irrelevant items and removing important items will certainly mislead the direction of a particular study. This article demonstrates Fuzzy Delphi method as one of the scientific analysis technique to consolidate consensus agreement within a panel of experts pertaining to each item's appropriateness. This method reduces the ambiguity, diversity, and discrepancy of the opinions among the experts hence enhances the quality of the selected items...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889133/prevalence-and-predictors-of-depression-and-suicidal-ideation-among-adolescents-attending-government-secondary-schools-in-malaysia
#10
N Ibrahim, M S Sherina, C K Phang, F Mukhtar, H Awang, J K Ang, J O Zubaidah, S F Ab Ghaffar
No abstract available.
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889132/food-allergy-and-allergic-rhinitis-in-435-asian-patients-a-descriptive-review
#11
K A Pang, K P Pang, E B Pang, Y N Tan, Y H Chan, J K Siow
OBJECTIVE: To describe the prevalence of food allergy in Asian patients with allergic rhinitis. STUDY DESIGN: A non-randomized prospectively collected patients over a three year period, with complaints of nose congestion, rhinorrhea and/or nasal discharge. RESULTS: There were 435 patients enrolled, 213 children and 222 adults. The children group had a high prevalence of allergen specific IgE to Dermatophagoides pteryonysinus (70%), Dermatophagoides farina (69%), and Blomia tropicalis (55%); followed by dogs (32%), cats (19%) and cockroaches (19%)...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889131/missed-opportunities-for-earlier-hiv-testing-in-patients-with-hiv-infection-referred-to-a-tertiary-hospital-a-cross-sectional-study
#12
K C Koh, M Islam, W K Chan, W Y Lee, Y W Ho, S A H Alsagoff, R A Yusof
INTRODUCTION: In Malaysia, the prevalence of missed opportunities for HIV-testing is unknown. Missed opportunities have been linked to late diagnosis of HIV and poorer outcome for patients. We describe missed opportunities for earlier HIV-testing in newly-HIV-diagnosed patients. METHODS: Cross sectional study. Adult patients diagnosed with HIV infection and had at least one medical encounter in a primary healthcare setting during three years prior to diagnosis were included...
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889130/experience-of-a-rapid-access-falls-and-syncope-service-at-a-teaching-hospital-in-kuala-lumpur
#13
S Y Gan, N I Saedon, S Sukanya, N H A Fairuz, S M N Sakinah, N I A H Fatin, Z A Imran, K H Chee, J Y L Teo, M P Tan
No abstract available.
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28889129/abstracts-of-5th-asia-pacific-conference-on-public-health-supplement
#14
(no author information available yet)
No abstract text is available yet for this article.
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28780583/abstracts-of-the-international-symposium-of-health-sciences-2017-1-2-august-2017-kuala-lumpur-malaysia
#15
(no author information available yet)
No abstract text is available yet for this article.
August 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28733572/lower-eyelid-reconstruction-following-a-traumatic-full-thickness-loss
#16
W J Tang, A Z Mat Saad
Eyelid reconstruction is complex and challenging since it is not only for structural and functional restoration, but also for an acceptable aesthetic result. In full thickness eyelid injuries, it will involve both anterior and posterior lamella. Therefore, when reconstructing the defect, it requires at least two layers; one will be a flap with blood supply, and the other can be a free graft. In this case, a rotational advancement cheek flap and composite graft were used to reconstruct the lower eyelid.
June 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28733571/a-rare-case-of-methicillin-resistant-staphylococcus-aureus-mrsa-cerebral-abscess-secondary-to-conjunctivitis
#17
Y K Gan, A Z Azmi, S A Ghani, A Samsudin
This case report discusses the rare association of cerebral abscess related to conjunctivitis in an otherwise healthy child. A 6 year old boy presented with conjunctivitis was treated with topical antibiotics and resolved after a week. Conjunctival swab cultures grew MRSA. A month later he developed status epileptics and CT scans revealed a large cerebral abscess. He was treated with intravenous antibiotics which covered for MRSA, along with an incision and drainage for the cerebral abscess. Pus cultures grew MRSA...
June 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28733570/frank-s-sign-a-dermatological-link-to-coronary-artery-disease
#18
K G Lee
Frank's sign, also known as diagonal earlobe crease (DELC), was observed to be an aural sign of coronary artery disease (CAD). Since then, there has been much interest in examining this unique and controversial association. This report describes a patient who has bilateral complete and deep diagonal ear lobe creases, presented with angina and diagnosed to have coronary artery disease on angiography. The characteristics of the sign and its association with atherosclerotic disease were discussed.
June 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28733569/a-case-of-missed-blunt-traumatic-aortic-injury-btai
#19
N M Nik Azlan, H Rossman
We are reporting a case of missed blunt traumatic aortic injury (BTAI). A 28 year male presented with chest pain following a motor vehicle accident. He was discharged following normal clinical signs and chest radiograph. The following day he complained of lower limb weakness. Traumatic aortic dissection was revealed via computer tomography (CT) of the thorax. BTAI cannot be ruled out with normal clinical signs and chest radiograph alone. CT thorax is mandatory to rule out BTAI in high impact chest injury.
June 2017: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/28733568/mycology-of-onychomycosis-a-5-year-retrospective-review-2011-2015-in-hospital-kuala-lumpur
#20
R Ramalingam, S Kunalan, M M Tang
Onychomycosis is a common nail disease with numerous etiological pathogens. In order to determine and trend the local mycological pattern of culture-positive diseased nail samples sent from the Department of Dermatology, Hospital Kuala Lumpur, a five-year retrospective audit was carried out, which revealed that non-dermatophyte molds were the predominant fungi isolated, followed by yeasts and dermatophytes. This is similar to two previous studies in Malaysia, but varies greatly from other studies around the world which showed a dermatophyte-predominant prevalence...
June 2017: Medical Journal of Malaysia
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