An 8-month-old boy from a peri-urban slum presented with frequent, loose and watery stools (6-7 episodes per day) for the past 2 months. His mother mentioned that he was fed formula and cow’s milk and was recently introduced to solids. On examination, he was stunted but otherwise healthy. A provisional diagnosis of persistent diarrhoea was…

A 33-year-old man from Bihar, residing in Salem, Tamil nadu for 10 years, presented with an 8-year history of erythematous chin lesions and upper-lip & right nostril involvement with swelling for 3 years. A biopsy from the lesion was sent for culture and subsequently PCR. The culture fluid showed the following on day 14. Answer…

A 62-year-old man from Tamil Nadu presented with a six-month history of nocturnal cough with shortness of breath.  He was previously diagnosed with chronic rhinosinusitis, and uncontrolled diabetes mellitus. Blood investigations revealed eosinophilia. A transbronchial lung biopsy revealed adenocarcinoma with mucinous features. Cytological analysis of BAL sample is provided below. Answer Follow the discussion in…

A 55-year-old man from a rural village in South India, presented with abdominal pain over 3 months, with episodes of nausea and vomiting and weight loss over the past month despite normal appetite. On examination, soft, distended abdomen with mild tenderness in the periumbilical region and blood counts showed eosinophilia. Stool sample was sent for…

A 6-year-old boy from Jharkand, India with a h/o jaundice for 6 months, abdominal distention for 4 months, and intermittent abdominal pain. O/E he was afebrile, icteric and had hepatosplenomegaly. USS and MRI showed mildly enlarged liver with 1 cm cyst in left lobe, bile duct distended, enlarged spleen and large retro-pancreatic cyst and suspected…

A 64-year-old man, farmer by occupation presented with progressive fatigue over 3 months, occasional shortness of breath with minimal exertion, pale conjunctiva. He gives history of walking barefoot while working in agricultural areas. Stool sample was sent for microscopy and culture Case answer – Posted on: 15-Nov-2024 References: Follow the discussion in X (Formerly knows…

A 31-year-old man from Telangana, IT professional by occupation presented with severe eye pain, blurred vision, redness of the right eye and photophobia for the past five days. He is a contact lens wearer and went swimming while wearing his lenses. Slit lamp findings showed corneal epithelial defect, ring-shaped infiltrate in the right eye with…

A 31-year-old man from Jharkhand and a known case of PLHIV on ART for 8 years presented with a history of hypopigmented lesions over the neck, upper back and bilaterally on upper limbs for the past 5-6 years which has been gradually progressing. He mentioned using topical medications but had recurrence. A bone marrow and…

A 40-year-old woman presents with complaints of intermittent abdominal pain with loose stools for the past 4 months and unintentional weight loss of 4 kg over the past two months. She does not report presence of blood in her stools but gave a history of using untreated well water for drinking and cooking. The stool…

A 9-year-old girl presents to paediatric OPD with complaints of intermittent abdominal pain and occasional loose stools for the past 2 months. The child’s appetite has been variable, with occasional nausea but no significant weight loss. On examination, the child appears generally well-nourished with no signs of acute distress. Abdominal examination revealed mild tenderness in…

A 45-year-old male from Arunachal Pradesh presented to the emergency department with persistent cough, intermittent fever, and haemoptysis for the past three weeks. Physical examination revealed crackles in the right lung base, and chest X-ray showed patchy infiltrates in the right lower lobe with multiple cavitating nodules throughout the lungs. The blood investigation revealed elevated…

A 40-year-old woman presented with intermittent, crampy, abdominal pain with loose, watery stools at least 3-4 times a day. She has also noticed a significant unintentional weight loss of approximately 5 kgs over the past two months. Due to her asthma, she gave a h/o seeking alternative remedies which included consumption of raw fish over…