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…

A 33 year old female presented with a history of persistent diarrhoea and abdominal cramps for the last 5 days. She is a renal allograft recipient and on Prednisolone, Tacrolimus and Mycophenolate mofetil. CBC was within normal range. A stool sample was sent to screen for parasites. Case answer – Posted on: 18-March-2024 Follow the…

A 45 year old woman from China complained of dull, aching pain in the upper abdomen, especially after eating a meal for 3 months. She also reported occasional nausea, vomiting, increasing fatigue and unintended weight loss. She noticed a yellowish discoloration of her skin and eyes. Examination revealed tender hepatomegaly. Blood tests showed elevated liver…

62 year old woman presented to Emergency department with h/o intermittent headache with associated nausea and vomiting, giddiness, difficulty in walking and imbalance, blurring of vision,  for 1 month – No h/o seizures, posturing, altered sensorium. Vomiting increased in episodes for last 2 days; Unable to walk at present. No other co-morbidities. CT Scan –…