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 –…

A 40 year female, presented with loose stools for more than 14 days. She was treated in a local hospital with rehydration fluids but she came to the tertiary care as she continued to have loose stools.  Stool microscopy showed the following (Images). Case answer – Posted on: 15-Dec-2023 Follow the discussion in X (Formerly…

A six-year-old girl presented with abdominal pain for a day and fever for 3 days. Pain developed over right lower quadrant and ultrasonography showed an appendicular mass. Appendicular mass was removed on surgery and sent to pathology.  Case answer – Posted on: 17-Nov-2023 Follow the discussion in X (Formerly knows as Twitter)

A 4-year-old girl experienced perianal itching for the past few weeks with worsening at night. She had recently started school, was up to date on her immunizations and her medical history was otherwise unremarkable. O/E well-nourished with mild pallor, no fever; perianal region had marked excoriations and redness. Microscopy for stool parasites sent. Identify –…