Mrs Anne is pale and tired

Mrs. Anne is a 82-year-old widow living alone in her house in Seremban. She is brought into clinic by her daughter and son-in-law because she has been looking increasingly pale and tired when doing her daily household chores. History Anne’s health has been deteriorating over the past few months as she has noted increasing breathlessnessContinue reading “Mrs Anne is pale and tired”

Mr Shamsul cannot complete his workouts

Encik Shamshul, a 24-year old man presents with complaints of progressive weakness and shortness of breath with minimal physical effort over the last two weeks. He also notes recurrent episodes of fever requiring repeated visits to his local general practitioner over the past couple of months. History Shamshul reports that his symptoms have been progressiveContinue reading “Mr Shamsul cannot complete his workouts”

Sean Chiew has a swollen knee

Sean Chiew is a 14-month-old boy. His mother brings him to the Emergency Department because Sean was noted to be limping with a right swollen knee, which seems to be progressively increasing in size over the past couple of hours. History The swelling and limp had occurred suddenly. Mrs. Tan, the mother had bathed himContinue reading “Sean Chiew has a swollen knee”

Puan Maimon has a backache

Puan Maimon is a 67-year-old female who has complaints of worsening fatigue and persistent bone pain, particularly in the lower back for the past 6 months. History Maimon had noted gradual deterioration in her health condition over the past 6 to 12 months. Although she had experienced aches and pains before, her back pain hadContinue reading “Puan Maimon has a backache”

Mr Ashok has fever and night sweats

Mr. Ashok is a 45-year-old male who notes weakness and lethargy with progressive weight loss of nearly 3 kg over the past 3 weeks, accompanied by fever and night sweats. History Ashok has generally been well and active before this. The symptoms only appeared over the past 3-weeks and has become progressively worse, especially withinContinue reading “Mr Ashok has fever and night sweats”

Mr Raj has fever and is bleeding easily

Mr. Raj is a 26-year-old biomedical-science postgraduate student who notes sudden onset of fatigue, fever, and gum bleeding while brushing his teeth in the last two days. He also reports mild shortness of breath and dizziness. History Raj has generally been well and active before this. His symptoms only appeared over the past two days,Continue reading “Mr Raj has fever and is bleeding easily”