A case of focal eventration of left hemidiaphragm with transthoracic left kidney confused with a traumatic diaphragmatic hernia

Focal eventration of the diaphragm with transthoracic kidney is a very rare condition. It is usually asymptomatic and often revealed as an incidental finding on imaging studies. We presented a case of previously undiagnosed focal eventration of left hemidiaphragm with transthoracic left kidney confused with traumatic diaphragmatic hernia. Differentiation of these two conditions is important as each were managed differently. A traumatic diaphragmatic hernia needs early surgical intervention whereas no treatment was required for focal diaphragmatic eventration in most cases. Diagnostic laparoscopy confirmed the findings in this case and the patient was managed conservatively

Pulmonary AVM: diagnosis via spiral CT scan: a case report

Pulmonary arteriovenous malformations (PAVMs) are abnormal communications between pulmonary arteries and pulmonary veins. It is a rare clinical problem.This case illustrates the use of spiral CT scan in diagnosing this condition

Detection of traumatic intra abdominal injuries using MSCT in Hospital Tengku Ampuan Afzan, Kuantan: our preliminary experience

.Blunt abdominal trauma may cause injury to various internal organs. • It is often difficult to accurately evaluate the site and extent of suspected internal injury clinically • Intra-abdominal injury may be masked by more obvious or compelling injuries elsewhere • The management of patients with solid organ injuries has changed dramatically, in most cases treatment has shifted from early surgical treatment to non-operative management • Hence, CT scan plays an important role in patient’s management as it provided a rapid, accurate assessment of abdominal viscera, retroperitoneum and abdominal wal

MSCT assessment of blunt abdominal trauma in paediatric and adolescent patients: our experience in Hospital Tengku AMpuan Afzan (HTAA), Kuantan, Pahang

CT scan is the diagnostic technique of choice for the evaluation of abdominal injury due to blunt trauma in hemodynamically stable children. CT scan has high sensitivity specificity and accuracy in the detection of the presence and extent of abdominal injuries. Although operative intervention in these cases were based on clinical criteria rather than imaging findings. CT information frequently increases diagnostic confidence of the surgeons and influence the success of nonoperative management in most children with solid viscus injury

Miracle of imaging: the truth is out there!

Introduction In medical practice, we encounter many diseases, which can manifest in different ways. Most of the time, careful history taking and meticulous clinical examination can easily direct the clinician towards an accurate diagnosis. While with others, they may need further supporting evidence either from laboratory investigations or imaging. Likewise, the radiologists face daily challenges of analyzing and interpreting high volume of images in a timely manner. Appropriate diagnosis or differential diagnosis can be derived from cases with good clinical correlation. However, it can be misleading for the radiologists when interpreting images in cases where the history or clinical presentation is unclear although meticulous image assessment for high quality diagnostic and patient care are indeed paramount. Case series We retrospectively reviewed cases where discrepancies existed between the indications for the imaging with findings detected during these investigations. The subsequent management or outcome of the patients is briefly described. Conclusion Thorough history and good clinical assessment can guide radiologists in the analysis and interpretation of the radiological images in most patients. Our illustration of cases will be a good reminder for radiologists to always be meticulous when interpreting images to minimize errors or missed abnormalities as misleading history or clinical presentation is bound to happen

Delay in diagnosis of blunt abdominal injuries in children and adolescents: a pictorial review of CT abdomen in HTAA

Bluntabdominal injuries are often difficult to be accurately assessed clinically especially with concomitant external injury, in patients with head injury and in paediatric patients1. CT scan is the modality of choice for the evaluation of abdominal injury due to blunt trauma in hemodynamically stable children as it is widely available,rapidly performed with accurate depiction of various solid and hollow viscus injuries and associated retroperitoneal or pancreatic injuries2. Delay in diagnosis may not alter the mortality or choice of management but could significantly increase the rate of complications and prolong the length of hospital stay,hence timely and accurate diagnosis of intraabdominal injury is of utmost importance3

Tahap pemahaman pelajar dan guru dalam konsep daya dan gerakan

Kajian ini mengkaji tahap kefahaman pelajar, tahap kefahaman guru, dan jenis salah faham yang sama antara pelajar dan guru mengenai konsep Daya dan Gerakan di 4 buah sekolah di sekitar Johor Bahru. Pemilihan sampel adalah melalui kaedah rawak mudah. Seramai 4 guru fizik dan 116 pelajar terlibat dalam kajian ini. Ujian Kefahaman Konsep Daya dan Gerakan digunakan untuk mengukur tahap kefahaman sampel. Kajian rintis mendapati indeks kebolehpercayaan Alpha Cronbach ujian tersebut adalah 0.638. Data yang diperoleh dianalisis menggunakan SPSS versi 17.0. Dapatan kajian menunjukkan bahawa purata markah pelajar berada dalam tahap gagal memahami konsep Daya dan Gerakan dengan min 19.23% dan sisihan piawai 11.09. 60.4% pelajar berada di tahap gagal memahami konsep Daya dan Gerakan. Data juga menunjukkan bahawa purata guru berada pada tahap gagal dengan min 21.88 % dan sisihan piawai 10.83. Namun begitu, 75% guru berada pada tahap lemah dan hanya 25% guru berada pada tahap gagal menguasai konsep Daya dan Gerakan. Terdapat 5 bahagian salah konsep dan 15 jenis salah konsep yang sama antara pelajar dan guru. Bahagian tersebut ialah Kinematik, Memahami Daya Gerakan (Impetus) dan Kesan Daya, Pasangan Tindakan dan Tindak Balas, Paduan Daya Mengikut Beberapa Pengaruh dan Daya Graviti

Single Coronary Artery: A Case Report

Coronary artery congenital anomalies can be classi�ed based on the origin, course, and termination of the arteries. The majority of patients with these anomalies have no symptoms. They can, however, be accompanied by shortness of breath, palpitation, and even myocardial infarction symptoms

Fatal Airbag-Mediated Atlanto-Occipital Dislocation in a Child

An atlanto-occipital dislocation is a rare airbag-induced injury in trauma patients. We report a case of an atlanto-occipital dislocation in a 6-year-old patient who was an unrestrained passenger in the front seat of a vehicle involved in a low-speed motor vehicle accident. This case illustrates the fatal threat of airbag deployment to the child passenger travelling in the vehicle front seat even in a low-speed collision, and supports the recommendation that children under 12 years of age travelling in vehicles with dual airbag systems should be seated in the back