A young and thin paraplegic lady was brought into ED for severe abdominal colics and constipation for more than 3 weeks duration. The unsuspecting medical officer decided to do an abdominal Xray.
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| From Radiology Quiz |
This is an easy guess.
Her family was surprised with the finding which she finally admitted to know about. She was given some medications and was send home. Never make assumptions!
A 14 year old boy, presented with sudden episode of bleeding per anus. Both OGDS and colonoscopy was negative and the bleeding persisted. He was then referred to us for an angiogram.
Any idea?
A lady in her late 40s presented with passing black tarry foul smelling stools (malaena) for a few days prior to admission. This was the second episode after the first being a few days earlier.She was admitted then but was discharged home on a negative finding on endoscopy. On the day of admission, she fainted at home after complaining of feeling lightheaded.
She was admitted and an urgent upper endoscopy was performed. As we were about to withdraw the scope in disappointment, I caught a glimpse of this near the fundus and got excited!
Any takers?
The man responsible has my name too! Ha Ha Ha
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A young boy swallowed a foreign object and presented to us a few days later. He was otherwise well but the parents were very anxious. This was his Abdominal Xrays.
A closer look:
What is that?
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So we decided to go fishing. We put in a scope (OGDS) and found the foreign object.
Used a net basket to catch it and took it out slowly through the mouth.
The marble:
Please don’t put objects into your mouth!
Prior to hosting the Grand Rounds last week, I was interviewed by Nicholas Genes, for the Pre-Rounds Medscape Med Students.
The interview article was actually posted on the 12th November. Please feel free to check it out.
Surgeon Dives Deep to Display Photos of the OR and the Ocean Floor
Posted 12/11/2007
Nicholas Genes, MD, PhD
What does a starfish have in common with a gallbladder? They both possess a fascinating beauty, at least when photographed by Dr. Geeverughese C. George. A surgeon and frequent traveler, Dr. George shares his photos and thoughts online at The Odysseys of George. In our recent correspondence, Dr. George discussed his background, photography, and some of the differences in Malaysian medicine.
Dr. Genes: For a surgeon, you sure seem to live life to the fullest! Is that your interpretation of your site’s motto, “Vita non est vivere sed valere”?
Dr. George: Well, living life to the fullest is something I aim for everyday. There is more to life than just work and career achievements. I enjoy travelling and thus I try to take some time away to do this. Diving was always something that interested me, but due to some reasons, I only managed to do it a few years ago — and since then I’ve never regretted it and never looked back. It has also made me indulge in photography more, as the beauty beneath the seas is awesome.
The Odysseys of George hosts Grand Rounds
December 11, 2007
Dr. Genes: What camera do you use underwater? Is it the same as what you use for your pathology and OR photography?
Dr. George: I am using a “point and shoot” camera, and have yet to invest in a dSLR. I am using a Canon G7 with Ikelite casing and a strobe for underwater lighting. I use the same camera for my land and OR shots.
Dr. Genes: Because of your travels, you may have a better idea of what medical careers are like in other lands. How is Malaysia different? You’ve mentioned that half of Malaysian men smoke, that you see a lot of complications from uncontrolled diabetes; how does that affect your practice or your work schedule?
Dr. George: Malaysia is a developing country, and therefore there aren’t as many specialists or subspecialists as in the Western community. The health awareness here is just coming around, but we are still very far from reaching good or excellent healthcare service and goals.
Dr. Genes: How long have you been a surgeon? Are you specializing?
Dr. George: I am a general surgeon with interest in upper gastrointestinal surgery. I have been a surgeon for 3 years now.
Dr. Genes: How did you discover blogging? Do your colleagues know about your online activities?
Dr. George: Blogging came as an “incidental finding” while trying to find a mode of communication with my sister, who migrated to Australia. Then, my friends helped me get the hang of it, and the rest is history. Many here know of my blog, and I am not anonymous. Blogging is common, but whether it is accepted by my hospital is yet unknown. I suppose if I breach rules, then they wouldn’t be too happy.
Dr. Genes: What are some of your favorite posts? What do your readers seem to like on your site?
Dr. George: My favorite posts are actually my medical and diving ones. I notice that most readers are not too interested in political topics — they tend to respond more to my photography, which is very encouraging.
Dr. Genes: Readers will have an opportunity to see more of the world through Dr. George’s eyes when he hosts Grand Rounds on December 11, 2007. Visit his site to see the best in online medical writing from doctors, nurses, researchers, students, and healthcare professionals, all arranged and organized by Dr. George.
Thank you!
Give it your best shot!
An elderly lady claimed to have fell off a chair hitting the back of her head on the floor. She was seen in Emergency Department and was told to be well. 2 weeks later, she was having difficulty in breathing and also had episodes of vomiting which did not allow her to eat. Everytime she eats she vomits. These were her Xrays and Ct scans.
Any takers?
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Consultant General Surgeon
Pantai Ampang
Pandan Indah
Hobbies:
Scuba Diving
Photography
