We discuss a case of a female in her 60s diagnosed with primary squamous cell carcinoma of the breast. It is an aggressive and rapidly growing breast cancer with limited cases discussed in the ...

John Bassett, Krithikaalakshmi Sathiyamoorthy, Alistair Horman, Georgeta Taylor, Hoi Yee Teresa Wu, Stephen Dent, Reena Sharma ...

Cholecysto-duodenal fistula (CDF) is a rare complication of chronic calculous cholecystitis. Due to advancements in minimally invasive techniques, a paradigm shift has occurred from the traditional ...

An older woman with dementia and type 2 diabetes was started on semaglutide and subsequently developed severe psychological and physical symptoms, including apathy, significant weight loss and ...

A 34-year-old man with no significant medical history presented to the emergency room (ER) after an episode of thunderclap headache. His symptoms began with dry heaves but no vomiting immediately ...

Primary chronic osteomyelitis of the jaw is an uncommon non-suppurative, chronic inflammatory disease of unknown origin. It can manifest as early or adult onset and is characterised by lack of pus ...

A woman in her 80s was admitted with a growing feeling of dizziness, tingling and vomiting that began a week before. The neurological examination showed dysarthria, downbeat nystagmus and gait ataxia.

Henoch-Schonlein purpura (HSP) is a common IgA-mediated small vessel vasculitis of childhood that affects several systems. It is characterised by a tetrad of dermatological, abdominal, joint and renal ...

Bilateral vocal cord paralysis is a known possible complication following thyroid surgery. It owes to the close relationship between the recurrent laryngeal nerve and the thyroid gland. The most ...

A woman in her 40s with a history of a subarachnoid haemorrhage complicated by ischaemic infarcts presented with 1 week of left upper quadrant abdominal pain and was noted to have elevated ...

A young woman with autism spectrum disorder was admitted to the hospital via the emergency care unit. On being admitted, she was improperly diagnosed with a psychotic disorder due to her erratic ...

Gerstmann-Sträussler-Scheinker syndrome (GSS) is a rare cause of genetic prion disease. Overlapping neurological, cognitive and psychiatric symptoms make GSS difficult to diagnose based on clinical ...