Online Clinical Case Study (May 2008)

Clinical Cardiology Series
臨床心臟科個案研究

The content of the Office Cardiology Series is provided by:
Dr. LI Siu Lung, Steven
F.H.K.A.M.(Med), F.R.C.P.(Glasg), F.R.C.P.(Edin), F.R.C.P.(Lond), Specialist in Cardiology
Dr. WONG Shou Pang, Alexander
F.R.C.P., F.H.K.A.M.(Med.), F.H.K.C.P., Specialist in Cardiology
臨床心臟科個案研究之內容誠蒙李少隆醫生及王壽鵬醫生提供。

A 72-year-old lady complained of recurrent dizzy spells and shortness of breath on exertion. She has no significant coronary risk factors. Physical examination revealed an irregular pulse. This is her ECG:

Answer Sheet

Clinical Cardiology Series臨床心臟科個案研究

1. What is the ECG diagnosis?
A. First degree heart block
B. Second degree heart block
C. Complete heart block
D. Sick sinus syndrome
E. Atrial fibrillation

2. What will be your treatment?
A. Observation
B. Drug treatment
C. Pacemaker implantation

Dermatology Series 皮膚科病例研究

Multiple red papules on scrotum

A 36-year-old gentleman noticed multiple small, dark red papules on his scrotum for few months. They were sometimes itchy and there was bleeding once. He worried about sexually transmitted disease. Physical examination revealed multiple smooth, dark red papules measuring 1-3 mm in diameter on his scrotum.

Answer Sheet

Dermatology Series 皮膚科病例研究

1. What is the clinical diagnosis?

2. What are the clinical significances?

3. What are the different forms of this condition?

4. Where else can you find the lesions?

5. What are the treatment options?