Online Clinical Case Study (August 2008)
Dr. LAW Kwan Kin MBChB (CUHK), MRCP (UK), FHKCP, FRCP(Glasg), FHKAM (Medicine), Specialist in Cardiology Dr. LI Siu Lung, Steven FHKAM (Med), FRCP (Glasg), FRCP (Edin), FRCP (Lond), Specialist in Cardiology Dr. WONG Shou Pang, Alexander FRCP, FHKAM (Med.), FHKCP, Specialist in Cardiology 臨床心臟科個案研究之內容誠蒙羅君健醫生、李少隆醫生及王壽鵬醫生提供。
A 24-year-old man was referred for cardiac workup and a grade 2/6 ejection systolic murmur (ESM) was detected in the upper left sternal border on pre-emigration medical examination. Blood pressure was 120/80 mmHg. The pulse was regular at a rate of 90 bpm. Parasternal heave was noted on palpation and the second heart sound was widely split in addition to the ESM. There were no other significant findings.
Answer Sheet
Clinical Cardiology Series臨床心臟科個案研究
1. What is the most likely diagnosis from the physical findings?
2. What is the diagnostic investigation of choice?
3. What is the next most useful investigation in the diagnostic and therapeutic work-up for this condition?
A 35-year-old male noticed discolouration around his moles for six months. The moles have been present since childhood and have been stable until the recent few months. Physical examination revealed a 2 cm diameter well-demarcated depigmented patch on his left chest with a 2 mm brownish papule in the centre. A similar but smaller lesion was present over his right chest wall. He worried about skin cancer.
Dermatology Series 皮膚科病例研究
1. What is the diagnosis?
2. What is the cause for the depigmentation around the mole?
3. What is the treatment?
4. What is the usual progress?
5. What are the signs suggesting malignant changes of a mole?
Back to Online Clinical Case Study