A Case of Cervical Lymph Node Tuberculosis in a health care worker: An Emergency Department diagnostic and administrative challenge

Dr Abdullah Al Farook

A 35 year old male health care worker came to the Emergency Department with complaints of painful and tender left supraclavicular swelling. He did not have fever, chills, night sweats and weight loss. He had no stated history of pulmonary tuberculosis or gastric cancer, but he was administered BCG vaccine as a child. He also had no history of prior exposure to a TB infected person. On physical exam he had a 3X4cm² tender, red, fluctuant swelling in his left supraclavicular area with no tonsillar or other neck lymph node enlargement. The rest of his physical examination was unremarkable.

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Prader Willi Syndrome, a rare genetic disorder

Dr Shahnaz Parvin Siddiqua, Dr Runa Laila, Dr Khorshed Alam, Dr Nargis Ara Begum

A 4½ years old male child was referred to United Hospital from BIRDEM with complaints of severe respiratory distress, generalized anasarca and severe respiratory acidosis; patient being in need of ventilator support. On examination the boy was dyspneic with severe chest indrawing, tachypneic, tachycardic, hypoxic in room air, hypotensive & had significantly severe crepitations in lungs, significant hepatomegaly. He was short (height <3rd centile) but obese (weight >97th centile). He had small hands and feet, narrow forehead, almond shaped eyes, central obesity & chryptorchidism (right side).

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Pigmented Villonodular Synovitis - a rare benign joint disease, a diagnostic challenge

Dr Shakila Parveen

A 40yrs old male patient with history of right knee pain, swelling and restricted movement for about a week presented at orthopedic department of United Hospital. He had history of trauma 15 years back at the same knee joint. On physical exam he had restricted movement, joint effusion, palpable mass and gross swelling of right knee joint but no muscle weakness.

Subsequently MRI  and X-ray of right knee joint was done at Radiology Department. On MRI, right knee joint was found swollen, numerous irregular heterogeneous and mixed signal intensity areas were noted within and o...

Paget's disease of the breast

Prof Dr Anisur Rahman

At present time there is an increasing awareness in the society about breast cancer, which is the second most common cancer among Bangladeshi women. Paget’s disease, an extremely rare variety of breast cancer, can affect both female and male population. The danger is in the fact that the disease presents with skin surface changes in & around the nipple and hence may be ignored by the patient for a long time.

The symptoms of Paget’s disease of the breast may include, itching, tingling or redness in the nipple and/or areola; flaking, crusty or thickened skin o...

A Case of Multiple Myeloma

Dr Noor-E-Jabeen, Dr Afrin Haque, Dr Zahid Mahmud

Multiple myeloma is the malignant proliferation of the plasma cells. The median age of diagnosis is 60 to 70 years and male to female ratio is 2:1. Most important clinical features with which most of the patients present, are features of anaemia, bone pain, features of spinal cord compression and renal failure. Diagnosis is confirmed by increased malignant plasma cell in the bone marrow, serum /urinary M protein and skeletal lytic lesions. If two of these criteria are present then diagnosis is confirmed. Management protocol depends on whether patient is symptomatic or not. The treatment includes chemotherapy with or without Haematopoietic Stem Cell Transplant (HSCT), Radiotherapy and / or bisphosphonates. With ...