SM Emergency Medicine and Critical Care

Archive Articles

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Diagnosis and Monitoring of Neurological Changes in Intensive Care

Since patients are usually incubated or sedated at intensive care units and they are given neuromuscular agents, neurological examination and early diagnosis of neurological complications is difficult and complex for both nurses and doctors. This review includes patient history, evaluation of physical, mental and motor functions and new methods on neurological diagnosis.

Eylem TOPBA޹*


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Clinical-Image-Emphysematous-Gastritis-Due-to-Gastric-Mucormycosis-in-a-Patient-with-Massive-Gastrointestinal-Bleeding

A 75-year-old man, who enjoyed good past health, was admitted for acute coronary syndrome. He was prescribed with double anti-platelet therapy and low molecular weight heparin. He was subsequently complicated with upper gastrointestinal bleeding.

Oi Fung Wong¹* and Terence Man Chun Tong²


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Clinical-Image-Spontaneous-Bilateral-Pneumothoraces-in-a-Patient-with-Human-Immunodeficiency-Virus-Infection

A 28-year-old man with history of substance abuse presented to the emergency department for fever and shortness of breath.

Oi Fung Wong¹* and Terence Man Chun Tong²


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Clinical-Image-A-Suspected-Body-Packer

A 71-year-old male under custody by Custom Officer for suspected body packing was brought to the emergency department for medico-legal examination. Vitals were stable. Physical examination was unremarkable.

Kevin Ching Hin Wong*, Wai Yip Wong, Oi Fung Wong, Hing Man Ma, and Albert Chau Hung Lit


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Strongyloides Hyperinfection in a Patient with Hypogammaglobulinaemia

Strongyloides hyperinfection is a potentially fatal infection in immunocompromised patient. We report a case of Strongyloides hyperinfection in a patient with hypogammaglobulinaemia and suspected Good syndrome (thymoma-related adult-onset immunodeficiency).The patient presented with symptoms of gastroenteritis and developed respiratory failure shortly after admission. The Strongyloides hyperinfection was controlled by a prolonged course of ivermectin therapy. Owing to the profound immunodeficiency, the patient was also suffering from multiple opportunistic infections and eventually died of aspergillosis.

Oi Fung Wong¹* and Mandy Sze Man Chan²