1.Pneumoperitoneum or Chilaiditi’s sign
Teoh SW, Mimi O, Poonggothai SP, Liew SM, Kumar G
Malaysian Family Physician 2016;11(1):22-24
Chilaiditi’s sign describes the incidental radiographic finding of the bowel positioned between the
right diaphragm and the liver. This is often misdiagnosed as pneumoperitoneum or free air under
the diaphragm, which may lead to unnecessary investigations or surgical procedures. Here, we report
two incidental chest radiograph findings of air under the diaphragm in patients who were being
screened for pulmonary tuberculosis. This case series highlights the importance of awareness of the
diagnosis of Chilaiditi’s sign to avoid unnecessary hospital referrals.
2.Oral submucous fibrosis as a precursor of malignancy - a case report.
Kumar SP ; Shenai PK ; L Chatra ; Rao PK ; Veena KM.
Pacific Journal of Medical Sciences 2012;9(2):64-69
Oral submucous fibrosis (OSF) is a high risk precancerous condition predominantly occurs in Indians and other population of the Indian subcontinent with certain oral habits. Betel quid (BQ) chewing is a popular oral habit with potential links to the occurrence of oral cancer. In patients with submucous fibrosis, the oral epithelium becomes atrophic and thereby becomes more vulnerable to carcinogens. Since the ingredients of BQ, tobacco are crucial for tumour initiation, promotion and progression, exposure to these toxicants simultaneously has been shown to markedly potentiate the oral cancer incidence in OSF patients. The rate of malignant transformation of OSF has been estimated to be 4.5%. Most cases with malignant transformation in OSF had occurred gradually over a long period of time.
3.Evaluation of Dental Students’ Medical History Records on Hypertension and Diabetes Mellitus at The National University of Malaysia
Jun Ai Chong ; Fara Azwin Adam ; Ang Yee ; Laila Azwa Hassan ; Hetal Ashvin Kumar Mavani ; Rama Krsna Rajandram
Malaysian Journal of Medicine and Health Sciences 2023;19(No.4):201-206
Introduction: A thorough medical history ensures safe dental practice. A good medical history guides clinicians in
risk stratification to avoid medical emergencies and improve preparedness to prevent patient morbidity and mortality. This clinical audit aims to analyse the medical history taken by the dental students in patients with hypertension
and/or diabetes mellitus (DM) and subsequently, recommend improvements in history-taking components in the
dental practice. Methods: Hundred and two patients’ folders from the Faculty of Dentistry were examined by two
independent auditors using a validated history-taking evaluation form. Six components of the medical history were
classified as good or bad practices. Sociodemographic factors and distribution of the American Society of Anesthesiologists (ASA status) were described. The level of completeness of medical history records with years of study was
assessed using the Chi-square test. Results: None of the students met 100% of the components required in medical
history taking. Year three undergraduates performed poorly in the completeness of diagnosis and control of the
medical condition whereby none of them had a good level of practice. The completeness of records did not differ
between years of study except for diagnosis (p=0.026), control (p<0.001) and updating medical history (p=0.009)
whereby the postgraduates had the best practice. Conclusion: This study highlighted marked deficiencies in taking a
thorough medical history. Adaptation of the European Medical Risk Related History (EMRRH) form is recommended
to be implemented in dental schools.