Singap Med J
-
A 55-year-old Indian woman with newly-diagnosed diabetes mellitus presented with acute onset right upper limb proximal weakness. This was followed three weeks later by pain, weakness and sensory loss in the left upper limb. ⋯ Sural nerve and quadriceps biopsy did not show vasculitis. Brachial plexopathy has seldom been associated with diabetes mellitus and could represent a rare subtype of the diabetic neuropathies.
-
Extra-abdominal desmoid tumour is a rare tumour and only a few cases occurring in the limbs have been reported. A 35-year-old woman presented with gradually increasing swelling in the upper leg. ⋯ This case had an abnormal radiological appearance of peripheral calcification of tumour and saucer-shaped lesion in the underlying tibial cortex. The patient had no recurrence at two years follow-up.
-
This study aims to determine the prevalence of emotional and behavioural problems in a community sample of Singaporean children aged 6-12 years, and its agreement according to parent, teacher and child reports. ⋯ The prevalence rates of emotional and behavioural problems in Singaporean children based on CBCL ratings are comparable to those in the West, but the low response rate and exclusion of children with special needs limit the generalisability of our findings. Singaporean children have higher rates of internalising problems compared to externalising problems, while Western children have higher rates of externalising problems compared to internalising problems.
-
We evaluated the relative position of the greater palatine foramen (GPF) for precise injection of local anaesthetics, for optimal pain control in maxillofacial and dental surgeries. ⋯ The perpendicular distance of the GPF in Indian skulls was about 15 mm, the distance of GPF to incisive fossa was approximately 37 mm, and the GIM angle was 21 degrees.
-
Most patients presenting to the emergency department (ED) with minor head injury (HI) can be discharged, provided a caregiver is present and careful discharge instructions are given. The study ED uses an advice leaflet with verbal reinforcement to patients and caregivers detailing post-discharge instructions and warning symptoms of worsening HI. We aim to evaluate local patients' and caregivers' compliance to discharge instructions and their ability to recall HI advice. ⋯ Our study raises concerns about the reliability of discharge advice for minor HI patients.