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October 2014
Issues to discuss from patient encounters…………

A 68 year old man with diabetes and hypertension presented with a 3 year history of coarse resting tremors involving the R hand and arm. A CT scan showed an infarct in the R frontal lobe. Is the infarct in the right frontal lobe the cause of the coarse tremors?

A doctor wrote the discharge diagnosis of a patient like this: Decompensated CCF secondary to non compliance to fluid restriction. What does this diagnosis tell us about the heart disease in the patient?

An ECG was interpreted as: RBBB (partial). What finding in the ECG will justify such an interpretation?

Analyse these discharge summaries of a patient


Dr Vela Menon, MD
Clinical Associate Professor of Medicine
International Medical University, Malaysia

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