Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1.25790
S. M. Abu Hussain, N. A. Shibraumalisi, H. N. Miptah, Anis Safura Ramli
Spinal muscular atrophy (SMA) is a neurodegenerative disease affecting 4 out of 10,000 live births. It is an autosomal recessive genetic condition caused by mutations of the survival motor neuron gene 1 (SMN1), located at chromosome 5q. There are five types of SMA, from Type 0 to Type 4. Depending on the types, SMA can cause severe disability and death. This case report presents a case of a six-month old baby boy with gross motor developmental regression. There was a missed opportunity to detect this case in primary care. The baby was referred by a private paediatrician to a government hospital’s outpatient paediatric clinic for losing his ability to roll over, lift his buttocks, and sit without support. Genetic testing confirmed the diagnosis of SMA Type 2. Receiving the diagnosis and caring for a child with SMA is a life-changing event for the parents and caregivers. The availability of gene therapy may change the prognosis and outcome of patients with SMA and should be offered if available. This case highlights the impact of the child’s illness on the family and the importance of a multidisciplinary team approach in managing SMA. Primary care physicians play a key role in conducting thorough child health surveillance to ensure early identification and providing support to the child and the parents holistically as the disease progresses into adulthood. This includes providing long-term psychosocial support to improve their quality of life.
脊髓性肌萎缩症（SMA）是一种神经退行性疾病，每 1 万名活产儿中就有 4 人患病。它是一种常染色体隐性遗传病，由位于 5q 染色体的存活运动神经元基因 1 (SMN1) 突变引起。SMA 共有五种类型，从 0 型到 4 型不等。根据类型的不同，SMA 可导致严重残疾和死亡。本病例报告涉及一名六个月大的男婴，他患有粗大运动发育迟缓。该病例在初级保健阶段就被发现，但却错失良机。该婴儿因失去翻身、抬臀和无支撑坐立的能力而由一名私立儿科医生转诊至一家政府医院的儿科门诊。基因检测确诊为 SMA 2 型。对父母和护理人员来说，确诊并照顾 SMA 患儿是一件改变人生的大事。基因疗法的出现可能会改变 SMA 患者的预后和治疗效果，因此如果可以提供基因疗法，就应该提供。本病例强调了患儿疾病对家庭的影响，以及多学科团队方法在管理 SMA 方面的重要性。初级保健医生在开展全面的儿童健康监测以确保早期识别方面发挥着关键作用，并在疾病发展到成年期时为患儿和家长提供全面支持。这包括提供长期的社会心理支持，以改善他们的生活质量。
{"title":"A Case of Spinal Muscular Atrophy Type 2 in a Child: A Genetic Condition Rarely Detected in Primary Care","authors":"S. M. Abu Hussain, N. A. Shibraumalisi, H. N. Miptah, Anis Safura Ramli","doi":"10.24191/jchs.v9i1.25790","DOIUrl":"https://doi.org/10.24191/jchs.v9i1.25790","url":null,"abstract":"Spinal muscular atrophy (SMA) is a neurodegenerative disease affecting 4 out of 10,000 live births. It is an autosomal recessive genetic condition caused by mutations of the survival motor neuron gene 1 (SMN1), located at chromosome 5q. There are five types of SMA, from Type 0 to Type 4. Depending on the types, SMA can cause severe disability and death. This case report presents a case of a six-month old baby boy with gross motor developmental regression. There was a missed opportunity to detect this case in primary care. The baby was referred by a private paediatrician to a government hospital’s outpatient paediatric clinic for losing his ability to roll over, lift his buttocks, and sit without support. Genetic testing confirmed the diagnosis of SMA Type 2. Receiving the diagnosis and caring for a child with SMA is a life-changing event for the parents and caregivers. The availability of gene therapy may change the prognosis and outcome of patients with SMA and should be offered if available. This case highlights the impact of the child’s illness on the family and the importance of a multidisciplinary team approach in managing SMA. Primary care physicians play a key role in conducting thorough child health surveillance to ensure early identification and providing support to the child and the parents holistically as the disease progresses into adulthood. This includes providing long-term psychosocial support to improve their quality of life.","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"49 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1.21044
Amanda C Yun-Vern, Nor Fadlina Mazlan, Muhammad Haziq Nizaruddin, Rima Dasrilsyah
Introduction: HPV testing has been introduced in Malaysia for nearly 10 years. However, the Malaysian population are largely unaware of its availability and significance in the prevention of cervical cancer. Due to this fact, this study aims to determine the knowledge, awareness and perception of HPV testing and association with sociodemographic characteristics among a university staff, a study sample derived from the community in the state of Selangor, Malaysia. Methods: A cross-sectional study was conducted among University Putra Malaysia (UPM) staff from various faculties. Recruitment of study subjects was done through convenient sampling. Data on knowledge, awareness, and perception of HPV testing, alongside with socio-demographic factors were collected using online questionnaires. Statistical analyses were performed using IBM Statistical Package for Social Science (SPSS) version 26.0. Results: A total of 166 respondents participated in the study. Gender (female) and ethnicity (Chinese) were associated with higher level of knowledge on HPV testing. Meanwhile, females outperformed males in terms of awareness of the test. Other sociodemographic characteristics have no significant association with perception of HPV testing. Conclusion: This study indicated that the level of knowledge on HPV testing was generally poor, especially among Malays and other minority races. Awareness was also lower mostly among male respondents. Our findings highlighted the importance of improving the level of awareness and knowledge of HPV testing, to reduce the prevalence of HPV-related morbidity and mortality in Malaysia.
{"title":"Knowledge, Awareness and Perception of Human Papillomavirus Testing Among Staff in a Public University in Malaysia","authors":"Amanda C Yun-Vern, Nor Fadlina Mazlan, Muhammad Haziq Nizaruddin, Rima Dasrilsyah","doi":"10.24191/jchs.v9i1.21044","DOIUrl":"https://doi.org/10.24191/jchs.v9i1.21044","url":null,"abstract":"Introduction: HPV testing has been introduced in Malaysia for nearly 10 years. However, the Malaysian population are largely unaware of its availability and significance in the prevention of cervical cancer. Due to this fact, this study aims to determine the knowledge, awareness and perception of HPV testing and association with sociodemographic characteristics among a university staff, a study sample derived from the community in the state of Selangor, Malaysia. Methods: A cross-sectional study was conducted among University Putra Malaysia (UPM) staff from various faculties. Recruitment of study subjects was done through convenient sampling. Data on knowledge, awareness, and perception of HPV testing, alongside with socio-demographic factors were collected using online questionnaires. Statistical analyses were performed using IBM Statistical Package for Social Science (SPSS) version 26.0. Results: A total of 166 respondents participated in the study. Gender (female) and ethnicity (Chinese) were associated with higher level of knowledge on HPV testing. Meanwhile, females outperformed males in terms of awareness of the test. Other sociodemographic characteristics have no significant association with perception of HPV testing. Conclusion: This study indicated that the level of knowledge on HPV testing was generally poor, especially among Malays and other minority races. Awareness was also lower mostly among male respondents. Our findings highlighted the importance of improving the level of awareness and knowledge of HPV testing, to reduce the prevalence of HPV-related morbidity and mortality in Malaysia.","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"45 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1.16512
S. Ariaratnam, Wei Son Da, Muhammad Adib Baharom
{"title":"Synergetic Effect of Electroconvulsive Therapy and Clozapine therapy in Treating Severe Intractable Aggressive Behaviour in an Adult with Intellectual Disability: A Case Report","authors":"S. Ariaratnam, Wei Son Da, Muhammad Adib Baharom","doi":"10.24191/jchs.v9i1.16512","DOIUrl":"https://doi.org/10.24191/jchs.v9i1.16512","url":null,"abstract":"","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"154 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140286246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1.21407
Muhammad Amin Ibrahim, Chee Chai Shee, Mohd Nazeri Kamarudin, M. F. A. Abdul Rani
Introduction: 6-min-walk-test (6MWT) is the gold standard for assessing exercise-induced impairment of gas exchange, but it is technically challenging in a busy outpatient clinic. The aim of this study was to compare the 1-minute sit-to-stand test (1MSTST) with the 6MWT in assessment of exercise-induced oxygen desaturation in post COVID-19 patients in an outpatient setting. Methods: A total of 447 outpatient post COVID-19 patients were recruited from post COVID-19 clinic. A set of 6MWT and 1MSTST were performed on the same day. Results: A total of 447 sets were performed at a mean of 160 days post discharge. Majority were in COVID-19 infection category 4 (n=251, 56%), 5 (n=118, 26%) and 3 (n=6, 15%). A total of 19% (n=89) of patients remained symptomatic (mMRC >1). There were no significant differences between nadir SpO2 of 6MWT and 1STST (p=0.075). Bland-Altman plots showed good agreement between nadir SpO2 for 6MWT and 1MSTST (Mean differences=0.028). 1MSTST could detect oxygen desaturation >4% with sensitivity of 76.8% and specificity of 42.4% compared to 6MWT. There was no clinically significant SpO2 difference during 6MWT and 1STS between symptomatic and asymptomatic patients at baseline, nadir, and recovery; the differences were <1%. However, there were lesser 6MWT distance and 1MSTST repetition between symptomatic and asymptomatic patients; 47m (p < 0.001) and 3 repetition (p < 0.001) respectively. Conclusion: There is a good agreement of nadir SpO2 and sensitivity to detect oxygen desaturation > 4% between 6MWT and 1MSTST. 1MSTST is a useful screening test to screen exercise-induced oxygen desaturation during outpatient assessment.
{"title":"The Utility Of 1-Minute Sit-To-Stand Test to Detect Exercise-Induced Oxygen Desaturation in Outpatient Assessment of Post COVID-19 Patients","authors":"Muhammad Amin Ibrahim, Chee Chai Shee, Mohd Nazeri Kamarudin, M. F. A. Abdul Rani","doi":"10.24191/jchs.v9i1.21407","DOIUrl":"https://doi.org/10.24191/jchs.v9i1.21407","url":null,"abstract":"Introduction: 6-min-walk-test (6MWT) is the gold standard for assessing exercise-induced impairment of gas exchange, but it is technically challenging in a busy outpatient clinic. The aim of this study was to compare the 1-minute sit-to-stand test (1MSTST) with the 6MWT in assessment of exercise-induced oxygen desaturation in post COVID-19 patients in an outpatient setting. Methods: A total of 447 outpatient post COVID-19 patients were recruited from post COVID-19 clinic. A set of 6MWT and 1MSTST were performed on the same day. Results: A total of 447 sets were performed at a mean of 160 days post discharge. Majority were in COVID-19 infection category 4 (n=251, 56%), 5 (n=118, 26%) and 3 (n=6, 15%). A total of 19% (n=89) of patients remained symptomatic (mMRC >1). There were no significant differences between nadir SpO2 of 6MWT and 1STST (p=0.075). Bland-Altman plots showed good agreement between nadir SpO2 for 6MWT and 1MSTST (Mean differences=0.028). 1MSTST could detect oxygen desaturation >4% with sensitivity of 76.8% and specificity of 42.4% compared to 6MWT. There was no clinically significant SpO2 difference during 6MWT and 1STS between symptomatic and asymptomatic patients at baseline, nadir, and recovery; the differences were <1%. However, there were lesser 6MWT distance and 1MSTST repetition between symptomatic and asymptomatic patients; 47m (p < 0.001) and 3 repetition (p < 0.001) respectively. Conclusion: There is a good agreement of nadir SpO2 and sensitivity to detect oxygen desaturation > 4% between 6MWT and 1MSTST. 1MSTST is a useful screening test to screen exercise-induced oxygen desaturation during outpatient assessment.","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"8 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140404449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1(s).25791
{"title":"Proceeding of International Conference on Precision Health in Industrial Revolution 4.0 (IC-PHIR), 26-27th August 2023 (pS1-S28)","authors":"","doi":"10.24191/jchs.v9i1(s).25791","DOIUrl":"https://doi.org/10.24191/jchs.v9i1(s).25791","url":null,"abstract":"","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"17 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140406557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1.19570
Nor Elyzatul Akma Hamdan, Ali Omar Yassen, Mathumalar Loganathan Fahrni
After battling the extreme acute respiratory syndrome-causing coronavirus disease 2019 (COVID-19) pandemic for more than two years, the vaccines have enabled the transition to endemicity. Despite vaccine advancement, Mankind will be one step behind viruses like SARS-CoV-2 as the latter continuously evolve into variants with higher transmissibility. They demonstrate immune escape through genetic mutation or viral recombination which occurs during replication of the genome. Vaccine variants in the form of booster doses are required following the initial vaccination series to prevent the spread of the more dangerous SARS-CoV-2 variants of concern (VoC) such as Omicron. Protection against COVID-19 for those with chronic comorbid conditions, those who are immunosuppressed, and vulnerable, at-risk population was postulated to decline rapidly with time from their last vaccination. As the elicited adaptive immune response declines, older adults and at-risk populations continue to be at the highest risk of morbidity and mortality from future VoC. Current vaccines are effective at reducing severe respiratory-related illnesses, hospitalisation, and mortality attributed to COVID-19, yet cannot fully protect against developing an infection. The article summarises the evidence and policy recommendations for COVID-19 booster shots. This information is useful for future planning by policymakers and healthcare providers to make vaccination policies and decisions, particularly for including the COVID-19 vaccines in national immunization programs.
{"title":"COVID-19 Booster Vaccination in Malaysia","authors":"Nor Elyzatul Akma Hamdan, Ali Omar Yassen, Mathumalar Loganathan Fahrni","doi":"10.24191/jchs.v9i1.19570","DOIUrl":"https://doi.org/10.24191/jchs.v9i1.19570","url":null,"abstract":"After battling the extreme acute respiratory syndrome-causing coronavirus disease 2019 (COVID-19) pandemic for more than two years, the vaccines have enabled the transition to endemicity. Despite vaccine advancement, Mankind will be one step behind viruses like SARS-CoV-2 as the latter continuously evolve into variants with higher transmissibility. They demonstrate immune escape through genetic mutation or viral recombination which occurs during replication of the genome. Vaccine variants in the form of booster doses are required following the initial vaccination series to prevent the spread of the more dangerous SARS-CoV-2 variants of concern (VoC) such as Omicron. Protection against COVID-19 for those with chronic comorbid conditions, those who are immunosuppressed, and vulnerable, at-risk population was postulated to decline rapidly with time from their last vaccination. As the elicited adaptive immune response declines, older adults and at-risk populations continue to be at the highest risk of morbidity and mortality from future VoC. Current vaccines are effective at reducing severe respiratory-related illnesses, hospitalisation, and mortality attributed to COVID-19, yet cannot fully protect against developing an infection. The article summarises the evidence and policy recommendations for COVID-19 booster shots. This information is useful for future planning by policymakers and healthcare providers to make vaccination policies and decisions, particularly for including the COVID-19 vaccines in national immunization programs.","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"172 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140404825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1.20471
Mawaddah Azman, Hardip Singh Gendeh, Wan Najwa Wan Mohd Zobdi, Juliana Md Noor, R. Jarmin, Hanafiah Harunarashid
Introduction: Malaysia boasts a diverse geographical distribution ranging from urban, suburban and rural areas. The COVID-19 national immunization program calls for specific strategies to enhance vaccine roll-out. Methods: A retrospective study was conducted at two vaccination centres in Parit Sulong and Puncak Alam. Registration data from 150 and 1420 consenting adults receiving their first dose of COVID-19 vaccination from Parit Sulong and Puncak Alam were included, respectively. Results: The vaccination center at Parit Sulong utilised three methods: 1) satellite vaccination camp; 2) mobile outreach camp; and 3) home-to-home visits to improve vaccine reach in a rural district. The vaccination center at Puncak Alam utilised two methods: 1) vaccination in a large hall; and 2) drive-through vaccination to enhance daily vaccine administration in an urban district. The vaccine recipients at Parit Sulong were significantly older compared to Puncak Alam (70.39 SD 11.39 vs 51.52 SD 11.02 years) (p<0.0001). A significantly higher proportion of vaccine recipients at Parit Sulong were unable to read or write in their mother tongue (41.33%)(p<0.0001), do not own a mobile phone (53.33%)(p<0.0001) and do not have access to MySejahtera mobile application(84.57%)(p<0.0001). Conclusion: The mobile vaccination model allows for greater vaccination reach and administration, targeting suburban and rural residents with transportation and technology restrictions. The drive-through vaccination model improved the vaccine uptake among young families with children, heavily pregnant ladies and elderly with physical limitations living in urban areas who have access to MySejahtera.
{"title":"Urban and Suburban COVID-19 Immunization: Comparison of Experiences at Parit Sulong and Puncak Alam","authors":"Mawaddah Azman, Hardip Singh Gendeh, Wan Najwa Wan Mohd Zobdi, Juliana Md Noor, R. Jarmin, Hanafiah Harunarashid","doi":"10.24191/jchs.v9i1.20471","DOIUrl":"https://doi.org/10.24191/jchs.v9i1.20471","url":null,"abstract":"Introduction: Malaysia boasts a diverse geographical distribution ranging from urban, suburban and rural areas. The COVID-19 national immunization program calls for specific strategies to enhance vaccine roll-out. Methods: A retrospective study was conducted at two vaccination centres in Parit Sulong and Puncak Alam. Registration data from 150 and 1420 consenting adults receiving their first dose of COVID-19 vaccination from Parit Sulong and Puncak Alam were included, respectively. Results: The vaccination center at Parit Sulong utilised three methods: 1) satellite vaccination camp; 2) mobile outreach camp; and 3) home-to-home visits to improve vaccine reach in a rural district. The vaccination center at Puncak Alam utilised two methods: 1) vaccination in a large hall; and 2) drive-through vaccination to enhance daily vaccine administration in an urban district. The vaccine recipients at Parit Sulong were significantly older compared to Puncak Alam (70.39 SD 11.39 vs 51.52 SD 11.02 years) (p<0.0001). A significantly higher proportion of vaccine recipients at Parit Sulong were unable to read or write in their mother tongue (41.33%)(p<0.0001), do not own a mobile phone (53.33%)(p<0.0001) and do not have access to MySejahtera mobile application(84.57%)(p<0.0001). Conclusion: The mobile vaccination model allows for greater vaccination reach and administration, targeting suburban and rural residents with transportation and technology restrictions. The drive-through vaccination model improved the vaccine uptake among young families with children, heavily pregnant ladies and elderly with physical limitations living in urban areas who have access to MySejahtera.","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"104 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140405699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1.13663
Wan Ahmad Amiruddin Wan Hassan, Wan Islah Leman, Khairul Azhar M. Rajet, Mohd Najeb Md Soleh
{"title":"The Papillary Carcinoma of Thyroglossal Duct Cyst with a Normal Thyroid Gland Appearance: A Case Report","authors":"Wan Ahmad Amiruddin Wan Hassan, Wan Islah Leman, Khairul Azhar M. Rajet, Mohd Najeb Md Soleh","doi":"10.24191/jchs.v9i1.13663","DOIUrl":"https://doi.org/10.24191/jchs.v9i1.13663","url":null,"abstract":"","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"529 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140286264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1.15824
Shahrul-Hisham Sulaiman
{"title":"My child has a hard mass over the thigh","authors":"Shahrul-Hisham Sulaiman","doi":"10.24191/jchs.v9i1.15824","DOIUrl":"https://doi.org/10.24191/jchs.v9i1.15824","url":null,"abstract":"","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"38 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140404362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-01DOI: 10.24191/jchs.v9i1.14680
Shaiful Amir Abdul Manap, Rabi’atul Adawiyah Ahmad, Hazzeq Safin Hashim
Valentino's syndrome is a rare occurrence in which a perforated peptic or duodenal ulcer is mistaken as appendicitis. It occurs when the gastric and duodenal content tract along the right paracolic gutter and accumulate at the right lower abdomen causing irritation and inflammation to the surrounding area. The presentation can mimic acute appendicitis with tenderness at the right lower abdomen region. We present the case of a 35-year-old man who was diagnosed with perforated appendicitis but discovered a perforated peptic ulcer intraoperatively. Modified Graham's patch repair was successfully performed, and the patient's post-operative recuperation went smoothly. Valentino's syndrome is a deceptive condition that can lead to death if it is not correctly diagnosed and treated promptly. We emphasize the need to consider Valentino's syndrome as a differential diagnosis in patients with symptoms suggestive of appendicitis.
{"title":"Valentino’s Syndrome: The Red Herring of a Perforated Viscus","authors":"Shaiful Amir Abdul Manap, Rabi’atul Adawiyah Ahmad, Hazzeq Safin Hashim","doi":"10.24191/jchs.v9i1.14680","DOIUrl":"https://doi.org/10.24191/jchs.v9i1.14680","url":null,"abstract":"Valentino's syndrome is a rare occurrence in which a perforated peptic or duodenal ulcer is mistaken as appendicitis. It occurs when the gastric and duodenal content tract along the right paracolic gutter and accumulate at the right lower abdomen causing irritation and inflammation to the surrounding area. The presentation can mimic acute appendicitis with tenderness at the right lower abdomen region. We present the case of a 35-year-old man who was diagnosed with perforated appendicitis but discovered a perforated peptic ulcer intraoperatively. Modified Graham's patch repair was successfully performed, and the patient's post-operative recuperation went smoothly. Valentino's syndrome is a deceptive condition that can lead to death if it is not correctly diagnosed and treated promptly. We emphasize the need to consider Valentino's syndrome as a differential diagnosis in patients with symptoms suggestive of appendicitis.","PeriodicalId":517565,"journal":{"name":"Journal of Clinical and Health Sciences","volume":"11 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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