Cheah Sin Dee

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Questions related from Cheah Sin Dee

After Graham patch repair of PGU/PDU, how long should we continue proton pump inhibitors?

Assuming H.pylori eradicated and NSAIDs/antiplatelet risk factor withdrawn Is it 6 weeks, the same duration recommended as for non perforated ulcer healing? Do we routinely perform...

28 January 2016 3,487 10 View

Bethesda V -suspicious of papillary carcinoma

In a patient with multinodular goitre ( non toxic and no compressive symptoms) , with a single suspicious nodule (2 cm) on ultrasonography and cytology of that nodule as Bethesda V ( suspicious of...

01 January 1970 7,266 9 View

Recurrent breast cancer with contralatetal axillary metastasis

A 46 year old lady, had a left breast carcinoma 13 years ago- underwent left breast conservative therapy ( wide local excision + axillary dissection + whole breast radiotherapy), followed by...

01 January 1970 2,767 2 View

Parathyroid adenoma differentiation from parathyroid hyperplasia

Hello Can we differentiate between adenoma and hyperplasia in a patient with long standing renal failure on dialysis? For example, in a renal failure patient on dialysis with secondary...

01 January 1970 5,552 8 View

Diagnostic laparoscopy for clinical appendicitis - white appendix intraoperatively

In a patient with equivocal clinical diagnosis of acute appendicitis, and underwent diagnostic laparoscopy, what will you do if the appendix is normal looking ( white) , and assuming no other...

01 January 1970 9,561 16 View

Role of lugol's iodine in preparation for thyroidectomy in toxic multinodular goiter?

Does lugol's iodine have the same Wolff chaikoff effect in toxic MNG? Or does it worsen the thyrotoxicosis if given to these patients?

01 January 1970 7,596 14 View