Case 11

This is the typical appearance of: 
A) Brown cataract. 
B) Morgagnian cataract. 
C) Cortical cataract.
D) Ordinary hypermature senile cataract. 
E) Incipient cataract

Case 10

M.D. is a 35-year-old Malay labourer who presented

with progressive shortness of breath on exertion 3/12.

There was no history of chest pain, palpitation, or

swelling of the legs. He sleeps with two pillows.

There was no history of acute rheumatic fever. He denies using illicit drugs. He was diagnosed to have a“murmur” in the heart in childhood.
Physical examination:

Afebrile

Orthopnea

Tachypnea

Polycythaemia

BP136/85 mmHg, PR 98/min regular, non-collapsing

JVP: elevated

Heart: Apex beat 6th ICS 3 cm lateral to MCL, forceful

Loud split 2nd HS

No L parasternal heave

EDM 1/6 in L sternal edge

Chest: NAD

Abdomen: Liver 2fb

CNS: NAD

What is your diagnosis?

Case 9

A 40 year old male was admitted to our hospital after 72 hrs in April 2006 as a road traffic accident case. The bus on which he was traveling was hit by an overtaking truck. On examination he was conscious but was unable to move his left lower limb which was 4 cm shorter than the right and was rotated externally. Left gluteal region and hip was swollen without any open injury. His ipsilateral knee was also swollen and painful

What is your differential diagnosis and what would you do next?