Dr Abdul Halim

30/07/2026

A 16 year old male patient came to the doctor with a low IQ,poor school performance.He has a history of recurrent seizure .He also noticed a pale macule on the trunk,pink papule over mid face,navie on the lower back.He has a history of difficulty of vision.In addition to this he has tumour on multiple organs.CT scan of head shows calcification of basal ganglia region.What is your diagnosis and which one is the Hallmark feature of this disease?

18/07/2026

A 23 year old female came to the doctor with recurrent sinusitis for many years.she also has a history of recurrent chest infection .Cxr shows pleural effusion.she observes her skin of the limbs is abnormally thick.she notices that her nail is getting discoloured and thickened gradually.What is your provisional diagnosis?

21/06/2026

A 16 year old boy came to hospital with pruritus ,anorexia,nausea and vomiting for 5 days.He also complains of weight loss.Doctor examine the patient and found jaundice,scratch mark,dehydration,cachectic.on investigations direct bilirubin high,ALP level high otherwise normal.Liver biopsy shows cholestasis but cholangiography shows no evidence of biliary obstruction.Patient had similar episode previously multiple time since 10 year of age.Similar episode usually persists week to month then patient lead normal life in between attack.What is your diagnosis?

21/06/2026

A 19 year old teenager is addicted to cannabis for 6month.Now he is addicted to stimulants.He feels chest pain ,palpitation following 2 hours of drug abuse.Patient is brought to the emergency department.Doctor examines the patient and found high temperature,tachycardia,tachypnea, anxiety,mydriasis.Ecg shows ST elevation but trop I normal.A after 4-5 hours ecg normal ,patient completely normal.what is your diagnosis and which stimulant is used by the patient?

17/06/2026

A Male patient of 43 year came to hospital with history of arthritis especially metacarpophalangeal joint,single knee joint pain swelling and chest pain.He also noticed gray skin discolouration especially exposed part and axila,groin,genitalia.He also developed new onset diabetis.Patient feel dyspnoea on exertion,swelling of both legs.on examination jaundice,ascitis ,odema,raised jvp and tender swollen joint ,basal crepitation,pulpus alternance.on investigation CBC shows normal except high ESR,Rbs high,CRP raised.joint fluid aspiration and study shows calcium pyrophosphate crystal.Which test will you do next and which xene defect is associated with underlying diagnosis?

17/06/2026

A 32 year old multiparas women came to doctor with history of Generalized weakness,menstrual irregularity,painful menstruation,weight gain,infertility.History of dyspareunia,lack of interest to do sex.History of headache ,bowel and bladder habit is normal.patient has a history of famicon and norix for many years.on examination reduced hair,mild oedema.on investigation CBC shows normal findings,s.creatinine normal,s.electrolytes normal,Thyroid hormone normal,usg of W/A normal.some hormone test is given but report is pending .What is your probable diagnosis and how will you treat this patient?

15/06/2026

15/06/2026

A young male patient is brought to hospital with severe thunderclap headache on occipital area,H/O vomiting,reduced consciousness ,sign of meningeal irritation.past history of parents death in kidney disease.on examination GCS reduced,BP High,palpable liver ,both kidney is ballotable.CT scan of head confirm the diagnosis of SAH.Ultrasound of whole abdomen show hepatic ,renal ,pancreatic cyst.what is your underlying diagnosis and which chromosome is most commonly affected in this disease?

15/06/2026

A patient of 23 year old man came to hospital with generalized weakness,fatigue,lassitude,intermittent jaundice.He also complains of dark colour urine at morning but normal throughout the day.He has a history of intermittent chronic abdominal pain.on examination doctor found pallor,icteric,raised temperature.No bony tenderness ,organomegally,lymphadenopathy.cbc shows anaemia,pancytopenia.PBF shows no blast cell.urine for dipstick positive but microscopy no RBC.what is your diagnosis and gold standard inv and gold standard curative RX?

14/06/2026

A 40 year old man with uncontrolled type II diabetis came to doctor with complaints of chronic low grade fever,chronic cough often hemoptysis,weight loss ,anorexia.on general examination increased temperature ,anemia,cervical lymphadenopathy.Cbc shows high ESR,normochromic normocytic anaemia,sputum for AFB posstive ,xene expert and culture confirm the pulmonary TB.Doctor start standard chemotherapy under DOT.patient die within few days of treatment.what was the disease in this patient in addition to Pulmonary TB?