Friday, 8 August 2014

Spot the diagnosis iX

1.)In a jaundice patient the gall bladder is palpably enlarged.
-Carcinoma head of panecreas.
2.)what are the exception of corvoisers law.
-Double impaction one stone in CBD and another stone in cystic duct.pancreatic canculi or chronic panecreatitis.
3.)In a patient with prolonged cough and dyspnoea the liver and cardiac dullness is obliterated.
-Emphysema
4.)A patient came in emergencie with fever,pain,vomiting and tenderness in left illiac fossa.on examination is his apex beat was found in the right of sternum.
-Appendicitis in dextro cardiac patient.
5.)An old case of peptic ulcer now feels pain in the back to the right side of spine.
-Extension of ulcer to the head of panecreas.
6.)An old case of peptic ulcer now feels pain in the back to the left side of spine.
- Extension of the ulcer to the body and tail of pancreas.
7.)A patient of 65 has been referred to you for enlarged prostate with pain in the lumbo-sacral vertebrae.
-Carcinoma of prostate.
8.)Which tuberculous arthritis finally ends with bony ankylosis.
-Pott's deaseas.
9.)A neonate has been born with a tuft of hair on lumbo -sacral region.
- spina bi fida occulta.
10.)A patient has come with a hard ovoid and lobulated swelling in the neck under the upper 3rd of sternomastroid muscle at the upper level of thyroid cartilage. movable laterally but not vertically.
-Potato tumour.

Spot the diagnosis VIII

1.) In which disease common carotid artery becomes pulsatile.
-arotic incompetence.
2.) In which disease the neck veins are engorged and full.
-Retro Sternal Goitre & Neoplasm of Media stinum
3.)In which disease there is pulsatile liver.
-Tricuspid regargitation.
4.)In which disease there is pulsatile superficial thyroid artery.
-Thyrotoxicosis.
5).Which solid  tumour of the neck becomes  pulsatile on  pressure.
-Potato tumour
6.)A patient on prolonged fluid transfusion has fullness of external jugular vein.
-Over hydration.
7.)A patient has superficial communication between vein of axilla and those of veins of femoral triangle on both sides of abdomen.
-Obstruction of inferior vena cava.
8.)When patient has superficial communication between axillary vein and those of vein of femoral triangle of only one side.
-Pressure over the common or  external illiac vein of that side
9.)A patient has come with uni lateral enlargement of external jugular vein.
-Pressure on the sub clavian vein or vein is partially occluded in supraclavicular fossa by enlarged lymph node,neoplasm and aneurysm.