Thursday, 16 October 2014

Spot the Diagnosis -45

(1) An adult male of forty five has come with chronic abdominal pain. He has loss of ankle jerks, sluggish pupillary reaction to light and lightening pain in the  legs .
Ans Tabes dorsalis .
(2) A man of thirty has come with a pulsatile swelling in epigastrium . What are the diseases in which this pulsation   is found ?
Ans Tricuspid regurgitation and aneurysm of abdominal aorta .
(3) A patient has come with  palpable and tender liver with tenderness in the left iliac fossa at the manson 's Bar amoebic point .
Ans Amoebic colitis and hepatitis.
(4)  A young patient with generalised wasting has come with arthritis of left ankle joint .
Ans tubercular arthritis .
(5) A patient has come with arthritis of knee joint with hectic rise of fever , chill and tachycardia.
Ans suppurative arthritis .
(6) In a patient there is a firm swelling near the head of fibula . When compressed pain shoots down to the foot ?
Ans Neuromyxofibroma of lateral popliteal nerve .
(7) In a patient there is a cystic swelling in the popliteal fossa of the knee . The cyst does not pulsate.
Ans Semimembrosus bursitis .
(8) A patient has come with a cystic swelling between the tendons of the tibial collateral ligament and the tendons of sartorius , gracialis and semitendinosus superficially .
Ans Bursa anserina .
(9) A patient has come with swelling in the knee joint with muscular atrophy and looks white and puffy .
Ans Tuberculosis of the knee joint. (10) A patient has come with pain in  the knee . His knee was x-rayed but nothing positive was found .
Ans pain was referred from his hip joint which should be examined and x-rayed also .

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