Monday, 3 November 2014

Spot the diagnosis -63

(1) A lady patient of thirty five of abdominal colic has come with deathly pallor and gasping respiration .
Ans Rupture ectopic gestation .

(2) A patient of abdominal pain has come with collapse and cynosis .
Ans Acute haemorrhagic pancreatitis .

(3) What is that disease in acute abdomen where pulse remains quite normal for quite a long time until its volume and tension fall and rate increases with no tendency to return to normal .
Ans Acute intestinal obstruction .

(4) A patient has come with acute abdomen and fever about 104F which system is involved .
Ans Probably abdomen is not involved . Look for other system .

(5) A patient has come with a severe pain in the epigastric region. There is a muscle guard on the upper half of right rectus . What do you think ?
Ans This is strongly suggestive of perforation of peptic ulcer .

(6) A patient of acute intestinal obstruction is admitted in the ward . He has developed early rigidity of abdominal wall . What do you think ?
Ans This is indicative of intestinal strangulation .

(7) A patient has come with abdominal pain on examination of his scrotum . There is swelling , redness and tenderness .
Ans Retroperitoneal lymphangitis .

(8) A lady of thirty five has been operated for L.S.C.S and discharged . After about two months she came with urinary incontinence and paraplegia  . All the doctors said that there must be some injury to the bladder .But when x-ray of the spine was done then the diagnosis became clear and vivid . Can you say what would have been there?
Ans There would have been Pott's fracture of the vertebra causing Pott's paraplegia  & incontinence .

(9) A Patient  of acute agonising abdominal pain , vomiting and lightening pain in the legs . One surgeon found Argyll Robertson pupil  and cleared the diagnosis . Can you say what disease was there of the patient ?
Ans Tabes dorsalis .

(10) A patient was hospitalised with agonising pain abdomen . Doctors failed to diagnose . Many test were done . His  serum amylase was much high .
Ans Acute pancreatitis.

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