Sunday, 9 November 2014

Spot the Diagnosis -67

(1) A patient of intestinal obstruction has come with rebound tenderness and  rigidity .
Ans Internal strangulation .

(2) A patient has come with board like abdominal rigidity with absence of liver dullness .
Ans Perforation of peptic ulcer .

(3) A patient of chronic bronchitis has come with loss of cardiac and liver dullness .
Ans Emphysema.

(4) A post operative patient was In the ward whose abdominal operation was done about three days ago has developed abdominal distention without visible peristalsis and silent abdomen .
Ans Paralytic ileus .

(5) A young patient has been admitted in the surgical ward with distention of the epigastrium and profuse and frequent vomiting with severe dehydration and terrible thirst .
Ans Congenital pyloric stenosis .

(6) A young patient has come with sudden and intense pain over the umbilicus and vomiting is incessant and offensive . There is central distension with ladder pattern peristalsis .
Ans Iow gut obstruction .

(7) A lady of forty has distaste for fatty food .
Ans She is likely to have gallbladder disease .(Qualitative dyspepsia)

(8) A man of fifty has loss of weight and appetite  and developed distaste for meat ?
Ans Early feature of gastric carcinoma .(qualitative dyspepsia)

(9)A man of forty five has come with the complaints of alternation in his bowel habits ,  alternate constipation and  diarrhoea  .
Ans May be a case of carcinoma of colon .

(10) A patient has come with painless progressive jaundice .
Ans May be a case of carcinoma head of pancreas.

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