Wednesday, 26 August 2015

Spot the diagnosis 85

(1) A patient has come with ascites and loss of subcutaneous fat on his nose and face and there are many small red swellings on the thorax which blanches on pressure by the tip of a match-stick .
Ans Cirrhosis of liver

(2)An already diagnosed case of cirrhosis liver has come for check-up . Now he has developed anorexia and evening rise of temperature . Spot the diagnosis ?
Ans cirrhotic patient are very sensitive to catch tuberculosis .

(3) A poor ,undiagnosed and untreated patient of ascites died of  severe haemetemesis . Can you spot the diagnosis ?
Ans Cirrhosis of liver .

(4) A patient of forty five has come in the S.O.P.D with the complaints of alternate diarrhoea and constipation  for months together . On palpation of his abdomen the doctor finds a hard and irregular lump in his right iliac fossa . Spot the diagnosis ?
Ans Carcinoma caecum.

(5)  A young and neglected patient has come with a hard and irregular lump in right iliac fossa with multiple sinuses over it with yellowish discharge . Spot the diagnosis ?
Ans Actinomycosis .

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