Words of wisdom.

(1) The person who does not bother for himself ,for his caste, religion etc but always thinks for the welfare and the betterment of the whole mankind of the whole universe is nothing less than a great saint ,a great mahatma .

(2) Doctors ,Engineers, Lawyers, Administrators ,Politicians, and men in any field if they are not honest and sincere they are bound to be doomed one day.

Spot the diagnosis -98

(1) You have been told about a child patient of thirteen years old that he was admitted in a big hospital  for tumour of femur . The tumour disappeared completely after radiotherapy . Spot the diagnosis ?

(2) A laprotomy for vague abdominal pain was done . Everything is normal except an enlarged and inflammed lymph node is found in the calot's triangle which is formed by cystic duct ,cystic artery and common hepatic duct.

(3) A middle aged woman has come with pain ,tenderness and a nodule on the radial styloid process . Finkelstein's test is positive. Spot the diagnosis ?

(4) An x-ray plate of a patient was shown to you . There are multiple punched out areas of bone destruction in the size of pea in the x-ray plate. Spot the diagnosis ?

Answers

(2) Chronic cholecystitis .

(3) De Quervon's disease .

(1) Ewing's tumour .

(4) Multiple myeloma .

Spot the diagnosis -97

(1) A chain smoker has developed dry gangrene of his big toe of his right foot .

(2) A diabetic patient has developed wet gangrene of the toes.

(3) An old patient has developed gangrene of his toes . He is neither a smoker nor a diabetic .

(4) A young Lady has come with elevation of the skin on the upper chest which is butterfly shaped and pinkish.

Answers

(2) Diabetic gangrene .

(3) Senile gangrene .

(1) Buerger's disease .

(4) Keloid .

Spot the Diagnosis- 96

(1) A patient has come with gangrene of fingers of one hand . His heart is normal . Spot the diagnosis?

(2) A patient of gangrene of fingers of one hand has come   . His radiological views of cervical vertebra is normal . Spot the diagnosis ?

(3) A patient has come with painless whitlow . Spot the diagnosis ?

(4) A lady patient has come with superficial gangrene of fingers of both the  hands excluding both the thumbs .

Answers

(2) Embolic gangrene .

(3)Morvon's disease .

(1) Cervical rib .

(4) Raynaud's disease .

Spot the diagnosis- 95

(1) A patient aged about fifty has come with bilateral renal swellings . Spot the diagnosis?
 

(2) A patient has been admitted for fever,rigor and profuse sweating . He has brawny endurance in the loin . Spot the diagnosis?
 

( 3) A patient of recurrent renal calculi has been admitted . His urine contains huge amount of calcium. Spot the diagnosis?
 

(4) An emaciated patient with vague abdominal pain has been admitted . His urine is acidic , contains pus cells and on ordinary culture urine is found to be sterile .
 

Answers
(4) Renal tuberculosis .
(3) Parathyroid disease .
(2) Perinephric abscess.
(1)Polycystic kidney .

Spot the diagnosis- 94

(1) In a radiological view of a patient of forty years of age  has an ulcer on the lesser curvature of stomach is more than one inch in length   . Spot the diagnosis ?
(2) A patient has come whose radiological finding is an ulcer on the greater curvature about half an  inch in length . Spot the diagnosis ?
(3) A child patient of four years of age  was brought to S.O.P.D . He has painless and gross enlargement of kidney without haematuria . Spot the diagnosis ?
(4) An adult male of  forty five has come with painless and gross enlargement of kidney . Spot the diagnosis ?

Answers
(3) Wilms tumour .
(2) All ulcers on the greater curvature of the stomach is thought to be malignant .
(4) Hypernephroma .
(1) Ulcers on the lesser curvature of stomach more than one inch is thought to be malignant.

Spot the diagnosis- 93

(1) A senior police officer complains of pain in his left arm.

(2) A fatty woman of forty  complains of pain in her right shoulder .

(3) A busy clerck complains of pain on the posterior side of his neck .

(4) A patient has come with persistent fever,cardiac murmurs and palpable spleen .

Answers .
(2) Cholelithiasis .
(3) Refractory errors .
(4) Subacute bacterial endocarditis 
(1) Ischemic heart

Spot the diagnosis -92

(1) A smuggler was caught and thrashed thoroughly by the police . He was brought to Supaul hospital where he was treated for a week and then referred to sadar hospital Saharsa where all the doctors  examined him and failed to diagnose the case and referred to P.M.C.H as he was very poor he could not leave for P.M.C.H . One of my doctors friend Dr Choudhary M.D requested me to see the case and do the needful  . I operated the case in my clinic with great success . He had  a big cystic lump in the abdomen which appeared  after trauma . Can you spot the diagnosis ?

(2) A lady patient of forty has come with pain in right hypochondrium  . On examination nothing abnormal was found except tenderness on the eighth right costal cartilage . Spot the diagnosis ?

(3) A widow having five children complains of pain in right hypochondrium . Spot the diagnosis ?

(4) A man of weak health complains of pain in left iliac fossa . His stool contains mucus.

Answers
(3) Chronic cholecystitis .
(2) Cholecystitis .
(1) Pseudopancreatic-cyst.
(4) Chronic amoebic cholitis .

Spot the diagnosis-91

(1) A patient of forty has come with urinary troubles . He says that pressure during micturation increases the flow of urine .

(2) A patient of fifty five has come with urinary troubles . He says that pressure during micturation stops the flow of urine  .

(3) A lady patient came with swelling of her body . Her B.P was found to be high and on  examination of her urine there was microscopic haematuria .

(4) A young patient of twenty four was in the habit of taking drugs and alcohol . One day he was admitted to the hospital for severe pain in the epigastrium and was treated and released . Some weeks after he was brought to you with a lump in the epigastrium which was firm . Can you spot the diagnosis?


Answers
(2)Benign enlargement of prostate .
(1) Stricture of urethra .
(3) Subacute glomerulonephritis.
(4) Subacute peptic ulcer perforation .

Spot the diagnosis -90

(1) A patient of fifty has developed loss of appetite with distaste for meat . Can you spot the diagnosis?
(2) A lady patient of forty has developed distaste for fat . Can you spot the diagnosis ?
(3) A patient says that he feels pain on the tip of penis and haematuria at the end of micturation .
(4) A patient is suffering from abdominal colic . The doctor gives him injections  to relieve  his pain but no relief  at all .
(5) A patient complains of scalding pain during micturation.

Answers
(2) Chronic cholecystitis .
(3) Stone in urinary bladder.
(4) Renal stones .
(1) Carcinoma stomach .
(5) Acute urethritis

Spot the diagnosis- 89

(1) A patient has come with anasarca with full neck vein .
(2) Anasarca with massive proteinuria .
(3) A patient has come whose liver is palpable but absence of protein in the urine .
(4) A patient has come whose urine contains protein but liver is not enlarged .
(5)  A child was brought with his father . His father says that child screams with lower abdominal pain and pulls at his prepuce .

Answers
(4) Kidney disease.
(1) Conjestive heart failure .
(2) Nephrotic syndrome .
(3) Hepatic disease .
(5) Stone in the urinary bladder .

Spot the diagnosis -88

(1) A patient has come whose  spleen is palpable and there is spider naevi on the chest and abdomen . Spot the diagnosis ?

(2) A patient has come with a huge and hard splenic enlargement with sternal tenderness

(3) A patient has come with  splenic enlargement and  moderate lymphadenopathy .

(4)  A patient of jaundice has come ,his spleen is enlarged and his reticulocyte count is very much  high .

Answer
(2) Chronic myeloid leukaemia
(4) Hemolytic jaundice 
(1) Cirrhosis of liver
(3) Lymphatic leukaemia

Spot the diagnosis -87

(1) A rural ,febrile  patient says that the fever comes daily by evening train . On examination his spleen is enlarged .

(2) A febrile patient has come with palpable spleen . There is relative bradycardia .

(3) A febrile patient of months together has come . Only one thing is known that his total W.B.C count is  2000.

(4) A patient of low grade fever has come with palpable spleen and his lymph glands are big and rubbery in feel .

(5) A febrile patient has come with palpable spleen with cardiac murmurs .


Answers
(3) Kalazar
 (1) Maleria
 (4)Hodgekin's disease
 (2) Typhoid fever
(5)Sub-acute bacterial endocarditis .