Spot the diagnosis -110

(1) A lady of forty from a well to do family came with chronic pain abdomen and dispepsia . She was treated for long but no relief ,eventually laprotomy was done but nothing abnormal was found except  one lymph gland was enlarged and inflamed in the triangle formed by cystic duct inferiorly , common hepatic duct medially and cystic artery laterally .
(a)What is your diagnosis ?
(b) What is this triangle known as ?
(c) What is the specific name of this lymph node ?

Ans (a) Chronic cholecystitis.
(b) Calot's triangle .
(c) This lymph node is called Lund's node or  (Mascagni's lymph node )

Spot the diagnosis -109

(1) A lady patient complains of dispepsia and pain on the tip of right shoulder . On examination there is hyperesthesia on the back right side from ninth to eleventh rib . What is your diagnosis ?
Ans Chronic cholecystitis .

Spot the diagnosis -108

(1) A patient came with pain abdomen with vomiting . There is hyperesthesia in the triangle formed by three lines , one from umbilicus to the anterior superior iliac spine ,the second line is from anterior superior iliac spine to the right pubic tubercle and the third from the right pubic tubercle to the umbilicus .
(a)What is your diagnosis ?
(b) What is this triangle known as ?
Ans(a) Acute appendicitis .
(b)Sherren's triangle .

Spot the diagnosis -107

(1) A fatty female of forty five came for chronic dyspepsia . On clinical exam and investigation there were gall stones, diverticulosis of colon and hiatus hernia ,what is this triad known as ?
Ans Saint's triad .

Spot the diagnosis -106

(1) A patient came to a doctor for pain ,vomiting and fever. On pressure by fingers on the left iliac fossa elicits pain over the right iliac fossa .
(a) Spot the diagnosis ?
Ans Acute appendicitis .
(b) What is the name of this syndrome of pain  vomiting and fever ?
Ans Murphy 's syndrome .

Spot the diagnosis -105

(1) A patient came with chronic pain abdomen . On clinical examination there is tenderness on the left iliac fossa at the junction of lower one third and upper two third of the line which joins umbilicus to the left anterior superior iliac spine . (a)Spot the diagnosis ?
Ans Chronic amoebic colitis
(b) What is the name of this point ?
Ans Manson 's Bar amoebic point .

Spot the diagnosis -104

(1) A diagnosed patient of acute appendicitis was left on conservative treatment . The next day he developed pain on the left iliac fossa . What does it indicate ?
Ans It indicates that peritonitis has set in

Spot the diagnosis -103

(1) A robust person of sixty eight ,hailing from a well to do family was jailed for some or  the other  reasons. One winter morning he was found dead .froth was coming out of his mouth . Spot the diagnosis ?
(2) An old patient has been suffering from pain on his back for long , now he has bent double . Spot the diagnosis ?
(3)  A patient came with earthy hue face . When examined clinically there was inter -costal tenderness . Spot the diagnosis ?
Answers 
(1) Acute left ventricular failure .
(2) Ankylosing spondylitis .
(3) Amoebic liver abscess .

Spot the diagnosis 102

(1) One diagnosed patient of  ovarian fibroma ,now developed  ascites and pleural effusion . Spot the diagnosis ?
(2) A patient of forty years has firm enlargement of lymphatic  gland at left supra -sterno - clavicular joint . Spot the diagnosis ? 
(3) A weak patient has a transverse scar on the neck which is not a incisional scar .
Answer of  spot the diagnosis-101 
(1) Ankylosing spondylitis 
(2) Tuberculosis 
(3) Acute left ventricular failure .
Answers of spot the diagnosis 102 
(1) Meig syndrome 
(2) Gastric carcinoma 
(3) Tuberculosis .

Spot the Diagnosis -101

(1) A patient of twenty five has pain in his sacro- lumber area for three years . Spot the diagnosis ? 
(2)  An old diabetic patient has developed anorexia .
(3) A hypertensive patient seats near open window in the night .