(157)A patient who has fallen from a tree has been brought in the emergency ward. He can't raise one leg but can move his injured foot . Spot the diagnosis? (158) A patient has come . He has fallen from the roof of his house . He can't raise both his legs. Spot the diagnosis?
(159) A patient has come . He gives the history of
(a) Intermitted abdominal colic .
(b) Intermitted jaundice following each attack of colic
(c) Intermitted fever .
(1) Spot the diagnosis ?
(2) What is this triad known as?
(160) A jaundiced patient has come . On examination of his abdomen his gallbladder is palpably enlarged .
(a) What is your diagnosis?
(b) What is Corvoisier's law ?
(c) What are the main exception of this law ?
Answers
(157) Fracture neck of femur .
(158) Paraplegia due to involvement of his cord .
(159) (1 ) Stone in the common bile duct .
(2) Charcot's triad .
(160a) Carcinoma head of pancreas
(b) Corvoisier's law states that in a jaundiced patient if the gallbladder is palpably enlarged it is a case of carcinoma head of pancreas .
(c) Two man exceptions are
(a) Double impaction , one in the cystic duct and another in the common bile duct .
(b) Pancreatic calculi .
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