Wednesday, 6 April 2016

Spot the diagnosis 180 -190


(180) You are told to say about the prognosis of a patient of head injury who has lost his sphincteric control .
(181) A child has come . He complains of headache and vomiting before breakfast . Spot the diagnosis?
(182) In which tumor of the brain there is bitemporal headache ?
I(183) A patient has come with early dimness of vision and pain in the occipital region radiation towards neck .
(184) A patient has come with painless whitlow . Spot the diagnosis?
(185) A patient has come with three cardinal features .
(a) Muscular atrophy causing claw hands ,
(b) Scoliosis and
(c) Unequal pupil .Spot the diagnosis?
(186) A patient has come with a perforating ulcer of the foot with gangrene starting around it . Spot the diagnosis?
(187) What are the conditions in which there are bedsores or gangrene due to trophic change occurs .
(188) A patient previously operated for cholecystectomy has come with hectic rise of temperature, rigor,sweating and pain in the shoulder . Percussion on the midaxilliary line there are alternate areas of resonance and dullness . On x-ray there is gas under the diaphragm which is raised and fixed . Spot the diagnosis?
(189) A lady of twenty eight has come with a firm and rounded swelling of the rectus sheath . The patient was operated for this but the swelling reccured after some months .
(a)What is the name of this swelling ?
(b) What is the nature of the swelling which recurred after operation .
(190) A patient feels  sudden and severe pain in the mouth specially on the cheek whenever he thinks ,sees ,smells and chews spicy or sour food . Spot the diagnosis?

Answers
(180) His prognosis is grave .
(181) Medulloblastoma of cerebellum .
(182) Pituitary tumor .
(183) Subtentorial growth .
(184) Morvan's disease.
(185) Syringomyelia .
(186) He is a tabetic patient .
(187) In disorder of the .
(a) Central nervous system.
(b) Pott's disease.
(c) Fracture - dislocation of the spine .
(188) Subphrenic abscess.
(189a) Desmoid tumor .
(b) In malignancy recurrence is the rule.
(190) Meal time syndrome (Due to calculus in the Wharton's duct) .

No comments:

Post a Comment