Tuesday, 10 May 2016

Spot the diagnosis 287-292

(287) A boy of four has been brought with a huge enlargement of one kidney without haematuria . Spot the diagnosis?

(288) A patient of forty has come with a lump in renal area which has grown painlessly . Spot the diagnosis?

(289) A patient of fifty has come with bilateral renal swelling. Spot the diagnosis?

(290) A recurrent case of urinary calculi has come. Which organ should he examined?

(291) A patient of thirty has come with acute retention of urine. Spot the diagnosis?

(292) A patient of seventy five who is a hemiplegic has come with  tenderness of knee joint. He has a history of minor trauma . On x-ray exam there is fracture which is semilunar in shape at the lateral aspect of medial condyle . Spot the diagnosis?
Answers.
(287) Wilms tumour.
(288) Hypernephroma.
(289) Polycystic kidney.
(290) Neck should he examined for parathyroid tumour.
(291) Stricture of urethra.
(292) Osteochondritis dissecans (Paget's quiet necrosis)

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