Spot the diagnosis 369-370

(369) A male patient of forty has come with tenderness over the medial side of knee joint . There is bony thickening and irregularity of medial condyle of femur . He has a history of a fall from a tree in the recent past . Full extension of his knee is painful. Spot the diagnosis?

(370) A known patient of P.U syndrome has come . He can move about freely . There is no vomiting. The patient is afebrile and his pulse rate is about 100 . There is rigidity over the right hypochondrium . Spot the diagnosis?

Answers.
(369) Pellegrini-stieda's disease.
(370) Sealed duodenal perforation.

Spot the diagnosis 367-368

(367) A patient of forty has come with ulceration,sinus formation and extensive scarring in the inguinal area . Spot the diagnosis?

(368) A lady patient of fifty has come for bleeding ulcer from the right big toe . The inguinal lymph node has grown very rapidly . When the gland was divided in to two after operation ,the inner portion of the gland looked pigmented . Spot the diagnosis?

Answers.
(367) Lymphogranuloma inguinale .
(368) Malignant melanoma

Spot the Diagnosis 365- 366

(365) A patient of acute mastoiditis has come with deep seated retrobulbar pain and sixth cranial nerve palsy  . Spot the diagnosis?

(366) A patient has come with vomiting,excruciating pain at the lower thorax and emphysema in the neck. Spot the diagnosis?

Answers.
(365) Gradenigo's syndrome is caused by thrombophlebitis of inferior petrosal sinus.
(366) Rupture of oesophagus