Spot the diagnosis 414-417

(414) In a patient who has come in O. P .D for enlargement of both the epididymis and the testes simultaneously . Spot the diagnosis?

(415) A patient has come . His epididymis is enlarged,nodular and hard . Spot the diagnosis?

(416) A patient has come whose Epididymis is enlarged and firm . Spot the diagnosis?

(417) A patient has come in
 O.P.D for enlarged and firm epididymis but there is softening at one place . Spot the diagnosis?

Answers.
(414) Fileriasis.
(415) Tuberculous epididymitis .
(416) Fileriasis.
(417) Tuberculous epididmitis.

Spot the diagnosis 411-413

(411) An adult male was admitted for a tumour of the rib . On biopsy the rumour contains cartilage . The surgeon says that excision is the only way as the tumour is malignant and radioresistant . Spot the diagnosis?

(412) An adult male has come for a lump in the upper abdomen. On clinical examinations there is enlarged lymph node in the left supraclavicular region  .
(a) Spot the diagnosis?
(b) What is the name of this gland?
(c) What is the name of this sign?
(413) In a patient whose one testes has already been removed has come with a lump in the upper abdomen and enlarged Virchow gland. Spot the diagnosis?
Answers.
(411) Chondrosarcoma.
(412a) Carcinoma stomach.
(b) Virchow gland.
(c) Troisier sign.
(413) Carcinoma testes secondary in the upper abdomen and Virchow gland.

Spot the Diagnosis 409- 410

(409) You have been shown an x-ray plate of the chest of an adult of fifty five. There is cannon ball appearance in the chest x-ray . Spot the diagnosis?

(410) You have been shown an x-ray of gall-stone . There is dark shadow of gas in trilucent manner in the stone . What is this sign known as?

Answers.
(409) Hypernephroma .
(410) Mercedes Benz sign or seagull sign.

Spot the Diagnosis 406-408

(406) You have been given an x-ray plate of chest in which there is erosion of upper ribs with 25 paise coin like opacity in the upper portion of the chest . Spot the diagnosis?

(407) You have been given an x-ray plate of hip-joint in which there is rarification in the Babeskoch's triangle of the femoral head . Spot the diagnosis?

(408) You have been given an x-ray plate of vertebral column in which there is bony ankylosis . Spot the diagnosis?

(406) Bronchogenic carcinoma.
(407) Tuberculosis of hip joint.
(408) Pott's disease.
Fibrous ankylosis is the rule in tuberculosis except pott's disease.

Words of wisdom

A pure democratic government should abolish either of the two systems to avoid monopoly and corruption .

(1a) Government schools
 or
 (b) Private schools .

(2a) Government hospitals
or
(b) Private hospitals or nursing homes .