Spot the diagnosis 424-426

(424) A patient has come in the S.O.P.D for haematoma of the thenar eminence . He cannot approximate the tip of the thumb with the tip of the ring finger. Spot the diagnosis?

(425) A patient has come with exquisitely tender,red- coloured small localised area beneath the nail. Spot the diagnosis?

(426) A patient has come in the S.O.P.D . He has a painless ,soft cyst under the skin of the pulp of the thumb . The cyst is neither attached to the deeper tissue nor the skin . He has a history of pin-prick .Spot the diagnosis?

Answers.
(424) Benette's fracture.
(425) Glomus tumour .
(426) Implantation dermoid cyst.

Spot the diagnosis 421-423

(421) A patient has come with huge enlargement of spleen which is firm in consistency with sternal tenderness. Spot the diagnosis?

(422) A cachetic old man of seventy five was suffering from chronic bronchitis has come.  He complains of evening rise of temperature for several weeks and severe anorexia . Spot the diagnosis?

(423) A patient of hand injury has come in O.P.D . He has swelling and tenderness in the anatomical snuff-box of his right hand .

Answers.
(421) Myeloid leukaemia .
(422) Pulmonary tuberculosis.
(423) Fracture of scaphoid bone.

Spot the Diagnosis 418-420

(418) A patient of rheumatoid arthritis has come for spleenomegaly with extreme leucopaenia . Spot the diagnosis?

(419) A patient has come for spleenomegaly and enlarged lymph nodes . Spot the diagnosis?

(420) A patient of hand injury has come. He can neither flex nor extend his wrist . Spot the diagnosis?

Answers.
(418) Felty's syndrome.
(419) Lymphatic leukaemia .
(420) Fracture of lunate bone.