Spot the diagnosis 446-452

446).A patient of high fever with ten days duration has relative bradycardia.spot the diagnosis...???

447).A patient of fever of more than three weeks duration has total WBC Count only two thousand.spot the diagnosis..?

448).A patient of fever has cardiac murmurs and splenic enlargement.spot the diagnosis?.

449).A patient has come with a fistula on the ramus of mandible.He has a history of watery discharge at the time of meals.spot the diagnosis?.

450).An old lady of seventy is lying in the surgical emergency with her right lower extremities everted.spot the diagnosis?.

451).An X-ray plate of pelvis was shown to you in which the head of the femur lies medial to the pelvic brim.spot the diagnosis...?

452).A negative film of a compound fracture was shown to you.There are dark round spots in the X-ray plates.spot the diagnosis.?

ANSWERS: 446)Typhoid.
447).Kala-zar.
448).Sub acute bacterial endocarditis.
449).Parotid fistula.
450).Fracture of the neck of femur.
451).Central dislocation of femoral head.
452).Gas gangrene.

Spot the Diagnosis 443-445

 443).A patient has come with hepatic enlargement.There is intercostal tenderness.spot the diagnosis....???

444).A patient has come with enlarged and soft liver with tenderness in the left iliac fossa at Manson's bar  amoebic point.spot the diagnosis?

445).A patient of sixty-five has come with enlarged prostate .He complains of pain in the back.spot the diagnosis..?                      

 Answer:-
443) Amoebic liver abscess.
444).Amoebic colitis with hepatitis.
445).Carcinoma prostate.

Spot the Diagnosis 440-442

1).A patient has come in the SOPD .He has fallen from a tree.Everything is okay except he can't raise his right lower extremity but can only move his right foot..spot the diagnosis..
2).A patient has come in the SOPD.His splenic enlargement is up to the umbilicus and the feel is firm and hard.There is also sternal tenderness.spot the diagnosis?
3).A patient has come with severe cervical injury.Please tell me the level of cervical segment above which severe injury causes death.spot the diagnosis.?.

Answer:-1).Fracture neck of right femur..2).Chronic myeloid leukemia.
3).Above Fifth cervical segment.

Spot the Diagnosis 435-439

1).A child has come in the SOPD for rigor,fever,leucocytosis and cellulitis in the metaphyseal region of tibia....spot the diagnosis..

2).A patient has come with a sinus with sprouting granulation tissue..

3).A patient has come with painless,serous effusion in the both knee joint with symmetrical affection with free movement...spot the diagnosis..

4).A patient came in the SOPD .His face was pale and puffy and was wearing wollen shirt in the days of summer when asked his name to test his voice it was husky.spot the diagnosis..

5).A lady of sixty has come for enlarged liver with chronic black ulcer under the nail of big toe which often bleeds...spot the diagnosis..


Answers
(1)Acute osteomylitis
(2)chronic osteomylitis.
(3)syphilis of joint.
(4) Myxoedema.
(5)malignant melanoma.