Spot the diagnosis 496-500

496) A lady of fourty has come with a brownish- red,hard and painless nodule and on the Left side of her nose. There are capillaries on the nodule . Spot the diagnosis?

497) A patient complains of bitemporal headache. The neurologist diagnoses as a case of brain tumour.Which tumour of the brain do you suspect.Spot the Diagnosis?

498)A patient has been admitted for pain and swelling of right knee joint. On x-ray examination there are soft tissue shadow with flecks of calcification scattered all over the swelling. Spot the Diagnosis?

 499) A patient has come with dialated ,tortuous and arteriovenus anastmosing vessels on the scalp.This feels like earthworms moving in a bag .Spot the Diagnosis?

 500) A child was bought in the S.O.P.D .The child has a cystic swelling in the neck. The swelling is brilliantly translucent and becomes turgid when the child cries.

 ANSWERS:-

496) Rodent ulcer.
497) Pituitary tumour.
498)Malignant synovioma.
499) Circoid aneurysm.
500) Cystic hygroma.

Spot the diagnosis 489-493

489) A patient has come with a cystic swelling behind the right ear.Spot the diagnosis ?

490)A lady of twenty-five has come with blueish,slightly raised area on the upper portion of sternum which is butterfly shaped.Spot the diagnosis ?

491) A patient of generalized oedema has come.He has diabetes and nephritis.Spot the diagnosis?

492)A patient of generalized oedema has come.He has raised blood pressure and microscopical haemaeturia.Spot the diagnosis ?

493) A patient has come with generalized oedema with heavy protenuria and raised choelostrol level.Spot the diagnosis ?

494) A patient was admitted for hectic fever,rigor and profuse sweating.On examination there are two findings, spleen is palpable and there is  cardiac murmur.Spot the diagnosis.

495)A patient walks with high -stepping gait.Spot the diagnosis.

Answers:-
489) Posterior auricular dermoid cyst.
490)Butterfly keloid.
491)K.W.Syndrome.
492)Sub acute glomerulonephritis.
493) Nephrotic syndrome.
494)Sub acute bacterial endocarditis.
495)Paralysis of lateral popliteal nerve.

Spot the diagnosis 485-488

(485) You have been shown an ulcer . The lymph glands of the drainage area are firm ,discrete and shotty .
(486) A patient has come with a cystic swelling on the outer canthus of left eye .
(487) A patient of sixty has come with a tumour . The tumour is variable in consistency .
(488) A lady of sixty was having a thyroid swelling for long years. Now she has come with a fracture of vertebra .

Answers.
(485) Hunterian chancre .
(486) External angular dermoid cyst .
(487) Malignant tumour.
(488) Secondary carcinoma of vertebra with primary in the thyroid .

Spot the diagnosis 482-485

 (482) A patient of injury has come with loss of all forms of sensation below a certain level.  What does it indicate?
(483) A lady has come with enlarged,firm and irregular liver. Her one eye has been previously removed. Spot the diagnosis?
(484) A patient has come with an ulcer on the old burn scar.  The margin of the ulcer is raised and everted. Spot the diagnosis?

Answers.
(482) This indicates  complete contusion of the spinal cord.
(483) Malignant melanoma.
(484) Marjolin's ulcer.

Spot the diagnosis 478-481

(478) An adult male has come with multiple and painful lipomas.  
(a) What is the name of this condition?
(b) What disease is associated with this condition?

(479) A patient has come with patchy pigmentation of skin and multiple small nodules varying from the size of a pea to a cricket ball.

(480) A child of ten was brought to the S.O.P.D. He complains of headache and vomiting before breakfast.  What tumour of the brain do you suspect.

(481) A lady of fifty has come with an ulcer near the left side of her nose. The margin of the ulcer is raised and beaded.

Answers.
(478a) Neurolipomatosis.
(b) Dercumb's disease.
(479)Neurofibromatosis.
(480) Medulloblastoma of cerebellum.
(481) Rodent ulcer.

Spot the diagnosis 473-477

473).In the surgical emergency one patient lies helplessly on the back with his arm abducted and externally rotated and forearm flexed and supinated.spot the segment which has been envolved.

474) A boy of thirteen was diagnosed as a case of brain tumor by a great neurologist.Can you spot which tumour of the brain it was ?

475)A young patient has come with an ulcer.The margin of the ulcer is thin,blue and undermined.Spot the diagnosis.

476)A patient of fifty has come with an ulcer.The ulcer is having punched out margin with wash-leather slough.Spot the diagnosis.

477)A patient has come with an ulcer with greenish discharge and peculiar smell.Spot the diagnosis.

Answer:-
473) 6th cervical.
474) Medulloblastoma.
475) Tuberculous ulcer.
476) Syphilitic ulcer.
477) Infected by B.pyocyaneous.

Spot the Diagnosis (Answers 461-468)

Answers :-
461) Carcinoma breast.
462).Gas gangrene.
463).Deep seated abscess.
464).8th cervical and 1st dorsal.
465).No cord injury.
466).The lesion is below the 1st dorsal segment of spinal segment.
467).Cervical region.
468).Sebaceous cyst...

Spot the Diagnosis 469-472

469) An adult lady has come with bilateral renal swelling with occasional haematuria.Spot the diagnosis.

470)A pyelogram was shown to you in which calyces are attenuated and alongated with terminal clubbing.Spot the diagnosis.

471)A patient has come with pain in the renal angle and hematuria.The pain is aggrevated during exercise and gone after rest.Spot the diagnosis ?

472)A case of long standing mixed parotid tumour has now involved the facial nerve has now become painful.Spot the diagnosis.

ANSWER:-
469)polycystic kidney.
470)Polycystic kidney.
471)Renal stone.
472)Malignant transformation in mixed parotid tumour

Spot the diagnosis 461-468

461) A lady of forty-five has come with a lump in her left breast.The consistency of the lump is variable.spot the diagnosis ?

462)A case of supra condylar fracture has come creptus are felt on palpation.spot the diagnosis ?

463)A boy has come with brawny induration which pitts on pressure.spot the diagnosis ?

464)A patient has come with paralysis of intrinsic muscles of hands with main-en-griffe deformities.He gives the history of spinal injury.spot the segment which are involve.

465)A patient has come.He  has  a serious car-accident but he can walk.
Is there any cord injury ?

466) A patient was diagnosed as a case of spinal injury but his forearm upto fingur- tips is free.spot the level below which the cord injury has taken place.

467) A patient was brought from  a village .He has quadriplegia.Spot the region of the cord which is involved.Spot the diagnosis.

468)A patient has come with a big cyst in the scalp in temporal region.There is complete baldness over the cyst.Spot the diagnosis.

Spot the diagnosis 456-460

(456) A patient of fever has come with generalised lymph-adeno-pathy and spleno-hepato-megaly . His eosinophil count is raised .
(457) A patient of thirteen has been admitted for paraplegia, generalised lymph node enlargement and spleno -hepato-megaly . The feel of the gland is rubbery .
(458) A patient of generalised lymph- node enlargement has come . He has splenic enlargement and lymphocytosis .
(459) A patient of thirty has come with urinary retention with over flow . He has a gibbus on the thoracic vertebra .
(460) A patient has come with the swelling of right humerus bone . The temperature of the swelling is raised and there is wrist drop .
Answers
(456) Hodgekins disease .
(457) Hodgekins disease.
(458) Lymphatic leukaemia.
(459) Caries spine .
(460)Sarcoma of the right humerus with involvement of right radial nerve.

Spot the diagnosis 453-455

(453) A baby has come with naevus on the small of the back . Spot the diagnosis?
(454) A young lady has port- wine -stain on the right side of her cheek . She gives the history of fits . Spot the diagnosis?
(455) A young boy has come in S.O.P.D .He complains that he feels pain in the hypogastrium which is referred to the tip of penis and at the end of micturation there is haematuria .

Answers.
(453) Spina bifida occulta .
(454) Sturg -weber-syndrome
(455) Stone in the urinary bladder .