Tuesday, 24 October 2017

Spot the Diagnosis 518-530

Spot the diagnosis?
(518) A patient of cervical injury has come . He has paralysis of intrinsic muscles of hand with main -en-graffe deformity. At which level of spinal cord is injured ?
(519) A patient of spinal injury is already admitted in surgical ward for more than three weeks but still his reflexes did not return as yet . What do you suspect ?
(520) A patient of spinal cord injury has been admitted but his both the arms up to the fingertips are free . Point out the level below which the injury has occurred in the spinal cord ?
(521) A lady of fifty has come for sagging of the right shoulder girdle .
(522) You have been shown a barium meal x-ray of stomach in which there is an ulcer on the greater curvature . Spot the diagnosis?
(523) You have been shown a barium meal x-ray of stomach in which an ulcer is there on the lesser curvature, the size of which is more than one inch . Spot the diagnosis? (524) A lady of fifty has come with a small bluish spot beneath the nail which is painful. There is excruciating pain on pressure . Spot the diagnosis?
(525) A lady of forty has come with a cystic swelling of the breast . The cyst is translucent . Spot the diagnosis?
(526) A patient of fifty has come with a fungating ulcer with raised and rolled out margin with granular floor and indurated base .
(527) A patient of severe chest injury due to car accident has come . His face ,neck and upper part of the chest looks purple with peteche and conjunctival haemorrhage . What is this condition known as ?
(528) A patient of fifty five has come with ptosis ,myosis and enophthalmous . On clinical exam there is compression of lower brachial plexus . Spot the diagnosis?
(529) An x ray of chest was shown to you in which there is dense apical shadow and erosion of upper ribs .
(530) A lady of fifty has come with a lump in the right breast . On clinical examination the liver is enlarged ,hard,nodular and tender . Spot the diagnosis?

Answers.
(518)Eight cervical and first dorsal level.
(519) complete transverse section of the spinal cord.
(520) Below first dorsal level.
(521) Cervical rib.
(522) Malignant ulcer .
(523) Malignant ulcer.
(524) Glomus tumour.
(525) Cystic hygroma .(hydrocoele of the breast).
(526) Squamus- cell carcinoma .
(527) Traumatic asphaxia.
(528) Pancoast tumour(bronchogenic carcinoma).
(529) Bronchogenic carcinoma.
(530) Secondary carcinoma in the liver and primary in the breast.

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