Spot the diagnosis 581-592

581)A patient has come.He says that his pain in epigastrium is more or less constant between meals but the pain is increased just after meals.After examination it is found that there is no pyloric stenosis and gastric carcinoma.Spot the diagnosis?

582).A lady of fifty has come with grippping pain in right hypocondrium which rediates to the back.Spot the diagnosis ?

583).A patient says that when I feel pain in the epigastrium I Induce vomitting and get relief.Spot the diagnosis.

584).A fatty lady of forty-five complains that she offen gets vomiting.

585).A known drunkard has come with severe haemetemesis.Spot the diagnosis ?

586).A patient of fifty has come.He complains of alternate constipation and diarrhoea for a long time.Spot the diagnosis ?

587).A lady of sixty has come with a thyroid swelling.On examination of thyroid swelling carotid pulse is not felt.Spot the diagnosis ?

588).A patient has come with enlargement of a lymph gland in the neck.There is subcutaneous dilated veins over it.Spot the diagnosis ?

589)A patient of fifty has come with a swelling.The skin at one point is stuck down at one place causing a fold of skin to stand out below it.Spot the diagnosis?

590).A patient has come with a transverse scar looking like an incisinal scar on the neck.Spot the diagnosis ?

591).A patient has come with a sinus just below the angle of mandible.Spot the diagnosis ?

592).A patient has come with an indurated mass on which there is multiple discharging sinuses .The discharge is yellowish.Spot the diagnosis ?


           ANSWERS:-
581).Gastric ulcer penetrating into the panecreas .
582).Cholescystitis.
583).Gastric ulcer.
584).Cholescystitis.
585)Cirrhosis of liver.
586)carcinoma of colon
587).Malignant thyroid.
588).Lymphosarcoma.
589).Secondary carcinoma of lymph gland.
590).Healed tuberculous ulcer  and multiple healed sinuses.
591).Osteomylitis of mandible.
592).Actynomycosis.