Spot the Diagnosis 651-660

(651) You get a telephonic call  that your sister aged about 50 at home got abdominal pain with vomiting. Spot the diagnosis?

(652) A lady of 45 got abdominal pain at epigastrium to the right  side of rectus abdominis. Spot the diagnosis?

(653) A lady got pain at right  hypochondrium which is referred to the shoulder.

(654) A lady of 50 got pain in the epigastrium penetrating through to the back. Previously she was suffering from peptic ulcer.

(655) A patient has come with pain at right hypochondrium. He gives the history of irregular bowel for months together. There is intercostal tenderness. Spot the diagnosis?

(656) A patient has come with a fluctuant swelling with no sign of inflammation in the right hypochondrium. Spot the diagnosis?

(657) A patient with inflamed piles now complains of high fever with rigor. Spot the diagnosis?

(658) A medical student  has diagnosed a case as carcinoma of liver but on his pathological exam his W.R is positive. Spot the diagnosis?

(659) A patient has come with a hard, irregular and nodular liver with umbilication . Spot the diagnosis?

(660) A patient has come with a cystic and fluctuant swelling on the lower part of liver. He gives the history of urticaria and the eosinophilia. Spot the diagnosis?

Answers
(651) Cholecystitis.
(652) Gall -bladder disease.
(653) Gall -bladder disease.
(654) Peptic ulcer penetrating to the pancreas.
(655) Amoebic hepatitis.
(656) Cold abscess due to tuberculous ribs or spine.
(657)Suppurative pylephlebitis.
(658) Gumma of the liver.
(659) Carcinoma of liver.
(660) Hydatid cyst.