Spot the Diagnosis 661-670

(661) A patient has come his liver is enlarged, hard and irregular. His one eye has been removed earlier. Spot the diagnosis?

(662) A patient has come with splenic enlargement,haemetemesis and caput meducae. Spot the diagnosis?

(663) A patient was admitted in the surgical ward for hectic rise of temperature,tachycardia, rigor. His X-ray shows gas under dyphram. He was a known case of PU syndrome.

(664) A patient has come with a well defined intraabdominal cyst. The cyst moves freely at right angle to the line mesentry.

(665) A lady has come with a firm and rounded mass below the umbilicus. The mass is arising from the deeper part of rectus abdominis muscle.

(666) A fatty lady aged about 50 complains of pain in the right shoulder and right side of back.

(667) A patient has an ulcer. The edge of the ulcer is thin, undermined and bluish. Spot the diagnosis?

(668) A fatty lady patient of 50 has come with right upper abdominal pain and pain in the right  shoulder. Spot the diagnosis?

(669) A fatty male patient of 60 has come with pain in the upper epigastrium and pain in the left arm. Spot the diagnosis?

(670) A child of 10 has come with intestinal obstruction and was diagnosed as a case of intussception but he gives the history of vomiting round worm. Spot the diagnosis?

Answers.
(661) Melanotic sarcoma of the liver.
(662) Cirrhosis of liver.
(663) Subphrenic abscess due to subacute perforation of peptic ulcer.
(664) Cyst of the mesentry.
(665) Desmoid tumour.
(666) Cholecystitis.
(667) Tuberculous ulcer.
(668) Acute Cholecystitis.
(669) Ischaemic heart disease.
(670) intestinal obstruction due to impaction of round worms.