Spot the Diagnosis 681-690

(681) A lady of 50 has come. She feels dyspoenic when walking for a long distance. On auscultation there is mid diastolic murmur and on inquiry gives the history of epistaxis. Spot the diagnosis?

(682) A patient has come with a sinus which looks like an ulcer due to wide mouth, thin blue, an undermine edge. Spot the diagnosis?

(683) A male patient has come in the emergency for severe agonising pain. The pain is lessened when he sits up or lies down on abdomen. Spot the diagnosis?

(684) A patient of road accident has come in the emergency. He has severe abdominal pain in the left hypochondrium. He is pallor and has running pulse and pain and hypersthesia in the right shoulder. Spot the diagnosis?

(685) A patient has come with large liver without palpable spleen and there is no finding what so ever except leucocytosis. Spot the diagnosis?

(686) A patient has been admitted in medical ward. He has fever, arthralgia, plural pericardial rub and unexplained heart murmur.the patient responded well to aspirin. Spot the diagnosis?

(687) A nurse is addicted to taking drugs for years together now has grown abnormally fatty,developed hypertension and diabetes. Spot the diagnosis?

(688) A patient was admitted in the medical ward for fever,rigor and sweating. On examination there are clubbing of fingers, on palpation spleen is palpable and on auscultation there are cardiac murmur. Spot the diagnosis?

(689) An elderly person has been admitted in the medical ward for hemiplegia. He gives the history of fever, rigor and sweating. On auscultation there is cardiac murmur and arrhythmias. Spot the diagnosis?

(690) A patient has come with dilation of superficial veins on the side of abdomen. The flow of the blood is from lower to upper side. Spot the diagnosis?

Answers
(681) Miteral stenosis.
(682) Tuberculous sinus.
(683) Acute pancreatitis.
(684) Splenic rupture.
(685) Liver abscess.
(686)Rheumatic fever.
(687) Iatrogenic cushing syndrome.
(688) Subacute bacterial endocarditis.
(689) The cause of hemiplegia is subacute bacterial endocarditis.
(690) Obstruction of inferior venacava.