Spot the Diagnosis 731-740

(731) A patient has an ulcer tongue. On X -ray chest his right apex is hazzy. Spot the diagnosis? 

(732) A patient has come who has pin-point and fixed pupil with paralysis . Spot the diagnosis? 

(733) A patient of head injury is admitted in the ward. He has palsy and pyrexia . Spot the diagnosis? 

(734) A patient has come with rigor and fever. He has swelling and tenderness of his scrotum. Spot the diagnosis? 

(735) A patient has come. He complains of bleeding per rectum specially when he passes hard stool and spatters the whole basin. Spot the diagnosis? 

(736) A patient of dactylitis has come. The affected bone is enlarged, spindle shaped and extremely painful. Spot the diagnosis? 

(737) Another patient of dactylitis has come. Every finding is the same as in (736) except it is painless. Spot the diagnosis? 

(738) A known hypertensive patient has come. Now he complains of complete deafness of only one ear. Spot the diagnosis? 

(739) A known hypertensive patient now complains of breathlessness on slight exersion. Spot the diagnosis? 

(740) A patient has come with multiple, painful lipomas all over the body. Spot the diagnosis? 

Answers 

(731) Tubercular ulcer. 

(732) Pontine haemorrhage. 

(733) Pontine haemorrhage. 

(734) Filerial fever.

(735) Internal piles.

(736) Tubercular Dactylitis. 

(737) Syphilitic Dactylitis. 

(738) He has developed hemiplegia due to cerebral thrombosis.

(739) He has developed acute left ventricular failure.

(740) Neurolipomatosis.

Spot the Diagnosis 721-730

(721) A fatty lady of 45 has come. There is severe pain in the right shoulder. Spot the diagnosis? 

(722) A male patient with abdominal injury has been admitted with severe pain on the left shoulder. Spot the diagnosis? 

(723) A patient has come. He is restless with pain at suprapubic region. Spot the diagnosis? 

(724) A patient has come with severe suprapubic and flank pain which radiates to the Penis, scrotum and upper portion of the thigh. Spot the diagnosis? 

(725) A patient has come with pain in the costovertebral region. Spot the diagnosis? 

(726) A patient has come with flank pain which extends to the corresponding side of abdomen. Spot the diagnosis? 

(727) A case of acute intestinal obstruction has come. There is early appearance of abdominal rigidity. Spot the diagnosis? 

(728) A patient has come with a lump in right iliac fossa the lump is tender, fixed and ill defined. Spot the diagnosis?

(729) A patient has come with a fistula in the midline, a little below the hyoid bone. The opening of the fistula is indrawn and overlaid by crescentric fold of skin . Spot the diagnosis? 

(730) A patient was diagnosed by a senior surgeon as a case of carcinoma tongue. In pathological examination his W.R was found to be positive. Spot the diagnosis? 

Answers.

(721) Cholecystitis.

(722) Splenic rapture. 

(723)Obstruction of the urinary bladder. 

(724) Obstruction of the intravesical portion of the ureter.

(725) Obstruction of uretro-pelvic junction.

(726) Obstruction of the ureter. 

(727) There is internal strangulation. 

(728) Appendicular lump.

(729) Thyroglossal fistula.

(730) Positive W.R will not exclude carcinoma.it p

Spot the Diagnosis 711-720

(711) A patient of 50 has come. His liver is rock -like hard. Spot the diagnosis? 

(712) A patient has come his spleen is enlarged up to the umbilicus and hard to feel. Spot the diagnosis? 

(713) A patient has hepatic enlargement. there is cardiac murmur. Spot the diagnosis? 

(714) A patient has rigor,fever and sweating for long. On examination his spleen is palpable, clubbing of fingers and cardiac murmur.Spot the diagnosis? 

(715) A patient has arterial bruit over the liver. Spot the diagnosis? 

(716) A female patient has come. She has cutaneous and mucus haemorrhage. (a)Her bleeding time is prolonged. 

(b) Low platelet count. 

(c) Normal clotting time. 

( d) Failure of the clot to retract. 

(717) A patient has come with jaundice, splenic enlargement, absence of bile in the urine and presence of bile in the stool. Reticulocyte count has increased. Spot the diagnosis? 

(718) A deep- jaundice patient has come. Bile is present in the urine but not in the stool. Spot the diagnosis? 

(719) A patient with dyspnoea, engorged neck vein and enlarged liver has come. Spot the diagnosis? 

(720) A patient with moon - face, hypertension, diabetes and osteoporosis has come. Spot the diagnosis? 

Answers 

(711) Secondary carcinoma.

(712) Chronic myeloid leukemia. 

(713) Congestive heart failure.

(714) Subacute bacterial endocarditis. 

(715) Hepatoma.

(716) Essential thrombocytopenic purpura haemorrhagica.

(717) Haemolytic jaundice. 

(718) Obstructive jaundice. 

(719) Congestive heart failure.

(720) Cushing syndrome.

Spot the Diagnosis 701-710

(701) A patient has come. He has palmar  erythema, spider naevi and palpable spleen. Spot the diagnosis? 

(702) An emaciated patient of 50 has come. He has been suffering from gastro-intestinal disorder for long. On examination his left supraclavicular gland is enlarged. Spot the diagnosis? 

(703) A patient has come. He has dilated veins on the abdomen. The flow of blood is  downwards. Spot the diagnosis?  

(704) A patient has come with ascites and palpable spleen. Spot the diagnosis? 

(705) A patient has come with pulsatile liver with ascites. Spot the diagnosis? 

(706) A patient has come with severe epistaxis. His liver is firm. Spot the diagnosis? 

(707) An old patient of pulmonary tuberculosis has come with a lump and pain in the right iliac fossa. Spot the diagnosis? 

(708) A patient has come with irregular bowel. On examination his liver is enlarged, soft and tender. Spot the diagnosis? 

(709) A diagnosed patient of acute appendicitis now complains of pain in the left iliac fossa. Spot the diagnosis? 

(710) An old malerial patient was hurt in his abdomen by a fist. He became pale with severe pain and hypersthecia on the left shoulder. Spot the diagnosis? 

Answers.

(701) Cirrhosis of liver. 

(702) carcinoma of gastro-intestinal tract. 

(703) Superior venacava obstruction.

(704) Cirrhosis of liver.

(705) Tricuspid regurgitation. 

(706) Cirrhosis of liver.

(707) Ileocaecal tuberculosis. 

(708) Amoebic hepatitis and colitis. 

(709) Peritonitis has set in.

(710) Splenic rapture.