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.