Tuesday, 5 June 2018

Words of wisdom

Words of wisdom. 
(1) It is good to be ambitious but it is too bad to be too ambitious. You may have acute myocardial infaction and cerebral haemorrhage. 
(2) If you earn slightly less you will flourish in your business.
 If you eat slightly less you will remain healthy and disease- free for whole of your life.
 If you spend slightly more on others you will be the most popular and tension-free person and can enjoy the true pleasure of life.

Spot the Diagnosis 741-750

(741) What disease is associated with Neurolipomatosis?
(742) A patient has come with multiple nodules, firm in nature all over the body with patchy pigmentation of skin. Spot the diagnosis? 
(743) A patient has come with a lipoma. There is many capillaries over it and there is sign of compressibility. Spot the diagnosis? 
(744) A patient has come for generalised enlargement of lymph glands. The glands are rubbery in feel. On examination his spleen is also enlarged. Spot the diagnosis? 
(745) A patient has come with severe pain and sudden increase in the size of an old goitre. Spot the diagnosis? 
(746) A patient has come with dry gangrene of his big toe. He is a heavy smoker. Spot the diagnosis? 
(747) A patient has come with wet gangrene. His urine is loaded with sugar. Spot the diagnosis? 
(748) A patient has come with a cystic swelling in the midline near the hyoid bone and on Protrusion of the tongue it moves upward. Spot the diagnosis? 
(749) A patient has come with a fistula in the midline of the neck below hyoid bone. There is a crescentric fold of skin hanging from the wall of fistula and the mouth is indrawn. Spot the diagnosis? 
(750) A patient has come. There is dilated subcutaneous veins at the inlet of thorax. When the patient was told to raise his both hands above. When the hands is raised above the ears and kept for a while his face becomes congested with cynosis. Spot the diagnosis? 

Answers 
(741) It is associated with Dercum's disease. 
(742) Neurofibromatosis. 
(743) Naevolipoma.
(744) Hodgekin's disease. 
(745) Haemorrhage in the goitre. 
(746) Burger's disease.
(747) Diabetic gangrene. 
(748) Thyroglossal cyst.
(749) Thyroglossal fistula. 
(750) Retrosternal goitre.