Spot the Diagnosis 801-810

(801) A patient has come with superficial gangrene of fingers . On clinical examination everything is normal. The surgeon prescribed X  ray neck. Spot the diagnosis? 

(802) A patient of 65 has come with dry gangrene of finger of foot which was caused paring nails. On X ray there is calcification of arterial wall. Spot the diagnosis? 

(803) A patient has come with all the features of cervical rib but on X ray there is no cervical rib seen. Spot the diagnosis? 

(804) A patient has come with an ulcer on the old burn scar, the margin is raised and everted but the progress of spreading is very slow. Spot the diagnosis? 

(805) A patient has come with an ulcer on the face just by the side of nose. The edge of the ulcer is raised and beaded. Spot the diagnosis? 

(806) A patient has come with an ulcer and the lymph node in the drainage area are stony hard and fixed to the surrounding structure. Spot the diagnosis? 

(807) A patient has come with an ulcer on Penis and his inguinal glands are firm discrete and shotty. Spot the diagnosis? 

(808) A patient has come with a sinus which is at the end of tibia. Spot the diagnosis? 

(809) A patient has come with a Deepening groove around the root of little finger of foot. Spot the diagnosis? 

(810) A patient has come with a swelling which has arousen from a lymph node. The skin over the swelling is tense and glossy with dilated cutaneous veins over it. 

Answers. 

(801) Cervical rib.

(802) Senile gangrene. 

(803) Scalenus anticus syndrome. 

(804) Marjolin's ulcer.

(805) Rodent ulcer. 

(806) Secondary deposite in the lymph gland. 

(807) Hunterian chancre. 

(808) Osteomylitis. 

(809) Ainhum. 

(810) Lymphosarcoma.

Spot the Diagnosis 791-800

(791) A patient has come with a single sinus over the ramus of lower jaw. Spot the diagnosis? 

(792) A patient has come with multiple indurated sinuses in the neck. Spot the diagnosis? 

(793) A patient has come with a sinus in the neck which looks like an ulcer and the margin is thin and undermined. Spot the diagnosis? 

(794) An adult male has come with painless paronychia. Spot the diagnosis? 

(795) An adult male has come with an ulcer on the tibia. The edge of the ulcer is punched out. Spot the diagnosis? 

(796) An adult male of 40 has come with dry gangrene of right big toe. The patient is a heavy smoker. Spot the diagnosis? 

(797) A known patient of mitral stenosis has come with gangrene of ring finger of his left hand. Spot the diagnosis? 

(798) A young female has come with ulceration of tips of fingers with severe sweating. The pulse is unaffected. Spot the diagnosis? 

(799) A patient has come with wet gangrene. He has a long history of diabetes mellitus. Spot the diagnosis? 

(800) A patient has multiple fistula on the scrotum has come. Which part should be examined throughly. Spot the diagnosis? 

Answers 

(791) Osteomylitis. 

(792) Actinomycosis.

(793) Tuberculous sinus.

(794) Morvan's disease.

(795) Syphilitic ulcer. 

(796)Burger's disease. 

(797) Embolic gangrene. 

(798)Reynaud's disease.

(799) Diabetic gangrene. 

(800) lower urinary tract.

Spot the Diagnosis 781-790

(781) A patient has severe rigors followed by severe sweating.  What is this clinical condition? 

(782) A patient has come with pain and swelling of the knee joint. On X ray of this joint, there are flex of calcification and soft tissue shadows. Spot the diagnosis? 

(783) A lady patient has come with a pinhead, small bluish point below the nail with pain. The pain is excruciating when the nail is pressed. Spot the diagnosis? 

(784) A young patient has come with a fast growing tumour. Veins over the swelling is engorged and on auscultation gives murmur like sound.

 Spot the diagnosis? 

(785) A young patient has come with an ulcer. The margin of the ulcer is undermined, thin and bluish. Spot the diagnosis? 

(786) An adult patient has come with an ulcer. The margin of the ulcer is thick perpendicular and punched out. Spot the diagnosis? 

(787) A patient  60 has come with an ulcer with raised and rolled out margin and gives the look of a cauliflower. Spot the diagnosis? 

(788) A patient has come with an ulcer on the face. The margin is raised and beaded, not everted. Spot the diagnosis? 

(789) A patient has come with greenish discharge from an ulcer with peculiar smell. Spot the diagnosis? 

(790) A young boy of 12 has come with a superficial ulcer of the skin of the face. It heals at the centre and spreads in the  periphery. Spot the diagnosis? the 

Answers 

(781) Pyemia.

(782) Malignant Synovioma. 

(783) Glomus tumour.

(784) Sarcoma.

(785) Tuberculous  ulcer. 

(786) Syphilitic ulcer. 

(787) Squamous- cell carcinoma. 

(788) Rodent ulcer.

(789) Infection by B.pyocyaneus.

(790) Lupus vulgaris.