Spot the Diagnosis 851-860

(851)  An already diagnosed case of carcinoma has come . Now he complains of pain . What does it indicate?

(852)  A young boy of 12 has come with a swelling on the upper portion of tibia . He says that previously only pain was there ,now swelling has developed . Spot the diagnosis?

(853) A patient has come with a cystic swelling just behind the ear . Spot the diagnosis?

(854) A patient has come with a swelling on the posterior side of the neck which has browny induration and multiple sieve like openings . Spot the diagnosis?

(855) A patient has come with a swelling. The swelling pits on pressure and there is browny induration. Spot the diagnosis?

(856) A lady has come with a black and bleeding ulcer of the big toe . When examined her liver is enlarged ,tender,hard and nodular. Spot the diagnosis?

(857) A patient has come with a swelling. There is history of reduction of the swelling at one time . The diagnosis of the swelling is thought to be malignant . Spot the diagnosis?

(858) A patient has come with a swelling . He was diagnosed as a case of sarcoma . There is a history of hectic type of temperature with rigor and sweating . Spot the diagnosis?

(859) A patient has come with a swelling . The regional lymph glands are enlarged and tender . Spot the diagnosis?

(860) A patient has come with a swelling with fixicity , local heat and ill defined margin  . Two surgeons have  difference of opinion . One says it is a case of carcinoma and the other day chronic inflammation. What is your opinion?

Answers.

(851)  Ulceration,deep infiltration and involvement of nerves .

(852) Osteogenic sarcoma .

(853) Post auricular Dermoid cyst .

(854) Carbuncle .

(855) There is suppuration .

(856) Malignant melanoma .

(857) Inflammatory swelling.

(858) The swelling contains puse .

(859) Inflammatory swelling.

(860) Chronic inflammation.

Spot the Diagnosis 841-850

(841)  A lady patient has come with neurofibromatosis of the whole body . Her one breast was removed earlier . Spot the diagnosis why her breast was removed?

(842) A patient of epilepsy has come who has neurofibromatosis . Spot the diagnosis?

(843) A patient has come with heart murmur  and fever . He has developed epilepsy . Spot the diagnosis?

(844) A patient has come with epilepsy he has vascular naevi on the face . Spot the diagnosis?

(845)  A patient has come who has epilytic fits . On examination there are white spots on the trunks and limbs and sebaceous oedema on the face. Spot the diagnosis ?

(846) A patient has come with recurrent attacks of fits . He has sixth crenial nerve palsy .

(847) A patient of epilepsy has come. On clinical examination there is nothing abnormal only the intracranial pressure is raised . Spot the diagnosis?

(848) A patient of epilepsy has come his cell - count of CSF is very high . Spot the diagnosis?

(849) The total protein of CSF of a patient of epilepsy is greater than 100mg per 100ml of CSF . Spot the diagnosis?

(850) A patient has come with facial palsy with herpes zoaster of external auditary canal . Spot the diagnosis?

Answers 

(841) Her breast was removed wrongly for carcinoma breast but it was a case of neurofibroma of the breast .

(842) Neurofibroma of the brain .

(843) Embolism .

(844) Sturge-weber syndrome.

(845) Tuberous sclerosis.

(846) Epilepsy is due to raised intracranial pressure.

(847)Expanding intracranial lesion . what

(848) An infective process in the brain .

(849) Intracranial tumour.

(850) Ramsay hunt syndrome.

Spot the diagnosis 811-830

(811) An old man has come with multiple sebaceous cyst on the scalp . The prominent cyst is ulcerated and fungated . Spot the diagnosis?

(812) An infant has been brought with cellulitis near the  knee joint . Spot the diagnosis?

(813) An adult patient has been brought with cellulitis of scrotum . Spot the diagnosis?

(814) A cystic swelling was removed from a patient and dissected which contained hair in pultaceous mass . Spot the diagnosis?

(815) A patient has come with a cyst which has a punctum . Spot the diagnosis?

(816) A patient has come with a cyst which is fixed to the pericranium with erosion of the bone . Spot the diagnosis?

(817) A patient has come with a cyst in the finger . He gives the history of pin-prick . Spot the diagnosis ?

(818) A patient has come with a firm and irregular elevation from the skin . The margin is pink and tender . He gives the history of burn scar . Spot the diagnosis?

(819) A lady patient has come with a rounded ,firm and elastic swelling on the dorsum of wrist joint of the size of a nut . Spot the diagnosis ?

(820) A lady has come with a swelling of nut - size on the Palmar side of wrist joint which is firm, rounded and elastic .

(821) A lady of 40 has come with a palpable pea- size swelling on the radial styloid process which is painful on passive aduction and ulner deviation . Spot the diagnosis ?

(822)  A patient has come with a cystic swelling in the palm which extends in to the forearm which is above the wrist joint . There is cross fluctuation . Spot the diagnosis?

(823) A patient has come with a thick scar which gives rise to itching . Which is  vascular and tendancy to spread . Spot the diagnosis?

(824) A baby was born. There is a naevus in the midline over the small of the back . Spot the diagnosis ?

(825) A young lady of 25 has come for the repeated attack of faintness . She has portwine stain on her chicks right side . Spot the diagnosis?

(826) A patient has come with a horn like structure from the scalp . Spot the diagnosis?

(827) A patient of head injury has come. He has palsy ,hyperpyrexia and pin - point and fixed pupil. Spot the diagnosis?

(828) A lady of 40 has come for epilepsy which start in the finger and unilateral . Spot the diagnosis ?

(829) A lady has come for locking of joints and effusion in the joint . Spot the diagnosis?

(830) A patient has come with epistaxis . There is a spider naevi on the chest and abdomen and his spleen is palpable . Spot the diagnosis?

Answers.
(811) Cock's piculiar tumour .
(812) Acute osteomyelitis.
(813)Extra vasation of urine .
(814) Dermoid cyst .
(815) Sebaceous cyst.
(816) Dermoid cyst.
(817) Implantation Dermoid .
(818) Keloid .
(819) Dorsal gangliom.
(820) Palmar gangliom .
(821) De quervan's disease.
(822) Compound Palmar gangliom ( tuberculous affection of ulner barsa ).
(823) Keloid .
(824) Spina bifida ossulta .
(825) Sturge-weber syndrome .
(826) Sebaceous horn.
(827) Pontine haemorrhage .
(828)  Jacksonian epilepsy.
(829) loose body in the joints.
(830) Cirrhosis of liver .