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.