Saturday, 12 January 2019

Spot the Diagnosis 881-890

(881)  A lady has come with gross enlargement of her thyroid gland with involvement of recurrent laryngeal nerve . Spot the diagnosis?

(882) A known heart patient has come . His carotid arteries are seen to pulsate forcibly . Spot the diagnosis?

(883) A patient has come with distended veins all over the neck with cynosis and oedema of face . Spot the diagnosis?

(884) A lady has come with pulsating superior thyroid artery . Spot the diagnosis?

(885) A patient has come with distended jugular veins . Spot the diagnosis?

(886) An old man has Carbuncle on the nape of the neck and polyurea . Spot the diagnosis?

(887) A patient was admitted in the ward . He has pulsating proptosis . Spot the diagnosis?

(888)  A lady has come with severe burning feet . There is a history of night sweats and on the examination of the forth thoracic vertebra is tender . Spot the diagnosis?

(889) A patient has come with the complains of chronic cough with chest pain . On examination crepts on the right apex . Gibbus on the thoracic vertebra on the posterior side of the chest . Spot the diagnosis?

(890) A patient aged about 55 has come with a lump on the epigastrium . There is pulsation on the lump. Spot the diagnosis?

Answers.
(881) Malignancy of thyroid .
(882) Arotic incompetence .
(883) Retrosternal goitre or Malignant tumour of the superior mediastinum .
(884) Thyrotoxicosis .
(885) Conjestive heart failure .
(886) Diabetes mellitus .
(887) Cavernous sinus thrombosis.
(888) Pott's disease.
(889) Pott's disease.
(890) Carcinoma if the stomach which is lying over the arota .

Spot the Diagnosis 871-880

(871) A patient has come. His body is stiff ,forward stoop , stiff neck and tremors   . Spot the diagnosis?

(872) A patient of abdominal colic has come . The patient tosses about and tries to find rest by changing one posture after another but fails . Spot the diagnosis?

(873) A patient lying motionless , his joint is swellen , stiff and painful . Spot the diagnosis?

(874) A boy of six has been brought for the treatment of cough . His lower lids of eye are oedematous and puffy . Spot the diagnosis?

(875) A patient of 40 has come . He has a puffy look and oedema of the lower eyelids . Spot the diagnosis?

(876) A boy has come with rigor and fever . There is herpes simplex labialis on the lip . Spot the diagnosis?

(877) A patient has come . His tip of the nose is red and there is a malar flush on both the cheeks . Spot the diagnosis?

(878) A boy has come . He has oedema leg , fullness of neck vein and his lips are livid and blue . Spot the diagnosis?

(879) A patient has come with pigmentation of skin and buccal mucosa . Spot the diagnosis ?

(880) A boy has come with clubbing of fingers . He has also swelling above wrist joint and ankle joint . Spot the diagnosis?

Answers 
(871) Paralysis agitans ( Parkinson's disease ).
(872) Renal colic.
(873) Acute Rheumatism .
(874) Whooping cough .
(875) Nephritis  .
(876) Pneumonia.
(877) Mitral stenosis .
(878) Conjestive heart failure.
(879) Addison's disease .
(880) Hypertrophic Pulmonary osteoarthropathy .

Spot the Diagnosis 861-870

(861) A patient is seized with severe pain in the epigastrium has been admitted . Now there is shock like features and  muscle guard on the epigastrium right side . Spot the diagnosis ?


(862) A patient has an uncler on the lesser curvature of stomach which is more than one inch in length . Spot the diagnosis ?

(863) A patient has an uncler on the greater curvature of stomach which is less than in one inch in length . Spot the diagnosis ?

(864) A patient has an ulcer on the greater curvature which is more than one inch in length. Spot the diagnosis ?

(865) A patient has come with a hard lump in the upper abdomen and one side of testis  was removed earlier . Spot the diagnosis?



(866)  A lady patient has come . She has mooning of face , hypertension , diabetes and osteoporosis . Spot the diagnosis ? 

(867) A lady patient has come. She has breathlessness ,oedema leg , fullness of neck vein and enlarged liver . Spot the diagnosis?

(868)  A patient of 75 has come. He has deterioration of memory, incoherent thinking and faulty judgement . Spot the diagnosis?

(869) A patient has tenderness over duodenum , rapid emptying of stomach and persistent deformity of duodenal cap . Spot the diagnosis?

(870)  A patient of chronic cholecystitis has come . He has developed duodenal cap deformity . Spot the diagnosis ?

Answers .
(861) Perforation of peptic ulcer .
(862) Malignant ulcer .
(863) Malignant ulcer.
(864) Malignant ulcer .
(865) Secondary deposit in the lymph node from malignant testis .
(866) Cushing syndrome .
(867) Conjestive heart failure .
(868) Dementia .
(869) Duodenal ulcer .
(870) Duodenal cap deformity is due to chronic gall bladder disease.