Spot the diagnosis 934-950

934:A patient of dyspnoe and dysphagia has been admitted in the ward. He has spleeno-hepatomegaly and generalised lymphoadenopathy.

Ans: Hodegekins Dideases

935: An unmarried girl has a thickened overgrowth on manibrium sterni which is bluish and has finger like processes.

Ans: Keloid

936: A patient has come with superficial gangrene of hand.His WR ispositive.

Ans: Sryngomylia

937: A patient of gangrene of index finger of left hand come. On auscultation there is mid-diaostolic murmur.

Ans: Embolic gangrene

938: A patient of severe car accident has come. He has diminished cardiac sound. Increased cardiac dullness and low BP.

Ans: Haemopericardium

939: A patient has come in the emergency. On rectal examination his interior rectal wall is bulging with tenderness.

Ans: pelvic abcess

940: Seriously ill lady patient of pain abdomen has come in the emergency.On rectal examination there is tenderness in the recto-vesical pouch.

Ans: Perforated peptic ulcer.

941: A patient of pain in lower abdomen right side has come.On P.R there is pain on the right wall of the rectum is present.

Ans: Acute appendicitis

942: A patient has come with many cysts on the scalp.One of the cyst is ulcerated and looks like epithelioma

Ans: Cock’s peculiar tumour

943: A patient has come with unilateral purulent nasal discharge and there is tenderness in maxillary prominence.

Ans: empyema of maxillary antrum.

944: A child has come with a bluish swelling on the side of midline on the floor of the mouth.The Warton’s duct is visible

Ans :Ramula

945: An opaque cyst in the midline of the floor of the mouth is found in a  child

And: Dermoid cyst

946: A patient has come.His Urine is acidic in nature and contains pus cells. And on ordinary culture there is no growth.

Ans: Renal tuberculosis

947: An old man has come with gyenocomasia. He was taking some drugs for months together for suspected case of carcinoma prostate. Which drug it may be?

Ans: Stillboestroll.

948: A patient of severe abdominal pain has been admitted. He feels more agonising pain when he lies on his back and lessened when he lies on his abdomen or sits up.

Ans: acute pancreatitis

949: A patient of acute appendititis has been admitted.Now he says that his pain has reduced a lot.

Ans: Perforation of appendix has occurred.

950: A patient of colicky pain now complains that his colicky pain has now changed into burning pain.

Ans: peritonitis has set in

Spot the Diagnosis 921-933

921: Which view of radiography is essential to locate the fracture of scaphoid bone?

Ans: oblique view

922: Special axial radiography is needed in fracture of which bone

And: os calcis

923: Stereoscopic picture is needed in the diagnosis of fracture of which bone?

Ans: Skull andPelvis

924: A patient has come with ecchymosis of arm. He has history of injury in the arm from two days ago?

Ans: fracture of humerous

925: A child of 8 has been brought with injury to the arm .there is formation of callous on the arm.Can you find the age of injury?

Arm: more than 10 days

926: A patient of severe injury has been brought in the emergency.He has a blood per urethral , perineal haematoma and distended urinary bladder.

Ans: urethral damage

927: A patient of bus accident has been brought. He has a tumour like mass in the suprapubic region associated with strangury when catheterised. Blood stained scanty urine comes.

Ans: injury to the urinary bladder.

928: A patient of injury has come with oedema and tenderness of  the anatomical snuff box.

Ans:  Fracture of the scaphoid bone

929 : A child of 10 has come with superficial ulceration of cheek which heals  at centre and active at the periphery.

Ans: lupus vulgaris

930: A baby was born with a naevus in the mid line of the small of the back

Ans: Spina bifida occulta

931: An adult male has come with many spider-naevi on the chest and the abdomen. His spleen is palpable and not the liver

Ans : cirrhosis of the liver

932: A lady of 60  has come with nodules of the maxxilary area of her face. It is hard to feel, there is no pain and  many capullaries on the nodules are seen.

Ans: rodent ulcer.

933: A patient has been admitted for pain and swelling in the knee joint.On X-ray ther is soft tissue sshadows and flex of calcification are seen.

And Malignant csynovioma

Spot the diagnosis : 911-920

911: A young male child of 10 has come with cervical lymphoadenopathy. The glands are enlarged and feels rubbery. There is splenic enlargement.

Ans: hodgekins disease

912: A patient of 50 has come with a hard irregular and fixed lump in the right iliac fossa. On examination his right side of testis in scrotum is missing.

Ans malignancy of retained testis.

913: A patient of60 has come with stricture of rectum. On examination the stricture feels hards, irregular and fixed.

Ans Malignant stricture of rectum.

914: A lady of 40 has come with stricture rectum. She gives the history of vaginal sore and inginal bobo.

Ans: lymphogranuloma inginal

915:  A boy of 50 has come with 2 cystic swelling one above the inguinal ligament and another just below it. There is cross-fluctuation. On examination the fifth thorasic vertebra is very tender on palpation.

Ans : Cold abcess due to Potts Disease.

916: A patient has come with multiple sinuses on mandible with discharging pus sulphur granules.

Ans: Actinomycosis

917: A Patient has come. He complains of deep aching pain in the metaphysis of lower end and of tibia aggravated by warmth. The bone is thickened, irregular and tender.

Ans: Brodies abcess.

918: A patient has come with localised pitting oedema of the scalp.He has a history of scalp-injury.

Ans: Potts puffy tumour.

919: In a suspected case of malignancy, the lymph gland of the drainage area is not hard and fixed to the surrounding structure.

Ans: Enlargement is due to infection

920: A person has come with an ulcer. The ulcer looks completely black.

Ans :  Malignant Melaloma

Spot the Diagnosis 901-910

901. A patient has come for flatulence and nausea and vomiting. On examination his 8^th rib on the right side is tender.

Ans: -Cholecystitis.

902: A patient of 50 has come. He has lightening pain in the leg. On examination loss of ankle jerk sluggish pupilliary reaction to light.

Ans: tabes dorsalis.

903: An X-ray plate of abdomen was shown to you in which there is gas under the diaphragm.

Spot the diagnosis??

Ans: perforation of peptic ulcer.

904: A young patient of 15 has come with oedma legs. On examination there is a huge, firm and nodular mass in the abdomen which does not move with respiration.

Ans: Retro-peritoneal  sarcoma giving pressure on the interior vena cava.

905: A female of 25 has come with a firm and rounded tumour arising from the rectus abdominius below the umblicus.

Ans: desmoid tumour

906: A patient has come with spleenic enlargement upto umbilicus and there is sternal tenderness on pressure by fingers.

Ans: Myloid leukaemia.

907: A patient has come with generalised enlargement of lymph node with enlargement of spleen,He has lymphocytosis and their pre-cursors.

Ans: lymphatic leukamia

908: A lady was operated for laparotomy. Her stomach was full of hair.

Ans: Tricho bezoar

909: A laprotomy was done on a lady of fourty. Her stomach was full of plant skin.

Ans: Phytobezoar.

910: A patient has come with an ulcer There is a  greenish discharge with a peculiar smell.

Ans: The ulcer is infected with B.Pyocanacus

Spot the Diagnosis 891-900

891. A patient has come whose liver is soft,smooth and tender.he is having dyspnoe and oedma leg.

Spot the Diagnosis?

Ans: Congestive heart failure.

892. A patient has come with severe epixtaxis,on examination his liver is firm and nodular. Spot the diagnosis?

Ans: Portal cirrhosis.

893. A rundown patient of 65 has come. On plapation of his liver it is hard and coarsely irregular.

Spot the diagnosis?

Ans: secondary carcinoma of the liver. 

894: A patient has come. He complains of severe epistaxis. On examination of his spleen it is palpable.

Ans: Cirrhosis of liver

895:A patient of rigor and fever has come. He is suffering from a month or two. His total WBC count is only two thousand.

Ans :Kalazar 

896:A patient has come. His liver is enlarged, hard and nodular. Spot the diagnosis?

Ans: secondary deposit in liver. 

897: A jaundiced patient has come. His gall bladder is found to be enlarged.

        Spot the diagnosis?

Ans: Carcinoma head of pancreas. 

898: A patient has come with intermittent jaundice &rigor and intermittent colic.

Ans:  stone in the common bile duct.

899: A patient has come with a lump in the epigastrium. The lump is firm, irregular, tender and having mobility.

Spot the diagnosis?

Ans: Carcinoma stomach.

900: A patient has come with a lump in the epigastrium. The lump is less mobile and more tender.

Spot the diagnosis?

Ans: Subacute perforation of peptic ulcer.