Spot the Diagnosis 1026-1034

 1026) A lady patient has come in the  emergency  and complaints that there is sudden increase in the size of her goitre with pain.spot the diagnosis ? 

1027) A young boy has come with a cystic swelling in the neck . When asked to swallow the swallowing moves upward with protrusion of tongue.  Spot the diagnosis?

1028) A young boy has come with a small ulcer  near the mid line of the neck below hyoid bone with a crecentric fold of skin , spot the diagnosis ?

1029) A patient of injury has come with oedema of anatomical smull box,spot the diagnosis ? 

1030) A patient of accident has come in the emergency ,he has three things a) blood per urethrun b) perineal haematoma c) and

 distended bladder 

1031) A patient of injury has come with tumor like mass in the supra pubic region with strangury when catheter is passed the catheter goes easily but blood stained urine  comes . Spot the diagnosis ?

1032) A patient has come whose urine is acidic in nature contains pus cells and on ordinary culture ,it is sterile. What do you suspect and what more test you will do to confirm ? 

1033) Urine of a patient contains large amount of calcium and on plane x - ray abdomen there is renal stone.what is the cause of renal stone ?

1034) A fat patient of forty has come in the emergency for acute abdomen and  he has brusing in the loin and red area around the umbilicus. Spot the diagnosis ? 

Answers -

1026 ) Haemorrhage in the thyroid

1027) Thyroglossal cyst

1028) Thyroglossal fistula

1029) Fracture of scaphoid bone 

1030) Urethral damage 

1031) Injury to the bladder 

1032) Renal tuberculosis and to detect the special  culture of urine or animal inoculation test

1033)  Hyperparathyroidisn

1034) Acute pancreatitis

Spot the Diagnosis 1013-1020

(1013) You have been shown an X-ray plate in which there is bilateral effusion at the base of the lungs and prominent aorotic knucle . Spot the diagnosis?

(1014) A patient has been admitted in the emergency with silent heart , increased area of cardiac dullness and steady fall in arterial pressure and with gradual rise in the venous pressure . What is the urgent treatment . Spot the diagnosis?

(1015) A patient has a cystic swelling on the outer canthus of the eye which is free from the skin but fixed to the underlying skull in which there is saucer - shaped depression with a peripheral ridge . Spot the diagnosis?

(1016) A patient has come with a parotid temour and his facial nerve is affected . Spot the diagnosis?

(1017) A patient has come in the outdoor . He has a submandibular swelling which becomes tense and tender during meals . Spot the diagnosis?

(1018) A patient has come with swelling of all salivary glands including lacrimals . Spot the diagnosis?

(1019) A patient complains of hypersthecia during shaving on one side of check . The check and parotid area that side is red, hot and tender . He has a history of operation for suppurative parotiditis . Spot the diagnosis?

(1020) A known case of mixed parotid tumour has come and complains that it has become painful now, growing rapidly and feels hard . On examination it is found to be fixed to the masseter and mandible . Spot the diagnosis?

  Answers.

(1013) Acute left ventricular failure .

(1014) Hemopericardium . Aspiration of the pericardium through left costoxiphoid angle.

(1015) External angular dermoid cyst.

(1016) Malignant transformation in parotid gland .

(1017) Sub mandibular salivary stone .

(1018) Muculics's disease.

(1019) Frey's syndrome.

(1020) Malignant transformation in mixed parotid tumour .