Spot the Diagnosis 608-610

608).A patient has come with rounded swelling of shoulder joint but there is no effusion in the joint.Spot the diagnosis?

609).A known patient of senile  hypertrophy of prostate has come. Now he complains of pain in the perineum. Spot the diagnosis?

610).A Rickshaw pullar has come. His tibia is thickned with multiple sinuses attached to the bone.Spot the diagnosis?

Answers :-
608)Subdeltoid bursitis.
609)Malignancy has developed in prostate.
610).Osteomyelitis.

Spot the diagnosis 601-607

601).A patient of sixty-five has come for frequently of urine.Spot the diagnosis ?

602).A patient of thirty complains of frequency of urine.His urine is acidic and contains pus cells and sterile on ordinary culture.Spot the diagnosis ?

603).A man of fifty has come with polyurea,polydypsia and polyphagia.Spot the diagnosis?

604).An X-ray picture was shown in which there is soft tissue shadow.Spot the diagnosis?

605).An X-ray film of tibia was shown in which there are multiple punched out shadows like peas.Spot the diagnosis?

606).A lady of fifty has come with a bony swelling and a lump in the breast.X-ray of the bone shows destructive features only.Spot the diagnosis?

607).A patient of sixty has come.In his X-ray of bone there is sclerosis of bone and his alkaline phosphates is raised.Spot the diagnosis?

ANSWERS:-
601)Senile hypertrophy of prostate.
602).Tuberculosis of kidney.
603).Diabetes mellitus.
604).Osteosarcoma.
605).Multiple myeloma.
606).Secondary carcinoma in the bone and primary in the breast.
607).primary carcinoma of prostate and secondary in the bone.

Spot the Diagnosis 598-600

(598) A patient of forty has come. He has lightening pain in the legs. On.examination there is an old ulcer scar on his glans penis and sluggish pupillary reaction. Spot the diagnosis?

(599)A patient has come. He has oedema of both lower limbs. On examination there is a huge firm and nodular mass in the umbilical area of abdomen.

(600) A patient has come with multiple, yellowish discharging sinuses on right iliac fossa. He gives the history of previous operation. On examination there is a very hard and fixed lump in the right iliac fossa. Spot the diagnosis?

Answers.
(598) Tabes dorsalis.
(599) Retroperitoneal sarcoma.
(600) Actinomicosis of caecum.

Spot the diagnosis 593-597

593).A child has been admitted in surgical ward with generalised lymph adenopathy.The child is anemic with cynosis and respiratory trouble.There is splenoheptomegaly also.Spot the diagnosis?

594).A patient has come with red and oedematous swelling.Spot the diagnosis?

595).A young patient of forty has come.He has painless enlargement of epitrochlear and occipital lymph node.Spot the diagnosis?

596).A lady of sixty has come with a swelling of breast.The skin of the breast gives the appearance of orange skin.Spot the diagnosis?

597).A patient of fifty has come.He has enlargement of deep cervical lymph nodes.When he protudes his tongue ,the tip of the tongue points towards the lesion .He has paralysis of hypoglossal nerve.Spot the diagnosis?

          ANSWERS:-
593).Hodgekin's disease.
594)Suppuration .
595)Syphilitic glands.
596).Carcinoma of breast..
597).Secondary carcinoma of lymph gland.

Spot the diagnosis 581-592

581)A patient has come.He says that his pain in epigastrium is more or less constant between meals but the pain is increased just after meals.After examination it is found that there is no pyloric stenosis and gastric carcinoma.Spot the diagnosis?

582).A lady of fifty has come with grippping pain in right hypocondrium which rediates to the back.Spot the diagnosis ?

583).A patient says that when I feel pain in the epigastrium I Induce vomitting and get relief.Spot the diagnosis.

584).A fatty lady of forty-five complains that she offen gets vomiting.

585).A known drunkard has come with severe haemetemesis.Spot the diagnosis ?

586).A patient of fifty has come.He complains of alternate constipation and diarrhoea for a long time.Spot the diagnosis ?

587).A lady of sixty has come with a thyroid swelling.On examination of thyroid swelling carotid pulse is not felt.Spot the diagnosis ?

588).A patient has come with enlargement of a lymph gland in the neck.There is subcutaneous dilated veins over it.Spot the diagnosis ?

589)A patient of fifty has come with a swelling.The skin at one point is stuck down at one place causing a fold of skin to stand out below it.Spot the diagnosis?

590).A patient has come with a transverse scar looking like an incisinal scar on the neck.Spot the diagnosis ?

591).A patient has come with a sinus just below the angle of mandible.Spot the diagnosis ?

592).A patient has come with an indurated mass on which there is multiple discharging sinuses .The discharge is yellowish.Spot the diagnosis ?


           ANSWERS:-
581).Gastric ulcer penetrating into the panecreas .
582).Cholescystitis.
583).Gastric ulcer.
584).Cholescystitis.
585)Cirrhosis of liver.
586)carcinoma of colon
587).Malignant thyroid.
588).Lymphosarcoma.
589).Secondary carcinoma of lymph gland.
590).Healed tuberculous ulcer  and multiple healed sinuses.
591).Osteomylitis of mandible.
592).Actynomycosis.

Spot the diagnosis 575-580

575).A child has been brought in S.O.P.D. for an abscess just medial to the mid ingunial region.Spot the diagnosis ?

576).A patient has come for one cold abscess in the gluetial region.Spot the diagnosis ?

577).A patient has come.He has fallen from a tree.Everything is okay except he has a swelling in dorsal vertebral region.The swelling is fluctuant .Spot the diagnosis ?

578).A patient has come.He has fallen from the roof of his house but still he can walk.Spot the diagnosis.

579).A patient has come.He is having painful and intermittent jaundice.Spot the diagnosis?

580).A patient has come with painless and progressive jaundice.Spot the diagnosis ?

         ANSWERS:-
575).Suppurative arthritis of hip joint.
576).Tubuerculor effusion of hip joint.
577).Haematoma.
578).No injury to the cord or lower extremities.
579).Stone in the common bile duct.
580).Carcinoma head of pancreas.

Spot the diagnosis 570-574

570).P.R Examination of a patient of forty was done.There was a gritting sound.Spot the diagnosis ?

571).A patient has come.He has multiple whitish nodules all over the scrotun.Spot the diagnosis ?

572).A child of six has been brought.He has polyarticular Rumatoid arthritis with lymph nodes inlargememt and spleenomegaly.Spot the diagnosis ?

573).A patient has come with   pain and swelling .There is a browny induration that pits on pressure by fingure tip.Spot the diagnosis ?

574).A young boy of five has been brought for pain in right hip joint.There are wasting of muscles,flatting of buttucks and loss of gluteal  folds.Spot the diagnosis ?


             ANSWERS:-
570) Prostatic calculi.
571).Multiple seabaceous cyst.
572).Still's disease.
573).Deep seated abscess.
574).Tuberculosis of hip joint.

Spot the diagnosis 565-569

565).A patient has come in surgical emergency with intestinal obstruction.The abdomen is tender and regid.On auscultation he is having vulvular heart disease.Spot the diagnosis ?

566).A fat lady of forty-five has been admitted in the surgical ward for intestinal obstruction.She gives the history of cholelithiasis .Spot the diagnosis ?

567).A patient of intestinal obstruction was admitted in the surgical ward.He gives the history of tabes mesentrica .Spot the diagnosis.?

568).A know case of senile hypertrophy of prostate has come.Now he complains of pain in perineum .Spot the diagnosis ?

569).A house surgeon does per rectal examination of a patient.He reports that the prostate is hard and irregular in feel and there is obliteration of median and lateral grooves.Spot the diagnosis.

     ANSWERS:-
565)Masentric vascular occlusion.
566)Gall stones in ileus.
567) Bands and adhesion.
568)Malignant transformation in prostate.
569)Carcinoma prostate.

Spot the diagnosis 561-564

 (561) A patient has come with spasmodic pain abdomen. The pain radiates from loin down to the groin, testis and inner side of the thigh. Spot the diagnosis?

(562) A patient of forty has come with a lump in the renal area which has grown painlessly. Spot the diagnosis?

(563) A patient has come with a tumour in the neck. He has a history of recurrent renal calculi. Spot the diagnosis?

(564) Urine of a patient of renal calculi contains large amount of calcium. Spot the diagnosis?

Answers.
(561) Stone in the ureter.
(562)Hypernephroma
(563) Parathyroid tumour.
(564) Hyperparathyroidism.

spot the diagnosis 557-560

(557) A patient of 60 has come with the complain of throbbing pain in the perineum. Spot the diagnosis?

(558) A child of 6 has been brought by his parents. They complain that at the time of micturation the child screams with pain and pulls at the prepuce. Spot the diagnosis?

(559) A patient of 55has come. He complains that straining during micturation hinders the flow. Spot the diagnosis?
(560) A patient of 40 has come. He complains that straining during micturation increases the flow of urine. Spot the diagnosis?
Answers.
(557) Prostatic abscess.
(558) Stone in the bladder.
(559) Prostatic hypertrophy.
(560) Urethral stricture.

Spot the diagnosis 551-556

551).A patient has a parotid swelling for a long time.Now there is involvement of facial nerve.Spot the diagnosis?

552).A patient had a mixed parotid tumour for a long time.Now it has started to grow fast.Spot the diagnosis ?

553).An old man of known prostatic enlargement has come.Now he complains of pain in the back in lumbosacral region.Spot the diagnosis ?

554).A patient of sixty has come with stricture rectum.On examination the stricture is ulcerated,hard and irregular in feel.Spot the diagnosis ?

555).A lady of forty has come with stricture rectum.She gives the history of genital sorses and inguinal bubo.Spot the diagnosis ?

556).A lady has come in S.O.P.D.She complains that when she passes hard stool there is bright red bleeding which spatters the whole basin.Spot the diagnosis ?

         ANSWERS:-
551)Malignant transformation in parotid gland.
552).Malignant transformation in mixed parotid tumour.
553).Malignancy has developed in prostate.554).Malignant stricture.
555).Lymphogranuloma inguinale .
556).Internal piles.

Spot the Diagnosis 541-550

541).A patient of fifty has come with pain and swelling in the scrotum.On examination his spermatic cord is thickend and epididymus is enlarged,hard and nodular.Spot the diagnosis?

542).A patient has come with a lump in the epigastrium.His one testis was removed previously.On examination his left supraclavicular lymph node was enlarged and firm.Spot the diagnosis?

543).A patient has come with a cystic swelling near the outer canthus of his left eye.The cyst is translucent,free from skin and attached to the pericranium with saucer-shaped erosion in the bone.Spot the diagnosis?

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

545).A boy of six has come with a cystic swelling at the root of the nose.There is an impulse when the child coughs.Spot the diagnosis?

546)A patient has come with a cystic swelling on the temporal region of a scalp with baldness over the cyst.Spot the diagnosis?

547).A patient of fifty-five has come with chest pain and profused sweating.Spot the diagnosis?

548).A patient gets breathlessness on walking even for a very short distance.On auscultation there is a mid diastolic murmur.Spot the diagnosis ?

549).A patient narrates that during meals the parotid area and cheek of left side of the face becomes red,hot,painfull and beads of perspiration appear on the cheek.During saving the area becomes hypersthetic.He gives the history of parotid abscess which was incised and drained previously.Spot the diagnosis?

550).A patient complains that during meal he gets a tough,tense and tender swelling in the submandibular area.Spot the diagnosis.

             ANSWERS:-
541) Tuberculous epididymus.
542) Secondary deposit in pre and para arotic lyumh nodes and virchow's gland and primary in the testis.
543)External angular dermoid cyst.
544)Posterior auricular dermoid cyst.
545)Meningocoele.
546)Sebaceous cyst.
547)Acute Myocardial infaction.
548)Mitral stenosis.
549)Frey's syndrome.(Auricular temporal syndrome).
550)Salivary calculus in the duct.