Spot the Diagnosis 611-620

(611) A patient has come with a sinus with sprouting granulation tissue over a bone. Spot the diagnosis?

(612) A robust man of forty has come with acute agonising pain and fullness in the epigastrium. The pain pierces to the back. On examination there is a bruise in the loin and around the umbilicus.

(613) A patient of fifty five is admitted in the medical ward. He is having abdominal distention, hiccup, vomiting. His blood urea is raised. Spot the diagnosis?

(614) A lady of forty has come with gripping pain abdomen. Spot the diagnosis?

(615) An adult male has come with engorged superficial veins around the umbilicus. Spot  the diagnosis?

(616) A patient has come with superficial veins engorged and dilated on the side of abdomen. Spot the diagnosis?

(617) A patient has come with hard subcutaneous nodules around the umbilicus. Spot the diagnosis?

(618) A patient of car accident has been brought in the emergency. On auscultation his heart seems to be silent.

(619) A patient of chest injury has been brought in the emergency. His heart beat is displaced to the other side.

(620) A patient of chest injury has been brought. There is absence of breath sound and vocal- resonance at the base of the lungs.

Answers.
(611) Sequestration of bone or Foreign body inside and granulation tissue is known as proud flesh.
(612) Acute pancreatitis.
(613) Uraemic distention.
(614) Biliary colic.
(615) Portal obstruction.
(616) Obstruction of the inferior vena cava.
(617) Carcinoma of stomach or intraabdominal carcinoma.
(618) Haemopericardium.
(619) Haemothorax.
(620) Haemo-and Pneumothorax.