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 .

Spot the Diagnosis qllllllllllll) llll) llllll

(1005) A patient has come with injury . He is unable to raise his one leg but can move his foot . Spot the diagnosis?

(1006) A patient has come with injury . He is unable to raise his both limbs . After X ray there is no fracture in both the limbs . Spot the diagnosis?

(1007) A patient above 40 has come with bilateral renal swelling . Spot the diagnosis?

(1008) A patient has come with pain referred to the tip of penis and haematuria at the end of micturation . Spot the diagnosis?

(1009) A patient has come with throbbing pain in the perineum . Spot the diagnosis? 

(1010) A child of 7 has come with his parents who complain that his child screams during micturation and pulls at the prepuce . Spot the diagnosis?

(1011) An adult feels scalding pain during micturation . Spot the diagnosis?

(1012) A boy of four has come with painless gross enlargement of kidney with haematuria . Spot the diagnosis? 

Answers.

(1005) Fracture of femur .

(1006) Injury to the cord.

(1007) Polycystic kidney.

(1008) Bladder stone.

(1009) Prostatic abscess .

(1010) Stone in the bladder .

(1011) Acute urethristis .

(1012) Wilms's tumour .

Spot the Diagnosis 998-1003

(998) A patient of injury has been admitted .He is unable to raise one leg but can move his foot . Spot the diagnosis?

(999) A lady of 65 with injury has been  brought on a strature . Her left leg is externally rotated . Spot the diagnosis?

(1000) An X ray of the hip joint has been shown to you in which there is rarification in the babecock's triangle. Spot the diagnosis?

(1001) A baby has been brought. He has a big mass attached to the sacral area there is rudimentary hand and finger . Spot the diagnosis?



(1002) A patient has a swelling for long years with no complain . Spot the diagnosis?


(1003) A patient has swelling . He give the history of reduction in size in the past . Spot the diagnosis?

(1004) A patient has come with a browny induration which pits on pressure by the finger . Spot the diagnosis?

Answers.
(998) Fracture of femur .
(999)  Fracture neck of femur  .
(1000) Tuberculosis hip joint .
(1001) Sacrococcygeal teratoma.
(1002) Benign growth.
(1003) Inflamatory or super imposed infection in a malignant growth.
(1004) Suppuration.

Spot the Diagnosis 988-997

(988) A patient has come with a sinus on the ramus of the mandible with a history of watery discharge at the time of meals . Spot the diagnosis?

(989) A lady patient complains of sudden increase in the size of thyroid      associated with pain . Spot the diagnosis? 

(990) A patient has come with a big cystic swelling of the temporal region of scalp with complete baldness over the cyst . Spot the diagnosis?

(991) A patient has come with a cystic swelling on the finger with a history of pin- prick . Spot the diagnosis?

(992) A lady of 45 got vertigo and fell on the ground . There was bleeding from her ear and she died within few hours . Spot the diagnosis?

(993) You have been shown an ulcer . The margin of which is raised and everted . Spot the diagnosis?

(994) You have been shown an ulcer . The margin of which is thin bluish and undermined . Spot the diagnosis?

(995) You have been shown an ulcer . Which is raised and beaded . Spot the diagnosis?

(996) A patient of 20 has come with painful lymphadenitis . Spot the diagnosis?

(997) A patient has come with enlarged sub- occipital and epitrochlear glands . Spot the diagnosis?

 Answers

(988) Parotid fistula .

(989) Haemorrhage in the thyroid .

(990) Sebaceous cyst.

(991) Implantation dermoid .

(992) Haemorrhage in the middle cranial fossa. She might have severe hypertension.

(993) Carcinoma.

(994) Tubercular ulcer .

(995) Basal cell carcinoma.

(996) Septic lymphadenitis.

(997) Syphilitic gland.

Spot the Diagnosis 934-987

934: A patient of dyspnea and dysphagia has been admitted.He has spleno-hepatomegaly and generalise lymph-adenopathy

Ans: Hodgekin's disease

935: An unmarried girl of 24 has been brought by the parents for a thickened overgrowth of fibrous tissue over the manubrium sterni which is vascular,bluish and has finger  like processes.

Ans:keloid

936: A  patient has come with the superficial gangrene of hands.His W.R is positive.

Ans: Shringomylia

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

Ans: Embolic gangrene

938: A patient of severe car accident has come.He has diminshed cardio-sound,increased cardiac dullness and low b.p.

Ans: Haemo-pericardium.

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

ans: Pelvic abcess

940: A severely ill patient of pain abdomen has come in the emergency.On rectal examination there is tendernessin the recto-vasical pouch.

Ans: perforated peptic ulcer.

941: A patient of pain in lower abdominal rt side has come. on the P.R Pain in the right wall of rectum.

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 a unilateral, purulent nasal discharge and there is tenderness on the maxilliary prominenece.

Ans:empyema of maxilliary prominence.

944:A child has come with bluish swelling on the side of midline of the floor of the mouth.the warton's duct is visible.

Ans: Ranula

945: An opaque cyst in the middle of the floor of the mouth found in a child.

Ans: dermoid cysts

946: A Patient has come.His urine is acidic,contains pus cells and on ordinary culture there is no growth.

Ans: Renal tuberculosis

947: An old man has come with gynocomasia.He was taking some drug for months alltogather for suspected case of carcinoma prostate.which drug it may be?

Ans: Stillbostrom

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

Ans: Acute Pancreatitis

949: A patient of acute appendititis has been admitted.Now he says that his pain is lessened too much.

Ans:Perforation of appendics has occured.

950:A patient of colicky pain now complains that the colicky pain has now turned into burning pain.Spot the Diagnosis

Ans : Peritonitis has set-in

951: A retired doctor has come.He complains of persistent flexion of his terminal phalanx of his left index finger.

Ans: Mallet fingers (due to rupture of extensior tendons)

952: A patient has come with a boney swelling under the flexor retinaculur.

Ans: dislocation of lunate bone.

953: A lady has come with oedema  and tenderness of her rt.anatomical snuff box

Ans: Fracture of the scaphoid

954: A lady has come with a haematoma on the thenarspace. When asked to touch the littlefinger of the injured hand by the thumb of the same hand but he fails to do this.

Ans: bennett's fracture

955: A child of 10 has come with superficial ulceration of the arm. The ulcer heals at the centre and active at the periphery.

Ans: lupus vulgaris

956: A patient has come with multiple sinuses in the perinium discharging sulphur granules

Ans: actinomycosis

957: A patient of 25 has come with raised and hypertrophied epithelium around the anus and his epitrochlear and sub occipital lymph nodes are enlarged

Ans: Syphilis in the secondary stage

958: A patient has come with multiple acute ulcers on his genitals with copius purulent secretions with acute lymphoplasia.

Ans: ducreyi ulcer

959: An adult male has come with enlarged epitroclear and sub occipat group of lymph nodes enlargement.

Ans: Syphilis in the secondary stage.

960: A patient of hand injury has come. His middle metacarpel is depressed on examination as compared with the sound side when he makes a fist.On x-ray examination his middle metacarpel is not fractured

Ans: Dislocation of the Semi-lunar

961: A patient of hands injury has come.His middle metacarpel on one hand is depressed when he makes a fist as compared to the sound side

Ans :fracture of the middle metacarpel

962: A febrile patient aged 12 yrs was admitted in surgical ward.He is having pain abdomen and vomiting.The site of the pain was around the umbilicus.There is increse in the neutrophil count and on the ultrasound of the abdomen it is all okay. There is a history of pain in the right illiac fosa.

Ans : Appendicitis

963: A lady of 45 has come with a hard lump in her breast and pain & tenderness in the spine

Ans: carcinoma breast and metastitis in the spine

964: A lady patient has come. She has a lump in the breast which becomes painfull at the time of mensturation.

Ans: fibroedinosis

965: A lady has come,she complains of dark green discharge from the nipple.

Ans: fibroadenosis

966: A patient has come with painfull intermittent jaundice.

Ans : Stone in the CBD

967: A patient has come with painless and progressive jaundice

Ans : Carcinoma head of pancreas



969:A patient of 37yrs has come with a lump in the epigastrium.The lump is less mobile and more tender.

Ans: Perforating peptic ulcer

970: A patient of recurring pain abdomen has come .All the test prescribed was done but no positive finding.He complains of ligtening pain in the legs,loss of ankle joint,sluggishness in the papillary reaction and history of syphilis the long back.

Ans:Tabes dorsialis

971: A patient of severe chest pain has come.On palpatation you have detected a fracture in the sternum.What is that bone that is fractured simultaneously very frequently.

Ans: Spine 

972: A patient has come with a x-ray plate of his chest.In his X-ray there is a cannon-ball appearance.

Ans: hypernephroma

973: A patient of chest injury has come with emphysema of neck,face and chest and then abdomen.what is that emphysema and where is the rupture

Ans: Midiastinal emphysema due to rupture of the bronchus

974: A patient of chest injury has been admitted.His Chest X-ray Shows horizontal line of the haemorraghe in the plural cavity.

Ans : Haemo pnemo thorax

975: A patient of fifty has come with huge enlargement of the spleen.The spleen is enlarged beyond the umblicus. There is sternal tenderness on pressure by the fingers.

Ans: Chronic myeloid leukemia

976:A patient of 50 has come with a enlarged lyphatic gland in the occipital triangle and enlarged lymph node in the epitrochlear area.

Ans : secondary syphilis

977: A patient has come with the pigmentation of the skin. On examination there is pigmentation of the buccal mucosa.

Ans: Addison's disease

978: A male patient of 50 complains of throbbing pain in the perinium.

Ans: prostatic abcess

979: A patient of 15 has come with a firm, irregular, fixed and tender lump.The patient has given history of diminishing of swelling sometime back. Two surgeons have difference in opinion.One says that the malignancy and the other says its inflammatory.What is your opinion??

Ans:Inflammatory swelling

980: A patient has come with a long standing parotind tumour. Now there is facial nerve involvement.

Ans:Malignancy has developed in the parotid tumour.

981: A newborn was brought.It has a naevus in the small of the back.            
Ans: Spina bifida occulta

982: A patient has come.He has swelling in the scalp which looks like a bag full of pulsating earthworms.

Ans: Cirdoid ananeursymal haemangiona

983: A patient has come with a brownish-red-nodule with shining surface showing fine cappillaries over it.It lies on the cheek by the side of the nose.

Ans:rodent ulcer

984: An X-ray plate of the knee-joint was shown to you in which there are soft tissues shadows seen with flecks of calcification.

Ans: Malignant synovioma 

985: A patient of 60 has come. He cannot raise his right leg but can move the right foot.

Ans: fracture of the femoral neck

986:A patient has come with huge enlargement of spleen upto the umblicus and the surface of the spleen is very hard.There is sternal tenderness

And: Myloid leukemia

987: A patient has come with huge enlargement of spleen up to the umblicus.The spleen is soft and the platlets count is very low.

Ans : essential thrombo cyto paenic pupurra haemorragica   

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.

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.

Spot the Diagnosis 851-860

(851)  An already diagnosed case of carcinoma has come . Now he complains of pain . What does it indicate?

(852)  A young boy of 12 has come with a swelling on the upper portion of tibia . He says that previously only pain was there ,now swelling has developed . Spot the diagnosis?

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

(854) A patient has come with a swelling on the posterior side of the neck which has browny induration and multiple sieve like openings . Spot the diagnosis?

(855) A patient has come with a swelling. The swelling pits on pressure and there is browny induration. Spot the diagnosis?

(856) A lady has come with a black and bleeding ulcer of the big toe . When examined her liver is enlarged ,tender,hard and nodular. Spot the diagnosis?

(857) A patient has come with a swelling. There is history of reduction of the swelling at one time . The diagnosis of the swelling is thought to be malignant . Spot the diagnosis?

(858) A patient has come with a swelling . He was diagnosed as a case of sarcoma . There is a history of hectic type of temperature with rigor and sweating . Spot the diagnosis?

(859) A patient has come with a swelling . The regional lymph glands are enlarged and tender . Spot the diagnosis?

(860) A patient has come with a swelling with fixicity , local heat and ill defined margin  . Two surgeons have  difference of opinion . One says it is a case of carcinoma and the other day chronic inflammation. What is your opinion?

Answers.

(851)  Ulceration,deep infiltration and involvement of nerves .

(852) Osteogenic sarcoma .

(853) Post auricular Dermoid cyst .

(854) Carbuncle .

(855) There is suppuration .

(856) Malignant melanoma .

(857) Inflammatory swelling.

(858) The swelling contains puse .

(859) Inflammatory swelling.

(860) Chronic inflammation.

Spot the Diagnosis 841-850

(841)  A lady patient has come with neurofibromatosis of the whole body . Her one breast was removed earlier . Spot the diagnosis why her breast was removed?

(842) A patient of epilepsy has come who has neurofibromatosis . Spot the diagnosis?

(843) A patient has come with heart murmur  and fever . He has developed epilepsy . Spot the diagnosis?

(844) A patient has come with epilepsy he has vascular naevi on the face . Spot the diagnosis?

(845)  A patient has come who has epilytic fits . On examination there are white spots on the trunks and limbs and sebaceous oedema on the face. Spot the diagnosis ?

(846) A patient has come with recurrent attacks of fits . He has sixth crenial nerve palsy .

(847) A patient of epilepsy has come. On clinical examination there is nothing abnormal only the intracranial pressure is raised . Spot the diagnosis?

(848) A patient of epilepsy has come his cell - count of CSF is very high . Spot the diagnosis?

(849) The total protein of CSF of a patient of epilepsy is greater than 100mg per 100ml of CSF . Spot the diagnosis?

(850) A patient has come with facial palsy with herpes zoaster of external auditary canal . Spot the diagnosis?

Answers 

(841) Her breast was removed wrongly for carcinoma breast but it was a case of neurofibroma of the breast .

(842) Neurofibroma of the brain .

(843) Embolism .

(844) Sturge-weber syndrome.

(845) Tuberous sclerosis.

(846) Epilepsy is due to raised intracranial pressure.

(847)Expanding intracranial lesion . what

(848) An infective process in the brain .

(849) Intracranial tumour.

(850) Ramsay hunt syndrome.

Spot the diagnosis 811-830

(811) An old man has come with multiple sebaceous cyst on the scalp . The prominent cyst is ulcerated and fungated . Spot the diagnosis?

(812) An infant has been brought with cellulitis near the  knee joint . Spot the diagnosis?

(813) An adult patient has been brought with cellulitis of scrotum . Spot the diagnosis?

(814) A cystic swelling was removed from a patient and dissected which contained hair in pultaceous mass . Spot the diagnosis?

(815) A patient has come with a cyst which has a punctum . Spot the diagnosis?

(816) A patient has come with a cyst which is fixed to the pericranium with erosion of the bone . Spot the diagnosis?

(817) A patient has come with a cyst in the finger . He gives the history of pin-prick . Spot the diagnosis ?

(818) A patient has come with a firm and irregular elevation from the skin . The margin is pink and tender . He gives the history of burn scar . Spot the diagnosis?

(819) A lady patient has come with a rounded ,firm and elastic swelling on the dorsum of wrist joint of the size of a nut . Spot the diagnosis ?

(820) A lady has come with a swelling of nut - size on the Palmar side of wrist joint which is firm, rounded and elastic .

(821) A lady of 40 has come with a palpable pea- size swelling on the radial styloid process which is painful on passive aduction and ulner deviation . Spot the diagnosis ?

(822)  A patient has come with a cystic swelling in the palm which extends in to the forearm which is above the wrist joint . There is cross fluctuation . Spot the diagnosis?

(823) A patient has come with a thick scar which gives rise to itching . Which is  vascular and tendancy to spread . Spot the diagnosis?

(824) A baby was born. There is a naevus in the midline over the small of the back . Spot the diagnosis ?

(825) A young lady of 25 has come for the repeated attack of faintness . She has portwine stain on her chicks right side . Spot the diagnosis?

(826) A patient has come with a horn like structure from the scalp . Spot the diagnosis?

(827) A patient of head injury has come. He has palsy ,hyperpyrexia and pin - point and fixed pupil. Spot the diagnosis?

(828) A lady of 40 has come for epilepsy which start in the finger and unilateral . Spot the diagnosis ?

(829) A lady has come for locking of joints and effusion in the joint . Spot the diagnosis?

(830) A patient has come with epistaxis . There is a spider naevi on the chest and abdomen and his spleen is palpable . Spot the diagnosis?

Answers.
(811) Cock's piculiar tumour .
(812) Acute osteomyelitis.
(813)Extra vasation of urine .
(814) Dermoid cyst .
(815) Sebaceous cyst.
(816) Dermoid cyst.
(817) Implantation Dermoid .
(818) Keloid .
(819) Dorsal gangliom.
(820) Palmar gangliom .
(821) De quervan's disease.
(822) Compound Palmar gangliom ( tuberculous affection of ulner barsa ).
(823) Keloid .
(824) Spina bifida ossulta .
(825) Sturge-weber syndrome .
(826) Sebaceous horn.
(827) Pontine haemorrhage .
(828)  Jacksonian epilepsy.
(829) loose body in the joints.
(830) Cirrhosis of liver .

Spot the Diagnosis 801-810

(801) A patient has come with superficial gangrene of fingers . On clinical examination everything is normal. The surgeon prescribed X  ray neck. Spot the diagnosis? 

(802) A patient of 65 has come with dry gangrene of finger of foot which was caused paring nails. On X ray there is calcification of arterial wall. Spot the diagnosis? 

(803) A patient has come with all the features of cervical rib but on X ray there is no cervical rib seen. Spot the diagnosis? 

(804) A patient has come with an ulcer on the old burn scar, the margin is raised and everted but the progress of spreading is very slow. Spot the diagnosis? 

(805) A patient has come with an ulcer on the face just by the side of nose. The edge of the ulcer is raised and beaded. Spot the diagnosis? 

(806) A patient has come with an ulcer and the lymph node in the drainage area are stony hard and fixed to the surrounding structure. Spot the diagnosis? 

(807) A patient has come with an ulcer on Penis and his inguinal glands are firm discrete and shotty. Spot the diagnosis? 

(808) A patient has come with a sinus which is at the end of tibia. Spot the diagnosis? 

(809) A patient has come with a Deepening groove around the root of little finger of foot. Spot the diagnosis? 

(810) A patient has come with a swelling which has arousen from a lymph node. The skin over the swelling is tense and glossy with dilated cutaneous veins over it. 

Answers. 

(801) Cervical rib.

(802) Senile gangrene. 

(803) Scalenus anticus syndrome. 

(804) Marjolin's ulcer.

(805) Rodent ulcer. 

(806) Secondary deposite in the lymph gland. 

(807) Hunterian chancre. 

(808) Osteomylitis. 

(809) Ainhum. 

(810) Lymphosarcoma.

Spot the Diagnosis 791-800

(791) A patient has come with a single sinus over the ramus of lower jaw. Spot the diagnosis? 

(792) A patient has come with multiple indurated sinuses in the neck. Spot the diagnosis? 

(793) A patient has come with a sinus in the neck which looks like an ulcer and the margin is thin and undermined. Spot the diagnosis? 

(794) An adult male has come with painless paronychia. Spot the diagnosis? 

(795) An adult male has come with an ulcer on the tibia. The edge of the ulcer is punched out. Spot the diagnosis? 

(796) An adult male of 40 has come with dry gangrene of right big toe. The patient is a heavy smoker. Spot the diagnosis? 

(797) A known patient of mitral stenosis has come with gangrene of ring finger of his left hand. Spot the diagnosis? 

(798) A young female has come with ulceration of tips of fingers with severe sweating. The pulse is unaffected. Spot the diagnosis? 

(799) A patient has come with wet gangrene. He has a long history of diabetes mellitus. Spot the diagnosis? 

(800) A patient has multiple fistula on the scrotum has come. Which part should be examined throughly. Spot the diagnosis? 

Answers 

(791) Osteomylitis. 

(792) Actinomycosis.

(793) Tuberculous sinus.

(794) Morvan's disease.

(795) Syphilitic ulcer. 

(796)Burger's disease. 

(797) Embolic gangrene. 

(798)Reynaud's disease.

(799) Diabetic gangrene. 

(800) lower urinary tract.

Spot the Diagnosis 781-790

(781) A patient has severe rigors followed by severe sweating.  What is this clinical condition? 

(782) A patient has come with pain and swelling of the knee joint. On X ray of this joint, there are flex of calcification and soft tissue shadows. Spot the diagnosis? 

(783) A lady patient has come with a pinhead, small bluish point below the nail with pain. The pain is excruciating when the nail is pressed. Spot the diagnosis? 

(784) A young patient has come with a fast growing tumour. Veins over the swelling is engorged and on auscultation gives murmur like sound.

 Spot the diagnosis? 

(785) A young patient has come with an ulcer. The margin of the ulcer is undermined, thin and bluish. Spot the diagnosis? 

(786) An adult patient has come with an ulcer. The margin of the ulcer is thick perpendicular and punched out. Spot the diagnosis? 

(787) A patient  60 has come with an ulcer with raised and rolled out margin and gives the look of a cauliflower. Spot the diagnosis? 

(788) A patient has come with an ulcer on the face. The margin is raised and beaded, not everted. Spot the diagnosis? 

(789) A patient has come with greenish discharge from an ulcer with peculiar smell. Spot the diagnosis? 

(790) A young boy of 12 has come with a superficial ulcer of the skin of the face. It heals at the centre and spreads in the  periphery. Spot the diagnosis? the 

Answers 

(781) Pyemia.

(782) Malignant Synovioma. 

(783) Glomus tumour.

(784) Sarcoma.

(785) Tuberculous  ulcer. 

(786) Syphilitic ulcer. 

(787) Squamous- cell carcinoma. 

(788) Rodent ulcer.

(789) Infection by B.pyocyaneus.

(790) Lupus vulgaris.