Spot the diagnosis -99

(1) A patient has come with a sinus on the lower jaw with proud flesh . 
(2) One patient has come with multiple sinuses on the lower jaw  with yellowish discharge.
(3) A patient of forty five has come with a big boil on the posterior side of neck with multiple sieve like openings.
(4) A young lady has come with haemangioma of the face on her right check . She also complains of occasional fits .
 
Answers .
(3) Carbuncle .
(2) Actinomycosis .
(4)Sturge- weber - syndrome.
(1) Osteomylitis of mandible .

Words of wisdom.

(1) The person who does not bother for himself ,for his caste, religion etc but always thinks for the welfare and the betterment of the whole mankind of the whole universe is nothing less than a great saint ,a great mahatma .

(2) Doctors ,Engineers, Lawyers, Administrators ,Politicians, and men in any field if they are not honest and sincere they are bound to be doomed one day.

Spot the diagnosis -98

(1) You have been told about a child patient of thirteen years old that he was admitted in a big hospital  for tumour of femur . The tumour disappeared completely after radiotherapy . Spot the diagnosis ?

(2) A laprotomy for vague abdominal pain was done . Everything is normal except an enlarged and inflammed lymph node is found in the calot's triangle which is formed by cystic duct ,cystic artery and common hepatic duct.

(3) A middle aged woman has come with pain ,tenderness and a nodule on the radial styloid process . Finkelstein's test is positive. Spot the diagnosis ?

(4) An x-ray plate of a patient was shown to you . There are multiple punched out areas of bone destruction in the size of pea in the x-ray plate. Spot the diagnosis ?

Answers

(2) Chronic cholecystitis .

(3) De Quervon's disease .

(1) Ewing's tumour .

(4) Multiple myeloma .

Spot the diagnosis -97

(1) A chain smoker has developed dry gangrene of his big toe of his right foot .

(2) A diabetic patient has developed wet gangrene of the toes.

(3) An old patient has developed gangrene of his toes . He is neither a smoker nor a diabetic .

(4) A young Lady has come with elevation of the skin on the upper chest which is butterfly shaped and pinkish.

Answers

(2) Diabetic gangrene .

(3) Senile gangrene .

(1) Buerger's disease .

(4) Keloid .

Spot the Diagnosis- 96

(1) A patient has come with gangrene of fingers of one hand . His heart is normal . Spot the diagnosis?

(2) A patient of gangrene of fingers of one hand has come   . His radiological views of cervical vertebra is normal . Spot the diagnosis ?

(3) A patient has come with painless whitlow . Spot the diagnosis ?

(4) A lady patient has come with superficial gangrene of fingers of both the  hands excluding both the thumbs .

Answers

(2) Embolic gangrene .

(3)Morvon's disease .

(1) Cervical rib .

(4) Raynaud's disease .

Spot the diagnosis- 95

(1) A patient aged about fifty has come with bilateral renal swellings . Spot the diagnosis?
 

(2) A patient has been admitted for fever,rigor and profuse sweating . He has brawny endurance in the loin . Spot the diagnosis?
 

( 3) A patient of recurrent renal calculi has been admitted . His urine contains huge amount of calcium. Spot the diagnosis?
 

(4) An emaciated patient with vague abdominal pain has been admitted . His urine is acidic , contains pus cells and on ordinary culture urine is found to be sterile .
 

Answers
(4) Renal tuberculosis .
(3) Parathyroid disease .
(2) Perinephric abscess.
(1)Polycystic kidney .

Spot the diagnosis- 94

(1) In a radiological view of a patient of forty years of age  has an ulcer on the lesser curvature of stomach is more than one inch in length   . Spot the diagnosis ?
(2) A patient has come whose radiological finding is an ulcer on the greater curvature about half an  inch in length . Spot the diagnosis ?
(3) A child patient of four years of age  was brought to S.O.P.D . He has painless and gross enlargement of kidney without haematuria . Spot the diagnosis ?
(4) An adult male of  forty five has come with painless and gross enlargement of kidney . Spot the diagnosis ?

Answers
(3) Wilms tumour .
(2) All ulcers on the greater curvature of the stomach is thought to be malignant .
(4) Hypernephroma .
(1) Ulcers on the lesser curvature of stomach more than one inch is thought to be malignant.