Spot the diagnosis 310-313

(310) A patient of forty has come with left supraclavicular enlarged and firm lymph node. Spot the diagnosis?

(311) An adult male has a chronic ulcer on the old burn scar . The margin of the ulcer is raised and everted .

(312) A patient of compound fracture has come with x-ray plate (negative film). There are dark round spots in the x-ray . Spot the diagnosis?

(313) A patient of suspected fracture of os calcis has come. Which x-ray view is essential to detect the line of fracture .

Answers.
(310) Carcinoma stomach. The gland is known as virchow's gland .
(311) Marjolin ulcer .(it is just like epithelioma only the spread or metastasis is very late due to fibrosis all around )
(312) Gas gangrene .
(313) Special axial radiograph.

Spot the Diagnosis 306-309

(306) A patient of fifty has come with stony hard and nodular liver. Spot the diagnosis?

(307) A lady patient of thirty has come with a lump on the epigastrium . The lump is less mobile and more tender . spot the diagnosis?

(308) An adult male has come with a lump in the epigastrium. The lump is firm ,irregular and tender . Spot the diagnosis?

(309) A patient of forty five has come with lightning pain in the limbs . On examination there is loss of ankle jerk and sluggish pupillary reaction to light . Spot the diagnosis?

Answers.
(306) Secondary carcinoma liver.
(307) Leaking peptic ulcer.
(308) Carcinoma stomach.
(309) Tabes dorsalis .

Spot the diagnosis 302- 305

(302) A boy of three years has been brought with bloody diarrhoea with acute abdomen and distension. On examination of his abdomen there is a saugage shaped lump in the line of colon convexity towards the umbilicus.

(303) A female patient of fifty has come with the features of intestinal obstruction . She gives the history of cholelithiasis for long .

(304)  A patient of recurrent renal calculi has come . His urine contains large amount of calcium. Spot the diagnosis?

(305) A patient of forty has come with hard subcutaneous nodules near the umbilicus . Spot the diagnosis?

Answers.
(302) Acute Intussusception .
(303) Gall stone illeus .
(304) Hyperparathyroidism .
(305) It is most likely a case of intra-abdominal carcinoma , Most likely carcinoma stomach.

Spot the diagnosis 298-301

(298) A patient has come with frequency of urine . He gives the history of a fall from the roof of his house . On examination nothing abnormal was found . Spot the diagnosis?

(299) A patient of severe motorcycle accident has been brought  .He has
(a) Blood per urethrum .
(b) Perineal haematoma.and
(c) Distended bladder. Spot the diagnosis?

(300) A patient of severe accident has been brought . He has severe tenderness and a tumour like mass in the suprapubic region with strangury. Spot the diagnosis?

(301) A patient has come with distended,tender and rigid abdomen with vomiting and malaema . On examination of her heart there is valvular disease . Spot the diagnosis?

Answers.
(298) Spinal injury.
(299) Urethral damage .
(300) Injury to the urinary bladder.
(301) Masentric thrombosis.

Spot the diagnosis 293-297

(293) A patient of sixty has come with chronic retention of urine . Spot the diagnosis?

(294) A patient of seventy has come with chronic retention of urine and pain on the back in lumbosacral area . Spot the diagnosis?

(295) A patient of fifty says that straining at micturation hinders the flow . Spot the diagnosis?

(296) A patient of forty says that straining at micturation enhances the flow . Spot the diagnosis?

(297) A patient of twenty one has come with frequency of urine . His urine is sterile on ordinary culture,contains pus cells and acidic in nature. Spot the diagnosis?

Answers.
(293) Benign hypertrophy of prostate .
(294) Carcinoma prostate .
(295) Senile hypertrophy of prostate .
(296) Stricture of urethra .
(297) Renal tuberculosis.

Spot the diagnosis 287-292

(287) A boy of four has been brought with a huge enlargement of one kidney without haematuria . Spot the diagnosis?

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

(289) A patient of fifty has come with bilateral renal swelling. Spot the diagnosis?

(290) A recurrent case of urinary calculi has come. Which organ should he examined?

(291) A patient of thirty has come with acute retention of urine. Spot the diagnosis?

(292) A patient of seventy five who is a hemiplegic has come with  tenderness of knee joint. He has a history of minor trauma . On x-ray exam there is fracture which is semilunar in shape at the lateral aspect of medial condyle . Spot the diagnosis?
Answers.
(287) Wilms tumour.
(288) Hypernephroma.
(289) Polycystic kidney.
(290) Neck should he examined for parathyroid tumour.
(291) Stricture of urethra.
(292) Osteochondritis dissecans (Paget's quiet necrosis)

spot the diagnosis 282-286

(282) A female patient of thirty five has come . She has pyrexia ,bilateral lower abdominal pain and tenderness. Scalding pain during micturation and vaginal discharge . The urine contains gonococi . Spot the diagnosis?

(283) A male of fifty has come . His nail of big toe is like a  twisted  horn . Spot the diagnosis?

(284) A lady of thirty five has  come with diminished size of areola of her breast with retracted nipple . Spot the diagnosis?

(285) A patient of fifty five has come with pyrexia
 (hyperpyrexia),pin -point- pupil and palsy . The diagnosis also starts with the letter "P" . Spot the diagnosis?

(286) A lady patient of twenty five has come with red ,destroyed and weeping areola and  of her one breast . Spot the diagnosis?
Answers.
(282) Acute salpingitis .
(283) Onichographosis.
(284) Carcinoma breast.
(285) Pontine haemorrhage .
(286) Paget's disease of breast.