Spot the Diagnosis 443-445

 443).A patient has come with hepatic enlargement.There is intercostal tenderness.spot the diagnosis....???

444).A patient has come with enlarged and soft liver with tenderness in the left iliac fossa at Manson's bar  amoebic point.spot the diagnosis?

445).A patient of sixty-five has come with enlarged prostate .He complains of pain in the back.spot the diagnosis..?                      

 Answer:-
443) Amoebic liver abscess.
444).Amoebic colitis with hepatitis.
445).Carcinoma prostate.

Spot the Diagnosis 440-442

1).A patient has come in the SOPD .He has fallen from a tree.Everything is okay except he can't raise his right lower extremity but can only move his right foot..spot the diagnosis..
2).A patient has come in the SOPD.His splenic enlargement is up to the umbilicus and the feel is firm and hard.There is also sternal tenderness.spot the diagnosis?
3).A patient has come with severe cervical injury.Please tell me the level of cervical segment above which severe injury causes death.spot the diagnosis.?.

Answer:-1).Fracture neck of right femur..2).Chronic myeloid leukemia.
3).Above Fifth cervical segment.

Spot the Diagnosis 435-439

1).A child has come in the SOPD for rigor,fever,leucocytosis and cellulitis in the metaphyseal region of tibia....spot the diagnosis..

2).A patient has come with a sinus with sprouting granulation tissue..

3).A patient has come with painless,serous effusion in the both knee joint with symmetrical affection with free movement...spot the diagnosis..

4).A patient came in the SOPD .His face was pale and puffy and was wearing wollen shirt in the days of summer when asked his name to test his voice it was husky.spot the diagnosis..

5).A lady of sixty has come for enlarged liver with chronic black ulcer under the nail of big toe which often bleeds...spot the diagnosis..


Answers
(1)Acute osteomylitis
(2)chronic osteomylitis.
(3)syphilis of joint.
(4) Myxoedema.
(5)malignant melanoma.

Spot the Diagnosis 432-434

432)A Patient has come with hard and fixed lump in right illiac fossa with multiple sinus discharging yellowish fluid.Previously He was operated for appendicectomy.

433)A Patient of 55 has come with hard lump in right illiac fossa.He has a history of alternate constipation and diarrhoea.

434)A lady patient of 30 has come with hard and fixed lump in right illiac fossa.Previously, she suffered from rigor, fever, leucocytosis and acute tenderness in right illiac fossa.She consulted with a senior physician who treated her with higher antibiotics...


Answer:-432)Actinomicosis...
433)Carcinoma caecum.
434)Antibioma...

Spot the diagnosis 429-431

(1) A patient has come in the
 S.O.P.D for haematoma of the thinner eminence . He can't approximate the tip of the thumb with tip of the ring finger of the same hand. Spot the diagnosis?

(2) A patient has come with excruciatingly tender ,red coloured ,small localised area beneath the nail .

(3) A lady of seventy slips and falls  in her bathroom . Now she is quite unable to stand up by her self .

Answers
(1) Benette's fracture.
(2) Glomus tumour .
(3) Fracture of neck of femur.

Spot the diagnosis 427-428

(1) A patient comes with twisted big toe -nail like ram's horn . Spot the diagnosis?
Ans Onychographosia.

(2) A lady of fifty five seats on the ground and stands by taking the help of ground by putting her both the palms placing on the ground . Spot the diagnosis?
Ans Menopausal osteoprosis of lumbar vertebrae.

Single Son Syndrome -II

Single son syndrome occurs most commonly with parents having only one son but this may happen also with the persons who have many sons . 

This  happens with the youngest son or a handicapped and weak sons or who has suffered long for any disease or has gone under major operation in the childhood . In this syndrome the sufferers is the mother if father is too busy in his daily business . 

The most common feature the child becomes a malingerer or always possess a weak and ill health in his childhood .

 In recent years doctors in many countries have visualised that mothers have a special centre in their brain which looks after and cares for only for the babies . This centre is called baby's brain in single son syndrome. This centre in the brain of mother is much developed and hypertrophied . 

This has also been seen in tortoise . In tortoise this baby centre of the mother tortoises are also very much developed so the mother tortoise plays and hunt in the distant water but cares and maintains the eggs lying on the ground elsewhere . The constant breast feeding nourishes baby's brain in the mother . The mother's breast may also be connected with this baby's brain in the mother because some mother complain whose baby working outside that they feel some abnormal sensation or itching in the breast . When their child is not okay .