Spot the diagnosis 575-580

575).A child has been brought in S.O.P.D. for an abscess just medial to the mid ingunial region.Spot the diagnosis ?

576).A patient has come for one cold abscess in the gluetial region.Spot the diagnosis ?

577).A patient has come.He has fallen from a tree.Everything is okay except he has a swelling in dorsal vertebral region.The swelling is fluctuant .Spot the diagnosis ?

578).A patient has come.He has fallen from the roof of his house but still he can walk.Spot the diagnosis.

579).A patient has come.He is having painful and intermittent jaundice.Spot the diagnosis?

580).A patient has come with painless and progressive jaundice.Spot the diagnosis ?

         ANSWERS:-
575).Suppurative arthritis of hip joint.
576).Tubuerculor effusion of hip joint.
577).Haematoma.
578).No injury to the cord or lower extremities.
579).Stone in the common bile duct.
580).Carcinoma head of pancreas.

Spot the diagnosis 570-574

570).P.R Examination of a patient of forty was done.There was a gritting sound.Spot the diagnosis ?

571).A patient has come.He has multiple whitish nodules all over the scrotun.Spot the diagnosis ?

572).A child of six has been brought.He has polyarticular Rumatoid arthritis with lymph nodes inlargememt and spleenomegaly.Spot the diagnosis ?

573).A patient has come with   pain and swelling .There is a browny induration that pits on pressure by fingure tip.Spot the diagnosis ?

574).A young boy of five has been brought for pain in right hip joint.There are wasting of muscles,flatting of buttucks and loss of gluteal  folds.Spot the diagnosis ?


             ANSWERS:-
570) Prostatic calculi.
571).Multiple seabaceous cyst.
572).Still's disease.
573).Deep seated abscess.
574).Tuberculosis of hip joint.

Spot the diagnosis 565-569

565).A patient has come in surgical emergency with intestinal obstruction.The abdomen is tender and regid.On auscultation he is having vulvular heart disease.Spot the diagnosis ?

566).A fat lady of forty-five has been admitted in the surgical ward for intestinal obstruction.She gives the history of cholelithiasis .Spot the diagnosis ?

567).A patient of intestinal obstruction was admitted in the surgical ward.He gives the history of tabes mesentrica .Spot the diagnosis.?

568).A know case of senile hypertrophy of prostate has come.Now he complains of pain in perineum .Spot the diagnosis ?

569).A house surgeon does per rectal examination of a patient.He reports that the prostate is hard and irregular in feel and there is obliteration of median and lateral grooves.Spot the diagnosis.

     ANSWERS:-
565)Masentric vascular occlusion.
566)Gall stones in ileus.
567) Bands and adhesion.
568)Malignant transformation in prostate.
569)Carcinoma prostate.

Spot the diagnosis 561-564

 (561) A patient has come with spasmodic pain abdomen. The pain radiates from loin down to the groin, testis and inner side of the thigh. Spot the diagnosis?

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

(563) A patient has come with a tumour in the neck. He has a history of recurrent renal calculi. Spot the diagnosis?

(564) Urine of a patient of renal calculi contains large amount of calcium. Spot the diagnosis?

Answers.
(561) Stone in the ureter.
(562)Hypernephroma
(563) Parathyroid tumour.
(564) Hyperparathyroidism.

spot the diagnosis 557-560

(557) A patient of 60 has come with the complain of throbbing pain in the perineum. Spot the diagnosis?

(558) A child of 6 has been brought by his parents. They complain that at the time of micturation the child screams with pain and pulls at the prepuce. Spot the diagnosis?

(559) A patient of 55has come. He complains that straining during micturation hinders the flow. Spot the diagnosis?
(560) A patient of 40 has come. He complains that straining during micturation increases the flow of urine. Spot the diagnosis?
Answers.
(557) Prostatic abscess.
(558) Stone in the bladder.
(559) Prostatic hypertrophy.
(560) Urethral stricture.

Spot the diagnosis 551-556

551).A patient has a parotid swelling for a long time.Now there is involvement of facial nerve.Spot the diagnosis?

552).A patient had a mixed parotid tumour for a long time.Now it has started to grow fast.Spot the diagnosis ?

553).An old man of known prostatic enlargement has come.Now he complains of pain in the back in lumbosacral region.Spot the diagnosis ?

554).A patient of sixty has come with stricture rectum.On examination the stricture is ulcerated,hard and irregular in feel.Spot the diagnosis ?

555).A lady of forty has come with stricture rectum.She gives the history of genital sorses and inguinal bubo.Spot the diagnosis ?

556).A lady has come in S.O.P.D.She complains that when she passes hard stool there is bright red bleeding which spatters the whole basin.Spot the diagnosis ?

         ANSWERS:-
551)Malignant transformation in parotid gland.
552).Malignant transformation in mixed parotid tumour.
553).Malignancy has developed in prostate.554).Malignant stricture.
555).Lymphogranuloma inguinale .
556).Internal piles.

Spot the Diagnosis 541-550

541).A patient of fifty has come with pain and swelling in the scrotum.On examination his spermatic cord is thickend and epididymus is enlarged,hard and nodular.Spot the diagnosis?

542).A patient has come with a lump in the epigastrium.His one testis was removed previously.On examination his left supraclavicular lymph node was enlarged and firm.Spot the diagnosis?

543).A patient has come with a cystic swelling near the outer canthus of his left eye.The cyst is translucent,free from skin and attached to the pericranium with saucer-shaped erosion in the bone.Spot the diagnosis?

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

545).A boy of six has come with a cystic swelling at the root of the nose.There is an impulse when the child coughs.Spot the diagnosis?

546)A patient has come with a cystic swelling on the temporal region of a scalp with baldness over the cyst.Spot the diagnosis?

547).A patient of fifty-five has come with chest pain and profused sweating.Spot the diagnosis?

548).A patient gets breathlessness on walking even for a very short distance.On auscultation there is a mid diastolic murmur.Spot the diagnosis ?

549).A patient narrates that during meals the parotid area and cheek of left side of the face becomes red,hot,painfull and beads of perspiration appear on the cheek.During saving the area becomes hypersthetic.He gives the history of parotid abscess which was incised and drained previously.Spot the diagnosis?

550).A patient complains that during meal he gets a tough,tense and tender swelling in the submandibular area.Spot the diagnosis.

             ANSWERS:-
541) Tuberculous epididymus.
542) Secondary deposit in pre and para arotic lyumh nodes and virchow's gland and primary in the testis.
543)External angular dermoid cyst.
544)Posterior auricular dermoid cyst.
545)Meningocoele.
546)Sebaceous cyst.
547)Acute Myocardial infaction.
548)Mitral stenosis.
549)Frey's syndrome.(Auricular temporal syndrome).
550)Salivary calculus in the duct.