Spot the Diagnosis 721-730

(721) A fatty lady of 45 has come. There is severe pain in the right shoulder. Spot the diagnosis? 

(722) A male patient with abdominal injury has been admitted with severe pain on the left shoulder. Spot the diagnosis? 

(723) A patient has come. He is restless with pain at suprapubic region. Spot the diagnosis? 

(724) A patient has come with severe suprapubic and flank pain which radiates to the Penis, scrotum and upper portion of the thigh. Spot the diagnosis? 

(725) A patient has come with pain in the costovertebral region. Spot the diagnosis? 

(726) A patient has come with flank pain which extends to the corresponding side of abdomen. Spot the diagnosis? 

(727) A case of acute intestinal obstruction has come. There is early appearance of abdominal rigidity. Spot the diagnosis? 

(728) A patient has come with a lump in right iliac fossa the lump is tender, fixed and ill defined. Spot the diagnosis?

(729) A patient has come with a fistula in the midline, a little below the hyoid bone. The opening of the fistula is indrawn and overlaid by crescentric fold of skin . Spot the diagnosis? 

(730) A patient was diagnosed by a senior surgeon as a case of carcinoma tongue. In pathological examination his W.R was found to be positive. Spot the diagnosis? 

Answers.

(721) Cholecystitis.

(722) Splenic rapture. 

(723)Obstruction of the urinary bladder. 

(724) Obstruction of the intravesical portion of the ureter.

(725) Obstruction of uretro-pelvic junction.

(726) Obstruction of the ureter. 

(727) There is internal strangulation. 

(728) Appendicular lump.

(729) Thyroglossal fistula.

(730) Positive W.R will not exclude carcinoma.it p

Spot the Diagnosis 711-720

(711) A patient of 50 has come. His liver is rock -like hard. Spot the diagnosis? 

(712) A patient has come his spleen is enlarged up to the umbilicus and hard to feel. Spot the diagnosis? 

(713) A patient has hepatic enlargement. there is cardiac murmur. Spot the diagnosis? 

(714) A patient has rigor,fever and sweating for long. On examination his spleen is palpable, clubbing of fingers and cardiac murmur.Spot the diagnosis? 

(715) A patient has arterial bruit over the liver. Spot the diagnosis? 

(716) A female patient has come. She has cutaneous and mucus haemorrhage. (a)Her bleeding time is prolonged. 

(b) Low platelet count. 

(c) Normal clotting time. 

( d) Failure of the clot to retract. 

(717) A patient has come with jaundice, splenic enlargement, absence of bile in the urine and presence of bile in the stool. Reticulocyte count has increased. Spot the diagnosis? 

(718) A deep- jaundice patient has come. Bile is present in the urine but not in the stool. Spot the diagnosis? 

(719) A patient with dyspnoea, engorged neck vein and enlarged liver has come. Spot the diagnosis? 

(720) A patient with moon - face, hypertension, diabetes and osteoporosis has come. Spot the diagnosis? 

Answers 

(711) Secondary carcinoma.

(712) Chronic myeloid leukemia. 

(713) Congestive heart failure.

(714) Subacute bacterial endocarditis. 

(715) Hepatoma.

(716) Essential thrombocytopenic purpura haemorrhagica.

(717) Haemolytic jaundice. 

(718) Obstructive jaundice. 

(719) Congestive heart failure.

(720) Cushing syndrome.

Spot the Diagnosis 701-710

(701) A patient has come. He has palmar  erythema, spider naevi and palpable spleen. Spot the diagnosis? 

(702) An emaciated patient of 50 has come. He has been suffering from gastro-intestinal disorder for long. On examination his left supraclavicular gland is enlarged. Spot the diagnosis? 

(703) A patient has come. He has dilated veins on the abdomen. The flow of blood is  downwards. Spot the diagnosis?  

(704) A patient has come with ascites and palpable spleen. Spot the diagnosis? 

(705) A patient has come with pulsatile liver with ascites. Spot the diagnosis? 

(706) A patient has come with severe epistaxis. His liver is firm. Spot the diagnosis? 

(707) An old patient of pulmonary tuberculosis has come with a lump and pain in the right iliac fossa. Spot the diagnosis? 

(708) A patient has come with irregular bowel. On examination his liver is enlarged, soft and tender. Spot the diagnosis? 

(709) A diagnosed patient of acute appendicitis now complains of pain in the left iliac fossa. Spot the diagnosis? 

(710) An old malerial patient was hurt in his abdomen by a fist. He became pale with severe pain and hypersthecia on the left shoulder. Spot the diagnosis? 

Answers.

(701) Cirrhosis of liver. 

(702) carcinoma of gastro-intestinal tract. 

(703) Superior venacava obstruction.

(704) Cirrhosis of liver.

(705) Tricuspid regurgitation. 

(706) Cirrhosis of liver.

(707) Ileocaecal tuberculosis. 

(708) Amoebic hepatitis and colitis. 

(709) Peritonitis has set in.

(710) Splenic rapture.

Spot the Diagnosis 691-700

(691) A fatty lady patient has come with the pain in the right hypochondrium and vomiting. On examination her cartilage of the right eighth rib is tender. Spot the diagnosis? 

(692) A boy of twelve years has come with a hard ovoid swelling on the upper third of sternomastoid muscles. The swelling moves laterally but not vertically. The swelling when pressed causes slowing of the pulse- rate and  feeling of faintness. Spot the diagnosis? 

(693) A patient has come. He has pin-point,  fixed pupil, pyrexia and paralysis. Spot the diagnosis? 

(694) A patient of head injury is admitted in the surgical ward. After three days there appears echhymosis over the mastoid process. 

(a) What does it indicate?

(b) What is name of this sign? 

(695) A patient aged about 60 has come with an ulcer in the umbilicus. His lymph glands are enlarged both axillary and both groins. Spot the diagnosis? 

(696) An elderly patient has come with dysphagia and foul smelling from his mouth. On examination there is a fungating and endurated mass in the posterior half of his tongue.  Spot the diagnosis? 

(697) A lady patient of 50 has come. She has a hard and irregular lump in the breast and pain in the shoulder. Spot the diagnosis? 

(698) A lady patient of 30 complains of pain at menstrual period. Spot the diagnosis? 

(699) A lady patient of 30 has come. She has come for ammenorrhea, decreased toleration to cold,hypoglycemic episode and hypotension. Spot the diagnosis? 

(700) A patient having bone pain polyurea and renal calculia has come. Spot the diagnosis? 

Answers

(691)Cholecystitis. 

(692)Carotid body tumour (potato tumour) 

(693)Pontine haemorrhage. 

(694)(a)There is a fracture in the posterior cranial fossa.

(b) This sign is known as Battle's sign. 

(695) Primary carcinoma of the umbilicus. 

(696) Carcinoma of the tongue. 

(697) Carcinoma of breast with metastasis in the shoulder.

(698) Fibro-adenosis.

(699) Hypopituitarism. 

(700) Hypoparathyrodism.

Spot the Diagnosis 681-690

(681) A lady of 50 has come. She feels dyspoenic when walking for a long distance. On auscultation there is mid diastolic murmur and on inquiry gives the history of epistaxis. Spot the diagnosis?

(682) A patient has come with a sinus which looks like an ulcer due to wide mouth, thin blue, an undermine edge. Spot the diagnosis?

(683) A male patient has come in the emergency for severe agonising pain. The pain is lessened when he sits up or lies down on abdomen. Spot the diagnosis?

(684) A patient of road accident has come in the emergency. He has severe abdominal pain in the left hypochondrium. He is pallor and has running pulse and pain and hypersthesia in the right shoulder. Spot the diagnosis?

(685) A patient has come with large liver without palpable spleen and there is no finding what so ever except leucocytosis. Spot the diagnosis?

(686) A patient has been admitted in medical ward. He has fever, arthralgia, plural pericardial rub and unexplained heart murmur.the patient responded well to aspirin. Spot the diagnosis?

(687) A nurse is addicted to taking drugs for years together now has grown abnormally fatty,developed hypertension and diabetes. Spot the diagnosis?

(688) A patient was admitted in the medical ward for fever,rigor and sweating. On examination there are clubbing of fingers, on palpation spleen is palpable and on auscultation there are cardiac murmur. Spot the diagnosis?

(689) An elderly person has been admitted in the medical ward for hemiplegia. He gives the history of fever, rigor and sweating. On auscultation there is cardiac murmur and arrhythmias. Spot the diagnosis?

(690) A patient has come with dilation of superficial veins on the side of abdomen. The flow of the blood is from lower to upper side. Spot the diagnosis?

Answers
(681) Miteral stenosis.
(682) Tuberculous sinus.
(683) Acute pancreatitis.
(684) Splenic rupture.
(685) Liver abscess.
(686)Rheumatic fever.
(687) Iatrogenic cushing syndrome.
(688) Subacute bacterial endocarditis.
(689) The cause of hemiplegia is subacute bacterial endocarditis.
(690) Obstruction of inferior venacava.

Spot the Diagnosis 671-680

(671) You have been shown a Barium -meal X-ray of abdomen in which there is a spasm of the terminal part of the ileum and elevated portion of the caecum. Spot the diagnosis?

(672) A patient has come with oedema of both lower limbs. On examination there is a huge,firm and nodular tumour in the abdomen which doesn't move with respiration. Spot the diagnosis? 

(673) A patient has come who has a hard and irregular lump in the right iliac fossa. On examination the right side testis is unfounded. Spot the diagnosis?

(674) A lady of 32 came in the surgerical emergency with severe pain in the lower abdomen,  vaginal bleeding and shock like features. She gives the history of ammenorrhea for two months. She was operated for tubectomy two years back. Spot the diagnosis?

(675) A patient of injury has come. He has rigidity of the neck but no fever. Spot the diagnosis?

(676) A patient of head injury has come. He has rigidity of the neck with fever. Spot the diagnosis?

(677) A patient of head injury is admitted. His temperature of body is above 101 degree. Spot the diagnosis?

(678) A male patient of 45 has come with stricture of rectum. The stricture is hard, irregular and ulcerated. Spot the diagnosis?

(679) A young lady of 30 has come in the S.O.P.D. She has stricture of rectum. On inquiry she gives the history of previous vaginal sores and inguinal bubo. Spot the diagnosis?

(680) A child of 10 has come. He feels pain in the hypogastrium. Pain is referred to the tip of penis and haematuria at the end of micturation. Spot the diagnosis?

Answers.
(671) Hypertrophic ileocaecal tuberculosis.
(672)Retroperitoneal sarcoma.
(673)Malignant undecended testis.
(674)Ruptured ectopic gestation.
(675) Fracture- dislocation of cervical spine.
(676) Subarachnoid haemorrhage.
(677) Intracranial haemorrhage.
(678)Carcinoma rectum.
(679) Lymphogranuloma inguinale.
(680)Stone in urinary bladder.

Spot the Diagnosis 661-670

(661) A patient has come his liver is enlarged, hard and irregular. His one eye has been removed earlier. Spot the diagnosis?

(662) A patient has come with splenic enlargement,haemetemesis and caput meducae. Spot the diagnosis?

(663) A patient was admitted in the surgical ward for hectic rise of temperature,tachycardia, rigor. His X-ray shows gas under dyphram. He was a known case of PU syndrome.

(664) A patient has come with a well defined intraabdominal cyst. The cyst moves freely at right angle to the line mesentry.

(665) A lady has come with a firm and rounded mass below the umbilicus. The mass is arising from the deeper part of rectus abdominis muscle.

(666) A fatty lady aged about 50 complains of pain in the right shoulder and right side of back.

(667) A patient has an ulcer. The edge of the ulcer is thin, undermined and bluish. Spot the diagnosis?

(668) A fatty lady patient of 50 has come with right upper abdominal pain and pain in the right  shoulder. Spot the diagnosis?

(669) A fatty male patient of 60 has come with pain in the upper epigastrium and pain in the left arm. Spot the diagnosis?

(670) A child of 10 has come with intestinal obstruction and was diagnosed as a case of intussception but he gives the history of vomiting round worm. Spot the diagnosis?

Answers.
(661) Melanotic sarcoma of the liver.
(662) Cirrhosis of liver.
(663) Subphrenic abscess due to subacute perforation of peptic ulcer.
(664) Cyst of the mesentry.
(665) Desmoid tumour.
(666) Cholecystitis.
(667) Tuberculous ulcer.
(668) Acute Cholecystitis.
(669) Ischaemic heart disease.
(670) intestinal obstruction due to impaction of round worms.