Spot the Diagnosis 841-850

(841)  A lady patient has come with neurofibromatosis of the whole body . Her one breast was removed earlier . Spot the diagnosis why her breast was removed?

(842) A patient of epilepsy has come who has neurofibromatosis . Spot the diagnosis?

(843) A patient has come with heart murmur  and fever . He has developed epilepsy . Spot the diagnosis?

(844) A patient has come with epilepsy he has vascular naevi on the face . Spot the diagnosis?

(845)  A patient has come who has epilytic fits . On examination there are white spots on the trunks and limbs and sebaceous oedema on the face. Spot the diagnosis ?

(846) A patient has come with recurrent attacks of fits . He has sixth crenial nerve palsy .

(847) A patient of epilepsy has come. On clinical examination there is nothing abnormal only the intracranial pressure is raised . Spot the diagnosis?

(848) A patient of epilepsy has come his cell - count of CSF is very high . Spot the diagnosis?

(849) The total protein of CSF of a patient of epilepsy is greater than 100mg per 100ml of CSF . Spot the diagnosis?

(850) A patient has come with facial palsy with herpes zoaster of external auditary canal . Spot the diagnosis?

Answers 

(841) Her breast was removed wrongly for carcinoma breast but it was a case of neurofibroma of the breast .

(842) Neurofibroma of the brain .

(843) Embolism .

(844) Sturge-weber syndrome.

(845) Tuberous sclerosis.

(846) Epilepsy is due to raised intracranial pressure.

(847)Expanding intracranial lesion . what

(848) An infective process in the brain .

(849) Intracranial tumour.

(850) Ramsay hunt syndrome.

Spot the diagnosis 811-830

(811) An old man has come with multiple sebaceous cyst on the scalp . The prominent cyst is ulcerated and fungated . Spot the diagnosis?

(812) An infant has been brought with cellulitis near the  knee joint . Spot the diagnosis?

(813) An adult patient has been brought with cellulitis of scrotum . Spot the diagnosis?

(814) A cystic swelling was removed from a patient and dissected which contained hair in pultaceous mass . Spot the diagnosis?

(815) A patient has come with a cyst which has a punctum . Spot the diagnosis?

(816) A patient has come with a cyst which is fixed to the pericranium with erosion of the bone . Spot the diagnosis?

(817) A patient has come with a cyst in the finger . He gives the history of pin-prick . Spot the diagnosis ?

(818) A patient has come with a firm and irregular elevation from the skin . The margin is pink and tender . He gives the history of burn scar . Spot the diagnosis?

(819) A lady patient has come with a rounded ,firm and elastic swelling on the dorsum of wrist joint of the size of a nut . Spot the diagnosis ?

(820) A lady has come with a swelling of nut - size on the Palmar side of wrist joint which is firm, rounded and elastic .

(821) A lady of 40 has come with a palpable pea- size swelling on the radial styloid process which is painful on passive aduction and ulner deviation . Spot the diagnosis ?

(822)  A patient has come with a cystic swelling in the palm which extends in to the forearm which is above the wrist joint . There is cross fluctuation . Spot the diagnosis?

(823) A patient has come with a thick scar which gives rise to itching . Which is  vascular and tendancy to spread . Spot the diagnosis?

(824) A baby was born. There is a naevus in the midline over the small of the back . Spot the diagnosis ?

(825) A young lady of 25 has come for the repeated attack of faintness . She has portwine stain on her chicks right side . Spot the diagnosis?

(826) A patient has come with a horn like structure from the scalp . Spot the diagnosis?

(827) A patient of head injury has come. He has palsy ,hyperpyrexia and pin - point and fixed pupil. Spot the diagnosis?

(828) A lady of 40 has come for epilepsy which start in the finger and unilateral . Spot the diagnosis ?

(829) A lady has come for locking of joints and effusion in the joint . Spot the diagnosis?

(830) A patient has come with epistaxis . There is a spider naevi on the chest and abdomen and his spleen is palpable . Spot the diagnosis?

Answers.
(811) Cock's piculiar tumour .
(812) Acute osteomyelitis.
(813)Extra vasation of urine .
(814) Dermoid cyst .
(815) Sebaceous cyst.
(816) Dermoid cyst.
(817) Implantation Dermoid .
(818) Keloid .
(819) Dorsal gangliom.
(820) Palmar gangliom .
(821) De quervan's disease.
(822) Compound Palmar gangliom ( tuberculous affection of ulner barsa ).
(823) Keloid .
(824) Spina bifida ossulta .
(825) Sturge-weber syndrome .
(826) Sebaceous horn.
(827) Pontine haemorrhage .
(828)  Jacksonian epilepsy.
(829) loose body in the joints.
(830) Cirrhosis of liver .

Spot the Diagnosis 801-810

(801) A patient has come with superficial gangrene of fingers . On clinical examination everything is normal. The surgeon prescribed X  ray neck. Spot the diagnosis? 

(802) A patient of 65 has come with dry gangrene of finger of foot which was caused paring nails. On X ray there is calcification of arterial wall. Spot the diagnosis? 

(803) A patient has come with all the features of cervical rib but on X ray there is no cervical rib seen. Spot the diagnosis? 

(804) A patient has come with an ulcer on the old burn scar, the margin is raised and everted but the progress of spreading is very slow. Spot the diagnosis? 

(805) A patient has come with an ulcer on the face just by the side of nose. The edge of the ulcer is raised and beaded. Spot the diagnosis? 

(806) A patient has come with an ulcer and the lymph node in the drainage area are stony hard and fixed to the surrounding structure. Spot the diagnosis? 

(807) A patient has come with an ulcer on Penis and his inguinal glands are firm discrete and shotty. Spot the diagnosis? 

(808) A patient has come with a sinus which is at the end of tibia. Spot the diagnosis? 

(809) A patient has come with a Deepening groove around the root of little finger of foot. Spot the diagnosis? 

(810) A patient has come with a swelling which has arousen from a lymph node. The skin over the swelling is tense and glossy with dilated cutaneous veins over it. 

Answers. 

(801) Cervical rib.

(802) Senile gangrene. 

(803) Scalenus anticus syndrome. 

(804) Marjolin's ulcer.

(805) Rodent ulcer. 

(806) Secondary deposite in the lymph gland. 

(807) Hunterian chancre. 

(808) Osteomylitis. 

(809) Ainhum. 

(810) Lymphosarcoma.

Spot the Diagnosis 791-800

(791) A patient has come with a single sinus over the ramus of lower jaw. Spot the diagnosis? 

(792) A patient has come with multiple indurated sinuses in the neck. Spot the diagnosis? 

(793) A patient has come with a sinus in the neck which looks like an ulcer and the margin is thin and undermined. Spot the diagnosis? 

(794) An adult male has come with painless paronychia. Spot the diagnosis? 

(795) An adult male has come with an ulcer on the tibia. The edge of the ulcer is punched out. Spot the diagnosis? 

(796) An adult male of 40 has come with dry gangrene of right big toe. The patient is a heavy smoker. Spot the diagnosis? 

(797) A known patient of mitral stenosis has come with gangrene of ring finger of his left hand. Spot the diagnosis? 

(798) A young female has come with ulceration of tips of fingers with severe sweating. The pulse is unaffected. Spot the diagnosis? 

(799) A patient has come with wet gangrene. He has a long history of diabetes mellitus. Spot the diagnosis? 

(800) A patient has multiple fistula on the scrotum has come. Which part should be examined throughly. Spot the diagnosis? 

Answers 

(791) Osteomylitis. 

(792) Actinomycosis.

(793) Tuberculous sinus.

(794) Morvan's disease.

(795) Syphilitic ulcer. 

(796)Burger's disease. 

(797) Embolic gangrene. 

(798)Reynaud's disease.

(799) Diabetic gangrene. 

(800) lower urinary tract.

Spot the Diagnosis 781-790

(781) A patient has severe rigors followed by severe sweating.  What is this clinical condition? 

(782) A patient has come with pain and swelling of the knee joint. On X ray of this joint, there are flex of calcification and soft tissue shadows. Spot the diagnosis? 

(783) A lady patient has come with a pinhead, small bluish point below the nail with pain. The pain is excruciating when the nail is pressed. Spot the diagnosis? 

(784) A young patient has come with a fast growing tumour. Veins over the swelling is engorged and on auscultation gives murmur like sound.

 Spot the diagnosis? 

(785) A young patient has come with an ulcer. The margin of the ulcer is undermined, thin and bluish. Spot the diagnosis? 

(786) An adult patient has come with an ulcer. The margin of the ulcer is thick perpendicular and punched out. Spot the diagnosis? 

(787) A patient  60 has come with an ulcer with raised and rolled out margin and gives the look of a cauliflower. Spot the diagnosis? 

(788) A patient has come with an ulcer on the face. The margin is raised and beaded, not everted. Spot the diagnosis? 

(789) A patient has come with greenish discharge from an ulcer with peculiar smell. Spot the diagnosis? 

(790) A young boy of 12 has come with a superficial ulcer of the skin of the face. It heals at the centre and spreads in the  periphery. Spot the diagnosis? the 

Answers 

(781) Pyemia.

(782) Malignant Synovioma. 

(783) Glomus tumour.

(784) Sarcoma.

(785) Tuberculous  ulcer. 

(786) Syphilitic ulcer. 

(787) Squamous- cell carcinoma. 

(788) Rodent ulcer.

(789) Infection by B.pyocyaneus.

(790) Lupus vulgaris.

Words of wisdom

Words of wisdom. 

(1) It is good to be ambitious but it is too bad to be too ambitious. You may have acute myocardial infaction and cerebral haemorrhage. 

(2) If you earn slightly less you will flourish in your business.

 If you eat slightly less you will remain healthy and disease- free for whole of your life.

 If you spend slightly more on others you will be the most popular and tension-free person and can enjoy the true pleasure of life.

Spot the Diagnosis 741-750

(741) What disease is associated with Neurolipomatosis?

(742) A patient has come with multiple nodules, firm in nature all over the body with patchy pigmentation of skin. Spot the diagnosis? 

(743) A patient has come with a lipoma. There is many capillaries over it and there is sign of compressibility. Spot the diagnosis? 

(744) A patient has come for generalised enlargement of lymph glands. The glands are rubbery in feel. On examination his spleen is also enlarged. Spot the diagnosis? 

(745) A patient has come with severe pain and sudden increase in the size of an old goitre. Spot the diagnosis? 

(746) A patient has come with dry gangrene of his big toe. He is a heavy smoker. Spot the diagnosis? 

(747) A patient has come with wet gangrene. His urine is loaded with sugar. Spot the diagnosis? 

(748) A patient has come with a cystic swelling in the midline near the hyoid bone and on Protrusion of the tongue it moves upward. Spot the diagnosis? 

(749) A patient has come with a fistula in the midline of the neck below hyoid bone. There is a crescentric fold of skin hanging from the wall of fistula and the mouth is indrawn. Spot the diagnosis? 

(750) A patient has come. There is dilated subcutaneous veins at the inlet of thorax. When the patient was told to raise his both hands above. When the hands is raised above the ears and kept for a while his face becomes congested with cynosis. Spot the diagnosis? 

Answers 

(741) It is associated with Dercum's disease. 

(742) Neurofibromatosis. 

(743) Naevolipoma.

(744) Hodgekin's disease. 

(745) Haemorrhage in the goitre. 

(746) Burger's disease.

(747) Diabetic gangrene. 

(748) Thyroglossal cyst.

(749) Thyroglossal fistula. 

(750) Retrosternal goitre.