Spot the diagnosis : 911-920

911: A young male child of 10 has come with cervical lymphoadenopathy. The glands are enlarged and feels rubbery. There is splenic enlargement.

Ans: hodgekins disease

912: A patient of 50 has come with a hard irregular and fixed lump in the right iliac fossa. On examination his right side of testis in scrotum is missing.

Ans malignancy of retained testis.

913: A patient of60 has come with stricture of rectum. On examination the stricture feels hards, irregular and fixed.

Ans Malignant stricture of rectum.

914: A lady of 40 has come with stricture rectum. She gives the history of vaginal sore and inginal bobo.

Ans: lymphogranuloma inginal

915:  A boy of 50 has come with 2 cystic swelling one above the inguinal ligament and another just below it. There is cross-fluctuation. On examination the fifth thorasic vertebra is very tender on palpation.

Ans : Cold abcess due to Potts Disease.

916: A patient has come with multiple sinuses on mandible with discharging pus sulphur granules.

Ans: Actinomycosis

917: A Patient has come. He complains of deep aching pain in the metaphysis of lower end and of tibia aggravated by warmth. The bone is thickened, irregular and tender.

Ans: Brodies abcess.

918: A patient has come with localised pitting oedema of the scalp.He has a history of scalp-injury.

Ans: Potts puffy tumour.

919: In a suspected case of malignancy, the lymph gland of the drainage area is not hard and fixed to the surrounding structure.

Ans: Enlargement is due to infection

920: A person has come with an ulcer. The ulcer looks completely black.

Ans :  Malignant Melaloma

Spot the Diagnosis 901-910

901. A patient has come for flatulence and nausea and vomiting. On examination his 8^th rib on the right side is tender.

Ans: -Cholecystitis.

902: A patient of 50 has come. He has lightening pain in the leg. On examination loss of ankle jerk sluggish pupilliary reaction to light.

Ans: tabes dorsalis.

903: An X-ray plate of abdomen was shown to you in which there is gas under the diaphragm.

Spot the diagnosis??

Ans: perforation of peptic ulcer.

904: A young patient of 15 has come with oedma legs. On examination there is a huge, firm and nodular mass in the abdomen which does not move with respiration.

Ans: Retro-peritoneal  sarcoma giving pressure on the interior vena cava.

905: A female of 25 has come with a firm and rounded tumour arising from the rectus abdominius below the umblicus.

Ans: desmoid tumour

906: A patient has come with spleenic enlargement upto umbilicus and there is sternal tenderness on pressure by fingers.

Ans: Myloid leukaemia.

907: A patient has come with generalised enlargement of lymph node with enlargement of spleen,He has lymphocytosis and their pre-cursors.

Ans: lymphatic leukamia

908: A lady was operated for laparotomy. Her stomach was full of hair.

Ans: Tricho bezoar

909: A laprotomy was done on a lady of fourty. Her stomach was full of plant skin.

Ans: Phytobezoar.

910: A patient has come with an ulcer There is a  greenish discharge with a peculiar smell.

Ans: The ulcer is infected with B.Pyocanacus

Spot the Diagnosis 891-900

891. A patient has come whose liver is soft,smooth and tender.he is having dyspnoe and oedma leg.

Spot the Diagnosis?

Ans: Congestive heart failure.

892. A patient has come with severe epixtaxis,on examination his liver is firm and nodular. Spot the diagnosis?

Ans: Portal cirrhosis.

893. A rundown patient of 65 has come. On plapation of his liver it is hard and coarsely irregular.

Spot the diagnosis?

Ans: secondary carcinoma of the liver. 

894: A patient has come. He complains of severe epistaxis. On examination of his spleen it is palpable.

Ans: Cirrhosis of liver

895:A patient of rigor and fever has come. He is suffering from a month or two. His total WBC count is only two thousand.

Ans :Kalazar 

896:A patient has come. His liver is enlarged, hard and nodular. Spot the diagnosis?

Ans: secondary deposit in liver. 

897: A jaundiced patient has come. His gall bladder is found to be enlarged.

        Spot the diagnosis?

Ans: Carcinoma head of pancreas. 

898: A patient has come with intermittent jaundice &rigor and intermittent colic.

Ans:  stone in the common bile duct.

899: A patient has come with a lump in the epigastrium. The lump is firm, irregular, tender and having mobility.

Spot the diagnosis?

Ans: Carcinoma stomach.

900: A patient has come with a lump in the epigastrium. The lump is less mobile and more tender.

Spot the diagnosis?

Ans: Subacute perforation of peptic ulcer.

Spot the Diagnosis 881-890

(881)  A lady has come with gross enlargement of her thyroid gland with involvement of recurrent laryngeal nerve . Spot the diagnosis?

(882) A known heart patient has come . His carotid arteries are seen to pulsate forcibly . Spot the diagnosis?

(883) A patient has come with distended veins all over the neck with cynosis and oedema of face . Spot the diagnosis?

(884) A lady has come with pulsating superior thyroid artery . Spot the diagnosis?

(885) A patient has come with distended jugular veins . Spot the diagnosis?

(886) An old man has Carbuncle on the nape of the neck and polyurea . Spot the diagnosis?

(887) A patient was admitted in the ward . He has pulsating proptosis . Spot the diagnosis?

(888)  A lady has come with severe burning feet . There is a history of night sweats and on the examination of the forth thoracic vertebra is tender . Spot the diagnosis?

(889) A patient has come with the complains of chronic cough with chest pain . On examination crepts on the right apex . Gibbus on the thoracic vertebra on the posterior side of the chest . Spot the diagnosis?

(890) A patient aged about 55 has come with a lump on the epigastrium . There is pulsation on the lump. Spot the diagnosis?

Answers.

(881) Malignancy of thyroid .

(882) Arotic incompetence .

(883) Retrosternal goitre or Malignant tumour of the superior mediastinum .

(884) Thyrotoxicosis .

(885) Conjestive heart failure .

(886) Diabetes mellitus .

(887) Cavernous sinus thrombosis.

(888) Pott's disease.

(889) Pott's disease.

(890) Carcinoma if the stomach which is lying over the arota .

Spot the Diagnosis 871-880

(871) A patient has come. His body is stiff ,forward stoop , stiff neck and tremors   . Spot the diagnosis?

(872) A patient of abdominal colic has come . The patient tosses about and tries to find rest by changing one posture after another but fails . Spot the diagnosis?

(873) A patient lying motionless , his joint is swellen , stiff and painful . Spot the diagnosis?

(874) A boy of six has been brought for the treatment of cough . His lower lids of eye are oedematous and puffy . Spot the diagnosis?

(875) A patient of 40 has come . He has a puffy look and oedema of the lower eyelids . Spot the diagnosis?

(876) A boy has come with rigor and fever . There is herpes simplex labialis on the lip . Spot the diagnosis?

(877) A patient has come . His tip of the nose is red and there is a malar flush on both the cheeks . Spot the diagnosis?

(878) A boy has come . He has oedema leg , fullness of neck vein and his lips are livid and blue . Spot the diagnosis?

(879) A patient has come with pigmentation of skin and buccal mucosa . Spot the diagnosis ?

(880) A boy has come with clubbing of fingers . He has also swelling above wrist joint and ankle joint . Spot the diagnosis?

Answers 

(871) Paralysis agitans ( Parkinson's disease ).

(872) Renal colic.

(873) Acute Rheumatism .

(874) Whooping cough .

(875) Nephritis  .

(876) Pneumonia.

(877) Mitral stenosis .

(878) Conjestive heart failure.

(879) Addison's disease .

(880) Hypertrophic Pulmonary osteoarthropathy .

Spot the Diagnosis 861-870

(861) A patient is seized with severe pain in the epigastrium has been admitted . Now there is shock like features and  muscle guard on the epigastrium right side . Spot the diagnosis ?

(862) A patient has an uncler on the lesser curvature of stomach which is more than one inch in length . Spot the diagnosis ?

(863) A patient has an uncler on the greater curvature of stomach which is less than in one inch in length . Spot the diagnosis ?

(864) A patient has an ulcer on the greater curvature which is more than one inch in length. Spot the diagnosis ?

(865) A patient has come with a hard lump in the upper abdomen and one side of testis  was removed earlier . Spot the diagnosis?

(866)  A lady patient has come . She has mooning of face , hypertension , diabetes and osteoporosis . Spot the diagnosis ? 

(867) A lady patient has come. She has breathlessness ,oedema leg , fullness of neck vein and enlarged liver . Spot the diagnosis?

(868)  A patient of 75 has come. He has deterioration of memory, incoherent thinking and faulty judgement . Spot the diagnosis?

(869) A patient has tenderness over duodenum , rapid emptying of stomach and persistent deformity of duodenal cap . Spot the diagnosis?

(870)  A patient of chronic cholecystitis has come . He has developed duodenal cap deformity . Spot the diagnosis ?

Answers .

(861) Perforation of peptic ulcer .

(862) Malignant ulcer .

(863) Malignant ulcer.

(864) Malignant ulcer .

(865) Secondary deposit in the lymph node from malignant testis .

(866) Cushing syndrome .

(867) Conjestive heart failure .

(868) Dementia .

(869) Duodenal ulcer .

(870) Duodenal cap deformity is due to chronic gall bladder disease.

Spot the Diagnosis 851-860

(851)  An already diagnosed case of carcinoma has come . Now he complains of pain . What does it indicate?

(852)  A young boy of 12 has come with a swelling on the upper portion of tibia . He says that previously only pain was there ,now swelling has developed . Spot the diagnosis?

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

(854) A patient has come with a swelling on the posterior side of the neck which has browny induration and multiple sieve like openings . Spot the diagnosis?

(855) A patient has come with a swelling. The swelling pits on pressure and there is browny induration. Spot the diagnosis?

(856) A lady has come with a black and bleeding ulcer of the big toe . When examined her liver is enlarged ,tender,hard and nodular. Spot the diagnosis?

(857) A patient has come with a swelling. There is history of reduction of the swelling at one time . The diagnosis of the swelling is thought to be malignant . Spot the diagnosis?

(858) A patient has come with a swelling . He was diagnosed as a case of sarcoma . There is a history of hectic type of temperature with rigor and sweating . Spot the diagnosis?

(859) A patient has come with a swelling . The regional lymph glands are enlarged and tender . Spot the diagnosis?

(860) A patient has come with a swelling with fixicity , local heat and ill defined margin  . Two surgeons have  difference of opinion . One says it is a case of carcinoma and the other day chronic inflammation. What is your opinion?

Answers.

(851)  Ulceration,deep infiltration and involvement of nerves .

(852) Osteogenic sarcoma .

(853) Post auricular Dermoid cyst .

(854) Carbuncle .

(855) There is suppuration .

(856) Malignant melanoma .

(857) Inflammatory swelling.

(858) The swelling contains puse .

(859) Inflammatory swelling.

(860) Chronic inflammation.