Spot the diagnosis -111

1.       A chain smoker of 55 complains of dull pain in his left ear. He consulted an E N T specialist but nothing abnormal was detected in his nose throat & ear. Spot the diagnosis.

Ans : Ischaemic Heart disease.

2.       A heavy drunkard has acute pain with profound sweating & shock. A surgeon was consulted

& he thought it to be a perforation & operated the case immediately for gastric perforation but nothing abnormal was detected in his whole abdomen. Can you diagnose the case?

Ans:  Acute Myocardial Infarction

3.       A hefty patient of 59 came with toothache in the left side of his mouth. He consulted a dentist but nothing abnormal was detected in his mouth & teeth. Can you diagnose his case? 

Ans:  Ischaemic  heart disease

4.       A Janitor says that her husband is a heavy drunkard. He drinks the whole amount whatever she earns daily. He consulted a physician in Sadar Hospital saharsa for swelling abdomen and everted umbilicus. The physician referred the case to PMCH for needful. Can you spot the diagnosis?

Ans : Cirrhosis of Liver

5.       A very beautifull lady came to a gynaecologist for habitual abortion. The gynaecologist after examination called for blood test. One test was abnormal. Which test was it??  

Ans : WR

1

Spot the diagnosis -110

(1) A lady of forty from a well to do family came with chronic pain abdomen and dispepsia . She was treated for long but no relief ,eventually laprotomy was done but nothing abnormal was found except  one lymph gland was enlarged and inflamed in the triangle formed by cystic duct inferiorly , common hepatic duct medially and cystic artery laterally .
(a)What is your diagnosis ?
(b) What is this triangle known as ?
(c) What is the specific name of this lymph node ?

Ans (a) Chronic cholecystitis.
(b) Calot's triangle .
(c) This lymph node is called Lund's node or  (Mascagni's lymph node )

Spot the diagnosis -109

(1) A lady patient complains of dispepsia and pain on the tip of right shoulder . On examination there is hyperesthesia on the back right side from ninth to eleventh rib . What is your diagnosis ?
Ans Chronic cholecystitis .

Spot the diagnosis -108

(1) A patient came with pain abdomen with vomiting . There is hyperesthesia in the triangle formed by three lines , one from umbilicus to the anterior superior iliac spine ,the second line is from anterior superior iliac spine to the right pubic tubercle and the third from the right pubic tubercle to the umbilicus .
(a)What is your diagnosis ?
(b) What is this triangle known as ?
Ans(a) Acute appendicitis .
(b)Sherren's triangle .

Spot the diagnosis -107

(1) A fatty female of forty five came for chronic dyspepsia . On clinical exam and investigation there were gall stones, diverticulosis of colon and hiatus hernia ,what is this triad known as ?
Ans Saint's triad .

Spot the diagnosis -106

(1) A patient came to a doctor for pain ,vomiting and fever. On pressure by fingers on the left iliac fossa elicits pain over the right iliac fossa .
(a) Spot the diagnosis ?
Ans Acute appendicitis .
(b) What is the name of this syndrome of pain  vomiting and fever ?
Ans Murphy 's syndrome .

Spot the diagnosis -105

(1) A patient came with chronic pain abdomen . On clinical examination there is tenderness on the left iliac fossa at the junction of lower one third and upper two third of the line which joins umbilicus to the left anterior superior iliac spine . (a)Spot the diagnosis ?
Ans Chronic amoebic colitis
(b) What is the name of this point ?
Ans Manson 's Bar amoebic point .