Words of wisdom .

It is true that

true-love

and

days-gone-by

are never repeated in life .

Words of wisdom

A delay even for a fraction of a second spoils the whole game not only in football but in each and every game and every walk of life .

Spot the diagnosis 424-426

(424) A patient has come in the S.O.P.D for haematoma of the thenar eminence . He cannot approximate the tip of the thumb with the tip of the ring finger. Spot the diagnosis?

(425) A patient has come with exquisitely tender,red- coloured small localised area beneath the nail. Spot the diagnosis?

(426) A patient has come in the S.O.P.D . He has a painless ,soft cyst under the skin of the pulp of the thumb . The cyst is neither attached to the deeper tissue nor the skin . He has a history of pin-prick .Spot the diagnosis?

Answers.
(424) Benette's fracture.
(425) Glomus tumour .
(426) Implantation dermoid cyst.

Spot the diagnosis 421-423

(421) A patient has come with huge enlargement of spleen which is firm in consistency with sternal tenderness. Spot the diagnosis?

(422) A cachetic old man of seventy five was suffering from chronic bronchitis has come.  He complains of evening rise of temperature for several weeks and severe anorexia . Spot the diagnosis?

(423) A patient of hand injury has come in O.P.D . He has swelling and tenderness in the anatomical snuff-box of his right hand .

Answers.
(421) Myeloid leukaemia .
(422) Pulmonary tuberculosis.
(423) Fracture of scaphoid bone.

Spot the Diagnosis 418-420

(418) A patient of rheumatoid arthritis has come for spleenomegaly with extreme leucopaenia . Spot the diagnosis?

(419) A patient has come for spleenomegaly and enlarged lymph nodes . Spot the diagnosis?

(420) A patient of hand injury has come. He can neither flex nor extend his wrist . Spot the diagnosis?

Answers.
(418) Felty's syndrome.
(419) Lymphatic leukaemia .
(420) Fracture of lunate bone.

Spot the diagnosis 414-417

(414) In a patient who has come in O. P .D for enlargement of both the epididymis and the testes simultaneously . Spot the diagnosis?

(415) A patient has come . His epididymis is enlarged,nodular and hard . Spot the diagnosis?

(416) A patient has come whose Epididymis is enlarged and firm . Spot the diagnosis?

(417) A patient has come in
 O.P.D for enlarged and firm epididymis but there is softening at one place . Spot the diagnosis?

Answers.
(414) Fileriasis.
(415) Tuberculous epididymitis .
(416) Fileriasis.
(417) Tuberculous epididmitis.

Spot the diagnosis 411-413

(411) An adult male was admitted for a tumour of the rib . On biopsy the rumour contains cartilage . The surgeon says that excision is the only way as the tumour is malignant and radioresistant . Spot the diagnosis?

(412) An adult male has come for a lump in the upper abdomen. On clinical examinations there is enlarged lymph node in the left supraclavicular region  .
(a) Spot the diagnosis?
(b) What is the name of this gland?
(c) What is the name of this sign?
(413) In a patient whose one testes has already been removed has come with a lump in the upper abdomen and enlarged Virchow gland. Spot the diagnosis?
Answers.
(411) Chondrosarcoma.
(412a) Carcinoma stomach.
(b) Virchow gland.
(c) Troisier sign.
(413) Carcinoma testes secondary in the upper abdomen and Virchow gland.