Sunday, 8 January 2017

Single Son Syndrome

Image result for mother & son india
   
    A child was consulted with many doctors many times at Saharsa for some or other reasons but no relief . His parents thought of consulting doctors at Patna the parents lived at near by village named Chainpur . When they reached Saharsa platform the boy started crying for abdominal pain. As my clinic was near the platform so they brought the boy to my clinic .

 I examined the boy thoroughly but could find no disease . Then again I pulpated his abdomen three times after some interval engaging him in different talks and told him to point out the area of maximum tenderness . He marked three different points of tenderness at different palpation . My junior doctor insisted me on doing emergency laparotomy . I told him to wait and watch.

I asked his father who was a school teacher, “How many child you have ?".
 The teacher replied ,  “ Sir, I have only one son. kindly do something ,I can spend anything"
I asked him,“ Did you visit any shop in the way to the station ". 
The gentleman replied “yes sir ,I visited one shop in the way to the station ". I asked him “Did this child insist on purchasing something for him .   Yes sir, he was bent upon purchasing one toy -car which I could not give him . I thought it was completely a wastage of money ."

  I ordered the gentleman to bring the toy-car immediately . The gentleman ran to the shop and brought the toy car and gave that to me . I just rolled the car on the floor toward the ailing child . The ailing child jumped out of his bed and caught the car and became very happy. His abdominal pain was gone to the winds .


Friday, 30 December 2016

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 .

Sunday, 11 September 2016

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.

Thursday, 1 September 2016

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.

Friday, 26 August 2016

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.