Spot the Diagnosis 632-636

(632) Which tumour grows from the epiphysis of bone?

(633) Which malignant tumour grows from the metaphysis?

(634) A patient has come with a malignant tumour grown from the the diaphysis of tibia but he has no primary growth anywhere in the body.

(635) A patient has come with a malignant tumour which has arisen from the metaphysis of tibia. Pain preceded the growth for a month.

(636) A patient has come with a sinus. He gives the history of extrusion of the bone chip.

Answers.
(632) Osteoclastoma.
(633) Osteogenic sarcoma.
(634) Ewing's tumour.
(635) Osteogenic sarcoma.
(636) Chronic osteomylitis.

Spot the Diagnosis 627-631

(627) A patient has come who is suspected to be a  case of osteogenic sarcoma. The symptoms started fifteen days back. Spot the diagnosis?

(628) A patient has come with a depressed scar in his right thigh.

(629) A skiagram of a bone tumour was shown to you in which a soft tissue shadow was seen. Spot the diagnosis?

(630) An X-ray plate was shown to you. In which bone destruction was shown without bone formation.

(631) An X-ray plate of bone was shown to you in which bone destruction was shown with sclerosis.

Answers.
(627) It is not a case of osteogenic sarcoma.
(628) Fibrosis due to previous suppuration.
(629) Bone sarcoma,the soft tissue shadow is due to increased vascularity.
(630) Secondary carcinoma.
(631) Secondary prostatic carcinoma.

Spot the Diagnosis 621-626

(621) A patient has come with a bony swelling. The swelling has a variant feel at different parts. Spot the diagnosis?

(622) A patient has come with a sinus. The sinus is adherent to the bone.

(623) A child of ten has come with a swelling of bone and high rise of temperature.

(624) A child patient has come with pain and swelling. The pain and swelling has started at the same time.

(625) A patient has come with a swelling of bone. He is having chronic otitis media.

(626) A patient has come who is suspected to be a case of osteogenic sarcoma. The  symptoms started twelve months back.

Answers.
(621) Oesteogenic sarcoma.
(622) Osteomylitis.
(623) Acute Osteomylitis.
(624) Inflammation.
(625) Osteomylitis.
(626) It is not a case of osteogenic sarcoma.

Spot the Diagnosis 611-620

(611) A patient has come with a sinus with sprouting granulation tissue over a bone. Spot the diagnosis?

(612) A robust man of forty has come with acute agonising pain and fullness in the epigastrium. The pain pierces to the back. On examination there is a bruise in the loin and around the umbilicus.

(613) A patient of fifty five is admitted in the medical ward. He is having abdominal distention, hiccup, vomiting. His blood urea is raised. Spot the diagnosis?

(614) A lady of forty has come with gripping pain abdomen. Spot the diagnosis?

(615) An adult male has come with engorged superficial veins around the umbilicus. Spot  the diagnosis?

(616) A patient has come with superficial veins engorged and dilated on the side of abdomen. Spot the diagnosis?

(617) A patient has come with hard subcutaneous nodules around the umbilicus. Spot the diagnosis?

(618) A patient of car accident has been brought in the emergency. On auscultation his heart seems to be silent.

(619) A patient of chest injury has been brought in the emergency. His heart beat is displaced to the other side.

(620) A patient of chest injury has been brought. There is absence of breath sound and vocal- resonance at the base of the lungs.

Answers.
(611) Sequestration of bone or Foreign body inside and granulation tissue is known as proud flesh.
(612) Acute pancreatitis.
(613) Uraemic distention.
(614) Biliary colic.
(615) Portal obstruction.
(616) Obstruction of the inferior vena cava.
(617) Carcinoma of stomach or intraabdominal carcinoma.
(618) Haemopericardium.
(619) Haemothorax.
(620) Haemo-and Pneumothorax.

Spot the Diagnosis 608-610

608).A patient has come with rounded swelling of shoulder joint but there is no effusion in the joint.Spot the diagnosis?

609).A known patient of senile  hypertrophy of prostate has come. Now he complains of pain in the perineum. Spot the diagnosis?

610).A Rickshaw pullar has come. His tibia is thickned with multiple sinuses attached to the bone.Spot the diagnosis?

Answers :-
608)Subdeltoid bursitis.
609)Malignancy has developed in prostate.
610).Osteomyelitis.

Spot the diagnosis 601-607

601).A patient of sixty-five has come for frequently of urine.Spot the diagnosis ?

602).A patient of thirty complains of frequency of urine.His urine is acidic and contains pus cells and sterile on ordinary culture.Spot the diagnosis ?

603).A man of fifty has come with polyurea,polydypsia and polyphagia.Spot the diagnosis?

604).An X-ray picture was shown in which there is soft tissue shadow.Spot the diagnosis?

605).An X-ray film of tibia was shown in which there are multiple punched out shadows like peas.Spot the diagnosis?

606).A lady of fifty has come with a bony swelling and a lump in the breast.X-ray of the bone shows destructive features only.Spot the diagnosis?

607).A patient of sixty has come.In his X-ray of bone there is sclerosis of bone and his alkaline phosphates is raised.Spot the diagnosis?

ANSWERS:-
601)Senile hypertrophy of prostate.
602).Tuberculosis of kidney.
603).Diabetes mellitus.
604).Osteosarcoma.
605).Multiple myeloma.
606).Secondary carcinoma in the bone and primary in the breast.
607).primary carcinoma of prostate and secondary in the bone.

Spot the Diagnosis 598-600

(598) A patient of forty has come. He has lightening pain in the legs. On.examination there is an old ulcer scar on his glans penis and sluggish pupillary reaction. Spot the diagnosis?

(599)A patient has come. He has oedema of both lower limbs. On examination there is a huge firm and nodular mass in the umbilical area of abdomen.

(600) A patient has come with multiple, yellowish discharging sinuses on right iliac fossa. He gives the history of previous operation. On examination there is a very hard and fixed lump in the right iliac fossa. Spot the diagnosis?

Answers.
(598) Tabes dorsalis.
(599) Retroperitoneal sarcoma.
(600) Actinomicosis of caecum.