Dentosphere : World of Dentistry

BREAST ABSCESS  # A 25 year lactating mother, weighing 45 kgs presents in surgical OPD with complaints of painful  swelling of right breast and fever for last 12 hours, on clinical examination, breast is engorged, there is erythema, tenderness and induration in the upper inner quadrant of breast. The swelling does not yield pus on needle aspiration  1. State the most likely diagnosis. -  Acute lactational mastitis

Head Injury # A 32-year-old man was brought to the emergency by the police with history of a bike accident 3  hours ago. On examination he was confused and a lacerated wound was present on the scalp. His pulse was 120 bpm and BP 80 / 40 mm Hg.  1. Perform a primary survey on the patient.   - Write about ABCDE (Don't miss C spine collar in Airway and  Opening 2 wide bore IV cannula).

FEMORAL HERNIA  #  A 59-year-old obese woman presented with swelling in the right groin.  1. List some causes of groin swelling.  - Inguinal Hernia (direct, indirect) - femoral hernia,  - enlarged lymph nodes,  - psoas abscess,  - saphena varix,  - lipoma,  - enlarged femoral lymph node,  - psoas abscess,  - femoral artery aneurysm 

 TUBERCULAR LYMPHADENITIS  A teenage boy comes to you with multiple swelling on the neck which is around the SCM. a. Mention the important points which you would like to ask during history taking from this patient. - Presence of chest symptoms: cough, sputum production, hemoptysis - Presence of constitutional symptoms- fever, night sweats, weight loss - Presence of similar history in other family members or any members having or  previously had Tuberculosis - Any treatment history b. Write the examination points.  i. General: pulse, temperature, Respiratory rate, BP ii. Look for similar swellings in other areas iii. Local examination: - Inspection: Site, number, size, shape, overlying skin, movement with deglutition, movement with protrusion of tongue, pulsations - Palpation: a local rise of temperature, tenderness. Size, shape, surface, consistency,  margins, mobility, compressibility, fluctuation, fixity to skin or underlying structures, c...

CLICK THE SELECTED MEQs TOPIC YOU'D LIKE TO VIEW. 1. Wound 2. Warthin's Tumor 3. Tubercular Lymphadenitis 4. Femoral Hernia 5. Head Injury 6. Breast Abscess 7. Thyroglossal Cyst

WARTHIN'S TUMOR  # A 60-year-old man presents to you in surgery OPD with a history of painless slowly growing swelling in the left preauricular region for last 2 years.  1. List 4 common differential diagnoses. - Salivary gland tumor: Warthins tumor (adenolymphoma), pleomorphic adenoma - Preauricular lymph nodes - Granulomatous disease- TB, Sarcoidosis 2. Mention the examination finding which suggests the swelling is arising from the parotid. a. Pushes the ear lobule upward b. swelling in front, below and behind the ear c. Retromandibular groove is obliterated 3. Describe the method of palpation of deep lobe of the parotid. - Palpate bi-manually with one finger inside the mouth just in front of the tonsil and behind 3rd molar and the other hand behind ramus of the mandible. 4. Describe the course of the facial nerve in relation to the parotid gland. - After emerging from the stylomastoid foramen, it hooks around the condyle of mandible enters the substanc...