12 years female protruding abdomen pallor clubbing malnourished history of motion after every intake , chronic case , typically? ESR Mildly raised USG abdomen non specific mesentric lymphadenitis , cervical lymphadenopathy present , manteoux negative , chest x ray NAD , Investigation and diagnosis

Today's Case. a 65 yr old male came to opd for following complaints. 1).abdominal discomfort with heaviness and burning since 10 yrs. 2).indigestion. goes 5 to 6 times for defecation . 3).itching with above type of lesions (tinea crusris)since 2 months. 4). as soon as he eats something an urge comes to go for toilet. 5).General weakness. 6). tingling after long time sitting in hands.. . constitution normal gait slightly overweight. eyes are large and prominent. . Neither HOT nor CHILLY. Occupation:-farmer. Appetite:-good. Thirst ++.for cold water. desire onion and it's food stuff. stool:- offensive,hard,containing mucous. incomplete evacuation though goes for 5 to 6 times. BURNING IN WHOLE ABDOMEN AFTER STOOL. . perspiration;-scanty. sleep good. no dreams. Addicted to heavy smoking. no any family history. or past illness. . mentals. *gets angry easily. *mind his own business. ALL THE INVESTIGATIONS ARE NORMAL. including endoscopy and ct ABDOMEN. . taken all the formats of treatment before but no permanent relief . . kindly suggest management. and further evaluation.

A child aged 10 years *Chief Complaints* Diarrhoea (on/off) Watery Small volume Non bloody (x 1 month) Mild Pain abdomen (x 20 days) *Physical Examination* Pall (+) P/A - Soft, BS (+) *Investigations* Hb - 10.3 ESR - 53 CRP - 25 Colonoscopy done showed loss of vascular pattern and superficial ulceration with overlyimg whitish exudate in sigmoid and rectum

A 4 years old boy, complaining č severe pain abdo. with continuing vomiting. Rectal bleeding č fever č xerostomia. O/E Temperature 103° Pulse 110 bpm R/R 28 bpm Spo2 84% Chest B/L clear

A 17yrs male patient presented with pain in right ilacfossa, vomiting, fever ,taken antibiotics out side after which, pt developed bloody diarrhea, investigation showed neutrophil leukocytosis ultrasound report attached what are the differential diagnosis and what treatment u will advise