A 20years old female patient came in my chamber, complain with pain abdomen pain at left hypochondriac region, nausea with vomiting, xerostomia,dysphagia. O/E BP 120/60mmhg pulse 90bpm USG show multiple enlarged mesentric lymph nodes further investigation I advise CBC seum uria seum creatinine seum amylase serum lipase LFT but before this Inj. pantop iv twice a day inj. Pipzo 4.5gm iv twice a day inf. Metrogyl iv thrice daily inj. Dilona im sos Tab. Chymoral forte 1 tab. thrice daily nill orally IV FLUIDS 5% RL advise further management

8yrs/F Since 4 month's Abdominal pain CBC..... Normal... HB........9.9% Mx Test.... 5mm*6mm.... 48 Hr. Dx...? Rx...? Plz Better Suggestion.....

19 yr old female pt. comes with evening time severe nausea for 20 day then it get relieved itself after 20 days..pt also gives history of cough and fever for 7 days ..pt also gives history of pain abdomen at different locations mild in intensity..pt also gives history of weight loss...no history of blood in stools or malena ...on examination pallor is present ..abdomen examination is normal.. on USG inflammed terminal ileum is seen ..report is enclosed within

13yrs boy c/o severe lower and pain in illiac region with nausea .. No tenderness Reports attached Can I give oral nd iv antibiotics or emergency surgery shld be adivised ???

Hfch5 yr. intermittent pain abd - 1yr ( frequency- once or twice in a month) last 1 month - frequency 5 to 6 times o/e- no tender, soft abd taking antibiotic, antispasmodic, antacid last 7 days no improvement seen tesr report attached below