Quick Recall

55yrs male pts C/O - Generalized weakness for 7-10days Unable to walk without support due to weakness . Past H/O - k/c/o T2DM but he discontinued medicine for 5months . O/e - BP - 110/70mmhg PR - 100/ min SPO2 - 97% Investigations are attached. Please suggest the diagnosis and treatment .

a 60 yrs old male patient. brought to the hospital with complaints of SOB since 2 days bp.180/100mmhg bl.urea63mg/DL.sr.creatinine.10.1mg/DL...RBs 180 mg/DL....wbc...17,000...ESR...100..hb%-6.5gms

A 76 year old male with a past medical history significant for insulin dependent diabetes mellitus, hypertension, and stage 3 chronic kidney disease presented with mid to low right-sided back pain, exacerbated by lying on his right side. There were no reported lower extremity weaknesses or paresthesias. His musculoskeletal history includes chronic hip pain status post hip fracture. His pain is managed without narcotics. Imaging was performed to evaluate the etiology of his back pain. Please help in the case.

70 yrs Male...known htn...and dm....on regular rx...on telmikind 40 h....and gemer 2mg.....last....5 days...c.o...mild dysurea..two vomiting episode.......no swelling on lower limb...otherwise no complains......BP.. 110.70...bsl...pp...248 mgdl......so CBC...kft...done...now.....no complains only..mild dysurea....pt economically poor....so....how to manage..this case....which....antihypertensive....is necessary in this...case...pls...suggest managment. pls....pt not able to do...other blood test.@Dr. Shivraj Agarwal

A 65 yr old male patient has history of following skin condition looks like lichenified eczema. He has this skin condition since 20years and have tried various treatment with no significant relief. He has tried clobetasole cream, beclomethasone, betamethasone , kenacort intradermal injection, fluticasone ointment etc which gave no significant relief. He also has history of episode of reduction in these lesion spontaneously but these lesion again come back and he has never achieved clear skin in 20 years. What could be his Differential diagnosis and further course of management. Skin scrapping was tested for fungal infection which showed no fungal element Cbc is whithin normal range. He has history of DM since 10 years.