Homozygous familial hypercholesterolemia

30 year male , had -FEVER 101 C -SEVERE JOINT PAIN for 3 days , And these rashes started to appeared on 2nd day of fever. Then on 3rd day post auricular lymphnodes & Inguinal lymph node got tender & swollen , On 4th day fever subsided. But these Rashes all over the body continues to itchy, severe pruritis present now. NS1 DENGUE test was negative , CBC ATTACHED.

14 year old boy , presented with these lesions from past 2 years , he is lean (low body mass) , NO ITCHING PRESENT, ASYMPTOMATIC LESIONS I have Prescribed Topical Salicylic acid for this . Please guide me with the *Doses of VITAMIN A* to be given.

30 year female having bloating and abdominal discomfort from few months. On USG whole abdomen , Left OVARIAN CYST of 30 cc + MILD SPLENOMEGALY+

A female 50 years HAD UNDERWENT LAPROSCOPIC CHOLECYSTECTOMY 7 MONTHS BACK. POST OP NO COMPLICATIONS PRESENT. NOW ON ROUTINE CHECKUP, ALP +++ (high) GGT ++++ (high) SHE IS ASYMPTOMATIC , BIOPSY WAS NEGATIVE FOR MALIGNANCY, SUGGESTIVE OF ANY OBSTRUCTION ? HOW TO PROCEED FURTHER ? AGAIN ULTRASOUND WHOLE ABDOMEN SHOULD BE PERFORMED ?

F.child,13yrs. Limping. Progressively worsening local pain and swelling at mid of dorsum of rt.foot. 4 months.