Menkes kinky hair disease

29 Y female having B/L knee joint pain from past 3 months , no physical signs of inflammation. No history of trauma / fall , She is non obese , lean body Previous medical history Not significant Investigations Uric acid - normal X RAY knee joint AP & lat RX given VIT D3 60K Zerodol SP What

Fch.14 yrs. Deformity left wrist since birth. Restricted movement & pain after activity Lt.wrist. 2years.

How to manage this type of fracture in 7 year kid *Chief Complaints* 7 year female kid complaining of Difficulty in walking n weight bearing on left lower limb *History* 7 year kid Sustained injury following sudden collapse of bike over the left lower limb *Vitals* All stable left dorsalis pedias felt vital stable *Physical Examination* Left lower limb is shortened extremely externally rotated tense tender at mid thigh of left lower limb *Investigations* X-ray tagged *Diagnosis* ? *Management* ?

Pale Skin,swellingg *Chief Complaints* Swelling on face and ghabrahat,urine incontinence,urine pass out by Folly’s catheter *History* 55 yrs/F No h/o heavy bleeding,piles *Vitals* Normal *Physical Examination* Pale skin,swelling on face,unable to walk *Investigations* Hb% 2.2g/dl TLC 12600 Plts 4.56 18/5/24 LFT KFT WNL RBS 108 USG Shows:- Renal cyst Cystitis

History of fall on out stretched hand complaint of pain and difficulty in lifting right shoulder *Chief Complaints* complaint of pain and difficulty in lifting right shoulder *History* Fall on out stretched hand *Vitals* Stable *Physical Examination* Difficulty in lifting right shoulder Hamilton ruler test cannot be performed due to extreme obese Cannot touch opp shoulder by right hand *Investigations* X-ray tagged *Diagnosis* Anterior shoulder dislocation *Management* ???