Read carefully and tell me the probable dd 30 yrs female Leucorhoea +,oligomenorrhoea + Retrosternal chest pain with chest discomfort with doe type 2,with uneasiness with severe anorexia with pallor with severe generalised weakness with pitting pedal oedema ,puffiness of face since last two years .dropsy++ O/E bp 110/70 mmhg Pulse 80/minute regular Spo2 92% Ecg gross st-t changes tall r in v1, and avr Jvp raised and visible Cvs -pansystolic murmur +s1s2+ Rs aebe +,clear and equal Already adviced 2decho,cardiologist opinion to rule out - Rhd,mitral valve prolapse,dcmp,subendocardial infarction,ccf Adv:-abg,kft cbc rft thyroid profile,cpk total cpk mb tropnin hrct chest

78 y/o female complaints of severe right upper quadrant pain that radiated to the epigastric region and back associated with nausea and nonbilious vomiting. PMH: chronic pancreatitis, congestive heart failure, and poorly controlled type 2 diabetes. She underwent a remote cholecystectomy. Temp: 39.3°C, BP: 159/73 mm Hg, She appeared to be in severe distress. The epigastric and right upper quadrant regions were very tender to palpation. -Elevated serum glucose (369 mg/dL), low serum sodium (131 mmol/L), chloride (94 mmol/L), and bicarbonate (19 mmol/L). -Urine sample showed ketones, while serum BHB was elevated (1.64 mmol/L). -CT of the abdomen revealed duodenal thickening. Diagnosis of diabetic ketoacidosis was made and started appropriate treatment. She continued to vomit despite the use of anti-emetics, bowel rest, and diabetic ketoacidosis treatment. Upper endoscopy showed a distally black esophagus. What is it? How to proceed with treatment?

42M,progressive cough,dyspnea gr4,since 8days, travelled to kerala recently.spo2 84%on nasal 02.HR130,BP110/60,newly ムT2DM.whats possible diagnosis and treatment?

70 yr female ,DM2 on RX came with c/o acute onset breathlessness for 6 hrs with sweating ,no chest pain.BP-160/100,P-124/min,spo2 90% at RA.RS- Bill crepts ++,ronchi+,no pedal edema.ECG attached . finding ,DX & management.

75/m came with complaints of difficulty in breathing for 2 months,gradual in onset, progressive in nature, aggravated on walking H/o palpitations c/o swelling in both legs - 10 days , gradual in onset, progressive in nature no h/o melena or fever ecg usg abd blood inv and echo attached. diagnose the patient!!