Growth on vulva *Chief Complaints* 60 year old female came with complaints of noticing ulcerative lesion in region of vulva *History* Patient noticed ulcerative lesion in vulva for 6 months *Vitals* Stable *Physical Examination* Cauliflower like growth noted in vulval region *Diagnosis* Kindly discuss management

World Cerebral Palsy Day (WCPD) is observed on the 6th of October every year. There are more than 17 million people living with cerebral palsy (CP) in the world. CP is the most common physical disability in childhood. It is a complex disability: 1 in 4 children with CP cannot talk, 1 in 4 cannot walk (60% are independent ambulators, 10 % walk with an aid, 30% use a wheelchair), 1 in 2 have an intellectual disability, and 1 in 4 has epilepsy. Why is the incidence of CP still increasing even with the advancement of modern technology & better neutralism care?

Fixed dose combination of Fluticasone Furoate and oxymetazoline hydrochloride.

Antibiotics are the cornerstone of AOM management; however, not all cases of AOM require these antibiotics due to the high spontaneous rate of improvement. Would you recommend antibiotics for all cases of AOM?