Management

Hello All of you very good evening. here I present a Rare Case. need your HELP. . a 40 yr lady came with complaining of hair loss specially at vertex with itching and scaly,thick lesions. (no psoriasis ) accompanying with grayish of hairs. wrinkles on face. she has RHD since 15 years on regular Rx. past history of 8 month of pregnancy abortion due to defective development of fetus. . Dr's told the couple when she got aborted not to have perception becoz of further complications may occurs to mother or child but parents refused and they give a birth to normal baby boy. after 4 months of delivery problem starts and diagnosed as RHD. Constitution :- emaciated, lean, thin. CHILLY PATIENT. HOUSEWIFE. . . TWO CHILDREN. normal. Mother :-RHD Father :- Diabetes. DESIRE :- rice, dal. thirst normal. perspiration :- scanty. skin :- unhealthy, dry. winter aggravates the complaints. No any Dreams. not affected by moon phases. past /h :- tubectomy since 10 yrs . menses :- regular, no any complaints. .O/H:- NAD. Mentals :- *gets Angry easily .to calm down she counts reverse no from 10 to zero. *insult intolerable . *can't tolerate Fake Blaming. *gets married due to her parents forced. against her will. *fear of snakes and dead bodies. . So PLZ help me with Probable Remedies, and AYUSH MANAGEMENT. NEXT STEP? THANK YOU. *

3 yrs old girl having white patches with dandruff on scalp since last week. I gave her ketomac shampoo to be used alt. days and orally multivitamins. But still it is increasing. So, please suggest Dx and Rx.

b'70 male. Non diabetic and normotensive.Always express that , white dust type sprinkles from head(scalp) only on evening. Complain about insects walking all over the body. But nothing the above were noticed by others. May be due to psychological disorder. Please suggest DX and Rx.'

15years/f c/o typical eruptions on scalp itching+++ no burning started 10 days back it is spreading with time Appetite, thirst- normal stool- constipated urine- normal thermals- chilly Suggest treatment and diagnosis

treated by CRM. terbinafine tab. ketoconazole 200 od