one of our colleague c/o left sided headache intermittently, relieved after few minutes. also had c/o URI and intermittent nasal block. PNS reported normal. ur opinion?

18M having painful spasm in right hand only after starting writing for few minutes. He was diagnosed having Writter's cramp and was prescribed medicines. Medicines helped him little but causes drowsiness. One neuro physician recommended him Botox therapy though explained to about doubtful results. Boy having board exam next month and he's worried that this problem will limit him from writing and completing 3 hrs exam papers. So what are best options for this patient..? Will botox help..? Are there any medications that may help him without any side effects.? He only wants full ability to write off exam papers for complete 3 hrs for few days only in next month. Attached is his consultation and MRI report.

47/female, k/c/o HTN well controlled, Hypothyroidism, GORD under Rx, compliant. C/o Headache, Neck and bilateral knee pain for months, globus sensation in throat for months with nausea, occassional episodes of dizziness for several years, infrequent episodes of shortness of breath at rest, palpitations at rest for years, increased sleep latency for years. ECG, CXR, appetite, urine, stool are normal. Blood work came back as in the images below. What interpretation can be derived from thyroid function test? Is imaging of brain necessary in this case? Does the clinical picture suggest a functional etiology? Thank you.

5 yrs male child with dark circles under eyes plz advice possible Dx & Rx

HELLO DEAR FRIENDS AND FELLOW CUROFIANS,, HERE IS AN INTERE CASE --34 YR OLD MALE HAS CAME TO ME WITH COMPLAINTS OF UNEASINESS,, LEFT HAND AND SHOULDER PAIN,, DOE,, PROSTRATION,, LOSS OF SLEEP SINCE FEW DAYS,, F/H/O--MOTHER IS DIABETIC AND HYPOTHYROID,, FATHER HAS IHD ON RX.. NO ANY ADDICTION,,, H/O--ALLERGIC SINUSITIS/RHINITIS ON AND OFF RX,,, O/E--AFEBRILE,, B. P-140/90 MM OF HG,, HR-64/MIN,,CHEST --B/L CLEAR,, SPO2-95PERCENT,,, ANXIETY ABOUT HEALTH ++,,,KEEPING IN MIND ALL THESE I ADVISED HIM TO GO FR INVESTIGATIONS,, SO FRNDS BELOW R THE REPORTS ATTACHED,, PLZZ LOOK CAREFULLY AND GIVE UR VALUABLE AND EXPERT COMMENTS