32 yrs nulliparus having cyst of 32mm. 34mm in Rt ovary. Can HSG be possible

Usg of a 24 yr primi gravida 16 week pregnant, complain of Bleeding pev vaginum. Spot diagnosis

F21. Married for 2yrs. Anxious to conceive. HSG.

36 yr old lady complaining of pain along with tender lump over both breasts just before menstruation, which wanes as the MC is over. No family history but underwent hormonal therapy for pregnancy. Inv adviced: Mammography (as more than 30yrs)- BIRADS ||; photo enclosed. Managed with: NSAIDs- Zerodol P Pyridoxine 100mg OD Pantop Plan for further evaluation on next visit: USG to confirm mammography findings. Requesting valuable opinion and suggestions.

A 58 year old male, non-smoker, asthmatic patient was referred with 3 weeks history of breathlessness, wheezing, and dry cough. He had a history of acute severe asthma many years ago. However, he had not required ventilatory support during that period. Since then, he had self-medicating intermittently with oral salbutamol and theophylline only. On examination, the patient had dyspnoea at rest and tachycardia. Oxygen saturation was 90% on room air. Respiratory examination revealed bilateral polyphonic rhonchi; otherwise, he was normal. Arterial blood gas analysis revealed hypoxemia (PaO2: 54 mmHg) with respiratory alkalosis (pH: 7.43, PaCO2: 32.3 mmHg and Bicarbonate: 20 mEq/l). Let's discuss the case on today's World Asthma Day

77 yeas old female with a background notable of metastatic small bowel GIST. The patient is on chemotherapy, HTN, thyroidectomy, cholecystectomy presented with 10 day Hx of intermittent fevers, nonproductive cough, and increased Shortness of breath. PO2 8.8 on FiO2 0.85 on admission Admitted to ICU and Intubated Lung protective ventilation commenced but desaturated to 80% following RIJ CVC. Decompressed by the bedside and a CXR was performed that revealed large pneumothorax. The chest drain inserted with pneumothorax resolved gradually. 1 day after admission the admitting diagnosis was confirmed COVID-19. What are your experiences and knowledge of managing COVID-19 patients? Please discuss