What is the diagnosis? A) Diaphragmatic hernia B) Gastric bezoar C) Inferior mesenteric artery thrombosis D) Pancreatic phlegmon E) Small-bowel volvulu

Pt was rushed into the E/R on account of generalized abdominal pain which he graded 10/10. He had 1 episode of vomiting yesterday, constipation for 4days, fever, postprandial pain and anorexic. On examination, middle aged male who acute on chronically ill, not in any obvious respiratory distress, apallor, anicteric, hydration fair, no clubbing, no bilateral pedal oedema, no palpable nodes. There was Left inguino-scrotal hernia repair surgical scar which was done last month, tenderness in the epigastrium, left hypochondriac, left lumbar, left iliac fossa and umbilical region. Bowel sounds present but diminished. Your comment on abdominal X-ray (erect & supine) and further evaluations.

9 month old with repeated history of respiratory tract infection xray chest done diagnosis? any further investigations? management?

This 43 year old male was discharged from hospital 1 week ago having been treated for pneumonia. Chest x ray is attached. Diagnose please

55 yr old male coming with rt sided subcostal pain dyspnoea n cough since 7 to 10 days. having decreased air entry on rt side lower zone on RS examination. Exsmoker. ESR was 66. Mild Leukocytosis normal platelets n hb. normal RBS RFT LFT. HIV negative. USG A&P awaited. plan for CECT Thorax. What r your views n differentials? ? He is not able to produce sputum. so sputum samples couldn't be obtained.