This pt is suffring from liver cirrosis .pul htn..ascitis.. He was coming with the c/o weakness . abd distension..polyurea...b.p 160/100 ,spo2 90./.,pr 104 per mt...chest b/l weezing...rbs ..565mg...wt is the best treatment for this pt

A male aged 50 yrs with history of CAD (EF~35%) presented witj complaints of gradual onset Abdominal Distension , anorexia and body weakness since 2 months....He was found to have tense Ascites at presentation and was provisionally diagnised as having CLD...complete workup was done and reports are enclosed...Kindly comment on his condition and the treatment part

The patient is completely unconscious, not eating anything *Chief Complaints* Nausea vomiting Abdominal pain *History* No *Vitals* Normally *Physical Examination* stomach is swollen *Investigations* Usg lft CBC Urine RM *Diagnosis* Please suggest me *Management* Please suggest me medicine

20171218 PICU 5 2 year female 13.5 kg Admitted with c/o irritability with icterus with distended abdomen with constipation(date 14/12/2017) Vitals WNL GCS 14/15 Abdominal paracentasis done with removal of 1 litre of ascitic fluid(14/12/2017) 18/12/2017 Pt became unconcious gradually Pupils b/l equally dilated with normaly reactive to light GCS V2E1M4 Babinski sign -ve Clonus? P/A soft better than before PR 150 SpO2 99% Temp wnl Ddx acute viral hepatitis fb hepatic encephalopathy Antibiotics+spirolactone+hepamerz+neotonic anema+FFP(up to now going on should i go for mannitol and /or dexona or prednisone??) What may be prognosis?? What else we can do?? Kindly suggest via your opinion Thank you

10 year FEMALE PATIENT PRESENT WITH pain ABDOMEN , vomiting , FEVER, CONVULSION SINCE 3- 4 days . USG ABDOMEN AND STRAIGHT XRAY ABDOMEN ERECT POSTURE REPORT ATTACHED. BLOOD REPORT SUGGESTIVE OF NEUTROPHILIC LEUCOCYTOSIS. BLOOD SUGAR, SGPT, SERUM CREATININE, POTASSIUM, CALCIUM, CHLORIDE, MALARIA TEST, QBC IS WITHIN NORMAL LIMIT. SODIUMIS 128, SRUM BILIRUBIN IS 2.46 TOTAL , DIRECT 1.60, INDIRECT 0.86, SERUM AMYLASE IS 264, SERUM LIPASE IS 123, CRP IS 56. PLATELET COUNT IS NORMAL. PROVISIONAL DIAGNOSIS AND TREATMENT. USG REPORT IS BILATERAL MINIMAL ECHOGENIC KIDNEYS, CONTRACTED AND THICK EDEMATOUS GALL BLADDER, MILD ASCITES AND MINIMAL FLUID IN BILATERAL PLEURAL CAVITY, MILDLY DILATED MAIN PANCREATIC DUCT AND MILDLY DILATED CBD AT PORTA, FEW BORDERLINE DILATED GUT LOOPS IN ABDOMEN.