50 yrs old a/k/c of T2DM 15 yr, on OHA, hypertensive for the past 2 yrs on treatment, presents with breathlessness on exertion, abdominal distention, Early satiety 10 days H/O PND 1 episode 15 days back no c/o orthopnea no c/o decreased output O/E facial puffiness+ b/l pitting pedal edema+ lt basal crepts+ investigation urine albumin ++ PPBS 256mg urea 38mg% creatinine 1.91mg% opinion regarding further management

42f, c/o giddiness 1day, c/o sweating, C/o dyspnea on exertion. No comorbidities. Bp-170/120 PR-86 CBG- 184 Please interpret with ECG. Guide me doctors.

Patient come with CKD on dialysis, diabetic Please suggest

42 y/m k/c/o HT,NIDDM type 2 for last 10 yrs on medication. P/c/o sever giddyness with ghabrahat on giddyness most of time after posture change. No h/o chest pain,Sob, Fever,cough, cold, earache, nausea, vomiting. O/E BP 150/90, HR 106b/m, RR 20/m s1s2 normal concious,well oriented,spo2 99/%at RA. Bsf 175,pp250.hba1c 7.5. lipid profile,kft,lft ,sent for testing. No other comorbidities.ecg as follows please interpret this ECG and suggest DX, Rx .

A morbidly obese female aged 55 years p/w complaints of Severe Breathlessness , Cough with Expectoration and Fever since 4-5 days....She is a known Hypertensive and Diabetic on treatment...Her respiratory rate was 32/min and Diffuse Rhonchi were present on auscultation...comment on her reports and approach to this patient