Antihypertensives

45 years male,H/o dm, dislipideoma.Having this type of lesions.itching, redness and was on Itracanazole, Fluconazole, Hydroxyzine orally and Hallovate S L/A. please DX and Rx

A case of diabetic male aged 43 years has not much problem except slight whitish discharge in 1st morning sample. Diabetic of 9 years duration, presently taking glyree 2mg BF,glycinorm GP2 in lunch and glycinorm GP1 in dinner. Also taking Telma 40 and Tonact 10.Diabeic diet control is good and daily 30 minutes walks /jogging. Reports show F 140 HBA1C 9.3.,PP >220. RE urine normal except 3+ sugar. Hb 12.6gm% All other test are normal including RFT, serum calcium total proteins. PSA is normal. He had recurrent attack of haemoptysis 5 years back for which underwent thrice bronkoscopic procedures in a reputed hospital in Mumbai, though xray was normal had been diagnosed as bronchiectasis. Also received full course of ATD.AT present no problem from that side but ESR is 32.What should be the line of treatment now to control diabetes.

A 45 year old male patient presented to opd with complaints of throat pain.no complaints of cough with expectoration,chest pain,palpitations,shortness of breath, nausea, vomiting, or dizziness.he gave a vague history of heart burn and attributed it to spicy food.k/c/o type 2 DM on irregular Rx,SHTN,dyslipidemia.asked for a routine ECG test and below is his findings...

seven yrs Mohomedan girl two month back presented with irregular fever with cough and cold with Pain both inguinal region with inability to walk properly.At that time all her peripheral pulses was normal except lean and thin built with sick look and diffuse alopecia and inguinal lymphadenopathy which were sotty and non tender. At that time her ESR was 65 CRP 20 Hb 10% Pain over inguinal region was continuing during that period mantoux was 8 mm CXR was normal. Pl did not came for follow up for one month .At present She developed blckening of acral parts with coldness but no pain for 15 days anf suffered a tonic clinic conclusion 7 days back followed by paresis of Rt upper limbs and left sided facial palsy evident from the photograph. Chest full of cross Gc Poor pulse 119 per Min low volume dorsalis Pedis both sides not palpable. Pl suggest provisional diagnosis and d/d and management

60 yr old female came for routine check up. Her reports are posted below... No comorbidities Ur advice on case and treatment pls!!!