a nine year old girl with history of cough, high grade fever since 4 months with chills and rigor with pain in body with h/o epistaxis with hb- 4 ,platelet count 26000 tlc 17700 chest b/l ronchi . on Att for abdominal Koch's. pallet with tachycardia. ps- anisopoikilocytosis macrocytic anaemia. h/o multiple joint pain. petechiae all over face since 5 days. USG Abdomen shows hepatomegaly. CERVICAL ADENITIS tender. likely d/d and management.

A 45 year old male, a non alcoholic with no major illness in past, presented with fever since 5 months( on and off, high grade, no joint pain) . Gen weakness since 5 month. Patient had a history of cavity in tooth and abscess there which was extracted locally near his residence.he was also prescribed antibiotics for the same. Now patient reffered to us with severe anaemia and blackish brown spotts over fingertips of all 4 extremeties. Pallor +++ Platelets low 58000 as mentioned. Spleen 2 cm below costal margins. Cva normal, no signs of SABE Bilirubin normal. He was earlier treated for enteric fever and megaloblastic anemia in some hospital where blood culture was normal and all other reports attached( white ones) Gbp is awaited. Marrow is planned once platelets are normal. Givin 2 units of prbc. What will be the dd and further management plan. Hb fall from 7 to 3 in three days duration. With no signs of hemolysis.

24 Yr old female Having A measurable life With thrombocytopenia cause of which is still unknown Patient receive Platlet rich plasma Infusion twice but Platelets count keeps going down each day , doctors suggesting blood cancer What can be the Diagnostic set up .. Thrombocytopenia can be caused by Aplastic anaemia , Lupus , Blood cancer , lymphoma ..etc ..what we can do to investigate the root cause *Chief Complaints* Rashes on body comes and goes , Joint pain , Fatigue , Subcutaneous bleeding on scratching skin *History* Patient has hypothyroidism

A perviously healthy 11 year old girl presents with three days of oral mucosal bleeding and epistaxis. One week prior to the bleeding she had three days of fever, body aches, and malaise. On exam, vitals are stable, and also have slight macular rash on the arms and legs. Her platelet count was 39. What is the probable diagnosis?

30yrs male c/o fever with chills on and off since 1mnth..c/o heaviness of head..no h /o cough/vomitings/loose stools/burning micturition..nonalcoholic nonsmoker..no h/o bleeding through any sites.vitals stable..PBS and Sr.vitamin B12 levels pending..start emipirical iv antibiotics along with udiliv..management?