middle aged women with c/o poly artheralgia for 3to4years weakness feeling like feverish dysponea or breathlessness on exertion. also c/o frequent motions in a day for more than 6 months but not loose rather semisolid in consistency. o/e afebrile pulse 74/ mt bp120/80 non diabetic bsl f 97 pp 103 hba1c6.3% eag136 vit d 5.03 ng tft normal 3 samples of stool normal study no occult blood and insignificant. her crp is 3.83 negative and Aso titre is negative but RA F IS 86.6% urine is nad no signs of sle.open for discussion.xray chest is wnl.

Spot diagnosis and management of the case. Patient is having this anal problem since last 6 months.

Know your Vegetables and Fruits Ladies Fingers Family: Malvaceae Scientific name: Abelmoschus esculentus. Common name: Ladies Fingers Health benefits These are among the very low calorie vegetables. They provide just 30 calories per 100 g besides containing no saturated fats or cholesterol. Nonetheless, they are rich sources of dietary fiber, minerals, and vitamins; often recommended by nutritionists in cholesterol controlling and weight reduction programs. These are one of the rich sources ofmucilage substance that help in smooth peristalsis of digested food through the gut and ease constipation condition. These compose healthy amounts ofvitamin A, and flavonoid anti-oxidants such asbeta-carotene, xanthin and lutein. It is one of the vegetables with highest levels of these anti-oxidants. These compounds are known to have antioxidant properties and are essential for vision. Vitamin A is also required for maintaining healthy mucus membranes and skin. Consumption of natural vegetables and fruits rich in flavonoids helps to protect from lung and oral cavity cancers. Good source of folates; provide about 22% of RDA per 100 g. Consumption of foods rich in folates, especially during the pre-conception period helps decrease the incidence of neural tube defects in the offspring. These are also an excellent source of anti-oxidant vitamin, vitamin-C, providing about 36% of daily-recommended levels. Research suggests that consumption of foods rich in vitamin-C helps human body develop immunity against infectious agents, reduce episodes of cold and cough and protect it from harmful free radicals. They are rich in B-complex group of vitamins like niacin, vitamin B-6 (pyridoxine), thiamin and pantothenic acid. These also contain good amounts of vitamin K. Vitamin K is a co-factor for blood clotting enzymes and is required for strengthening of bones. These are also good source of many important minerals such as iron, calcium, manganese and magnesium. With regards Prof Dr M V Subramanyam

33 year old lady having 6th month pregnancy c/o- burning pain all over body constipation touge ulcer and h/o-mouth ulcer 6month haemorrhoids previous lscs done plz suggest diagnosis and homeopathic treatment now patient weeping tendancy, worry about disease, says will i suffer for cancer?

Pitting oedema in legs prominent veins are seen with complain of low bp no complain of diabetes, low hemoglobin level 6 gm/dl. There is patches also present on whole body patches are centrally silvery and peripheral erythematous