A male pt.2yrs suffering from rt.inguinal hernia. Patient is

34 yrs M h/o bleeding piles weakness swelling on face hands & legs reports attached Plz Dx n Rx

A 35 year old female presented with compliants of bleeding per rectum and on examination by female doctor this is what the picture looks like. O/E - Conjunctival Pallor was present TLC was 10k Her Hb was 5.2, Platelets were 85000 LFT was WNL AND in KFT serum K+ was 3.2 I started her on ceftriaxone, piloroute cream, sitz bath, chymoral forte tab. Could not get calcium dobesilate at pharmacy, will advice it on discharge. After 4days of admission and two units of PRBC transfusion her Hb has risen to 8.9 and no episodes of Bleeding since the time of admission. What all can be advised and prescribed upon discharge for such patient ?

A 64 year old male presented to OPD with complaints of shortness of breath and generalised body ache No H/O HTN and DM, Thyroid, Heart, Kidney Disorders Vitals WNL He had been admitted in March 2020 with similar complaints and diagnosed as severe anemia megaloblastic, he was transfused PRBC 3 units and iron sucrose infusions and was discharged with 7.5gm% Hb. At the time of admission , he had mild deranged LFT and widal was positive. USG revealed circumferential bowel wall thickness in terminal ileum and hepatosplenomegaly( USG report attached) He had been prescribed a combination of ferrous ascorbate 100mg + Folic Acid 1.5mg and Cyancobalamin 7.5 mcg OD along with other adjunctive treatment upon discharge. He complaints of constipation when taking oral iron, so he stopped from last 2 weeks. He also takes pilex tablet for piles, but presently has no constipation or blood from anal region Kindly throw light upon megaloblastic anemia.

2and half year girl has complaints of hair loss over scalp and eyelashes since one month. she is also having complaints of weight loss. kindly guide in this case

On 31/1/2017 A 16 yrs Old Female Patient with c/o Breathless on exertion since week c/o Generalized weakness c/o Feverish Feeling since last 2-3days O/E TPR - N/80/Reg BP- 100/60mmHg Spo2 - 97% with reports Hb - 2.5 gm/dl TC - 5700 DC - 52/42/2/4 SGPT - 22 CBC was repeated hb - 2.4 MCV - 56 IRON PROFILE Hb electrophoresis was done attached USG abdomen and pelvis 1 unit PCV was Transfused after investigating in evening At night after 10pm pt had vomiting 7times till 3am antiemetic was given Greenish vomiting after 4am pt developed Icterus and yellowish Discoloration of all body with Reddish urination ix was done and Bill was found to be Total Bill - 17 Direct - 13.5 HbSAg - Neg HCV - Neg USG Screening was revised was found to be same. What may be the cause of raised bili.? o/e TPR - 100.4f /130/ 24 BP - 90/60mmHg spo2 - 97% @RA