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

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 ?

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

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.

14 years old female patient came with the chief complaint of decreased urine output since 1 week,cough without expectoration since 1 week. Hopi:decreeased urine output since 1 week Gradual in onset Pain during micturition No h/o abdominal pain H/o fever present H/o vomitings (2) episodes Past h/o :no similar illness in the past H/o learning difficulty On further evaluation patient said that she is having amenorrhea since past 6 months Investigations done: Cbp-hb 4.1gm% Tc-10600 cells/mm3 Platlets-4.9 lakhs Pcv-16% Blood sugar-143mg/dl Blood urea-20mg/dl S.creatinine-0.8mg/dl Lft normal Chest x ray normal study Peripheral smear -severe microcytic hypochromic anemia Reticulocyte count-4.1% Platlets-approx 5lakhs/mm3 Many polychromatophils Moderate anisopoikilocytes Family h/o non consanguinous marriage of parenting Patient has 2 sibilings,males,one male child has alopecia 2d echo done normal Usg abdomen done- normal Pt unable to afford for ANA,anti dna ab test. On examination pt conscious oriented afebrile Cbs s1 s2 heard no murmurs Rs bilateral air entry present Cns no focal neurological defects Pt has hypertelorism Low set ears Alopecia High arched palate Reverse mangolian slantpatients mother has similar features

37yf VH done 3yr back P3L3 c/o weakness, loss of appetite, hyperacidity vth regurgitation, low backache..BP-140/100.no H/O DM.HTN.thyroid.scd.her hb- 6.6gm, urea-88,creat-3 .plz help further ix n mgt