A male with UGI Bleed

40 yr old male,h/o suprapubic catheterisation 5 months back for urethral stricture;came with chief complaints of pain abdomen with o stipati on fir 3 days, on x ray multiple air fluid level with pneumoperitoneum. On exploratory laparotomy, one perforation 100cm from dj flexure ,another 150cm from dj flexure,in between two circumferential stricture was there. Resection(50cm)and anastomoses done in two layer.specimen sent for HPE. What can be the cause circumferential multiple stricture with multiple perforation??guess plz

Patient presented with Chest pain, fast breathing, chest tightness and cough. cough present since 10 days. on examination tachycardia is present. Please diagnose the chest xray and share your views in management.

An otherwise healthy 50-year-old male presents to his new family physician with a rash he’s had for several years. He mentions that the skin eruption becomes erythematous and pruritic after exercising, and when he scratches it. On examination, reddish-brown freckle-like macules are seen on his upper extremities, back, and abdomen. A skin biopsy reveals an increased number of dermal mast cells. Which of the following is most commonly associated with this patient’s likely diagnosis? A) Interstitial lung disease B) Peptic ulcer disease C) Chronic pancreatitis D) Crohn disease

Ayurvedic Treatment... pt. hv stomach pain since 1 year... but not get relief from allopathic medicines so sue needs Ayurvedic treatment for this...

There is an ancient quote relating the shape of the herb and their effect on certain organs of the body. यत्र आकृति: तत्र गुणा: वसंति । Yatra aakrutihi tatra gunaaha vasanti | Hadjod Sanskrit Synonyms– Vajra valli, Asthi Shrunkala, Granthimana Cissus quadrangularis is a herb, reaching a height of 1.5 m and has quadrangular-sectioned branches with internodes 8 to 10 cm long and 1.2 to 1.5 cm wide. Cissus quadrangularis medicinal Properties Guna (qualities) – Laghu – light to digest, Rooksha – dryness Rasa (taste) – Madhura – sweet Vipaka- Katu – Undergoes pungent taste conversion after digestion Veerya – Ushna – Hot potency Effect on Tridosha – Balances Vata and Kapha Dosha Part used- Stem Dosage- fresh juice 10-20 ml; Paste 5-10 g in divided dose per day. Capsule – extract in capsule form is advised once or twice a day. It is used in the treatment of obesity, gout, syphilis, Veneral diseases, leucorrhea, worm infestation, anorexia, diabetes, peptic ulcer, hemorrhoids and high cholesterol. It is also used as a body building supplement. In Siddha system of medicine, it is used for healing bone fracture, piles, as an anti aging herb, in Asthma, cough Reduction in joint pain Inhibition of bone loss सघृतेन अस्थिसम्हारं सन्धियुक्ते अस्थिभग्ने च पिबेत क्षीरेण मानव: ॥ – चक्रदत्त