AUTISM

74 years old male with symptoms of Prostatism. On USG , cholelithiasis and BHP - Grade 3 PSA examination report is attached. Further management and plan of treatment

A 28yrs women O/H of G2 P1 L1 A0 have a male child delivered by CS 4 yrs ago.BP was normal at that time. Cause for CS was no contraction even after medicinal induction of labour. Now she has no contraction pain yet. No other complaints. Bp is normal. What is the next step.????

IS PAIN GOOD OR BAD ?? AN INTERESTING CASE A 3 year old patient reported with the chief complaint of fallen tooth while playing. Patient's parents gave history that patient does not feel pain as well as hot or cold temperatures and and no reaction to the blunt or sharp injuries SINCE BIRTH. Therefore, several self-mutilated injuries over legs, hand, lip, tongue, head were present. Patient's parents gave a history OF their consanguineous MARRIAGE. Etiology? Diagnosis? Tt? Prognosis?

6 y/o Male with non verbal autism has these odd bumps on both feet and only his feet starting 6 days ago. family went camping and he wore flip flops at the site. parents say there weren't any mosquitoes out, checked for plants that may have caused a reaction but none was found. What it could be? treatment?

8yr boy came with Subnormal intelligence and walking difficultly... Pt was near term (born 7 d before EDD), hospital delivered with no significant perinatal event, SGA, antenatal history normal. A/t father no feeding difficulty or jaundice post nataly, first thing they noticed was child not achieving milestones in time like neck holding, sitting, speaking... ie GDD. Then he consulted various practitioners and told to be case of CP and muscle relaxants given. Pt never had convulsion. Pt started walking after 2yrs and speaking monosyllables.. at present he walk unassisted with abnormal gait keeping feet in equinus position and reply to basic question but overall low IQ, he keep smiling in bw interaction. O/e OFC 45cm, heterochromic iris, tone slightly increased, DTR brisk, plantar extensor, contractures felt at both tendoachillis with varus deformity in both knees... CT and X rays done attached. No h/o convulsion so far... Discuss ur opinions and further necessary tests....