Hardness of feet! Calluses? Corn

please interpret h/o trauma 2 days back pain swelling of lt. ankle joint 17yrs f

Goodmorning curofians... Here is a case for discussion. 54 year old female presented with obstipation for 3 days. pain and distension for the same duration . Hx of vomiting multiple episodes, fever. Past medical and surgical hx unremarkable. O/e vitals hemodynamically stable Afebrile No signs of dehydration No pallor, edema or LaP P/A...Tender, mildly distended, guarding present. BS sluggish Other systemic examination reveal no significant abnormality. P/R prolapsed pile mass, Anal tone increased. Greyish soft fleshy mass protruding per urethra. Foley's in situ.

My wife suffered injury to foot with calcaneal fracture. Orthopaedician gave us option of both surgical n conservative management. Plus her swelling isnt subsiding even after taking medicines round the clock n leg elevation. She isn't able to bear weight at all on that foot. It already has been three days. Respected doctors please give ur valuable opinion.

pt of RHD not on warfarin ...presented with abdominal pain with brownish discoloration over abdominal wall ..since 6 days with abdominal tenderness ...jvp was raise and b/L pedal oedema ..on routine INR was 1.7, platelets 50000,wbc -14700, bilirubin 6 ,with sgot and sgpt was 100 and 300 ,kindly comment ....

A M/44 yrs. admitte in icu no h/o HT,Dm c/o chest pain with profuse sweating, giddiness, nausea. Bp 90/60 pulse 54/ min bsl 124mg/dl. tro t ck mb - ve. Ecg attach.pl diagnose Rx.