constantly raised Pt,INR

A case of diabetic male aged 43 years has not much problem except slight whitish discharge in 1st morning sample. Diabetic of 9 years duration, presently taking glyree 2mg BF,glycinorm GP2 in lunch and glycinorm GP1 in dinner. Also taking Telma 40 and Tonact 10.Diabeic diet control is good and daily 30 minutes walks /jogging. Reports show F 140 HBA1C 9.3.,PP >220. RE urine normal except 3+ sugar. Hb 12.6gm% All other test are normal including RFT, serum calcium total proteins. PSA is normal. He had recurrent attack of haemoptysis 5 years back for which underwent thrice bronkoscopic procedures in a reputed hospital in Mumbai, though xray was normal had been diagnosed as bronchiectasis. Also received full course of ATD.AT present no problem from that side but ESR is 32.What should be the line of treatment now to control diabetes.

45 yrs old male pt has admitted with the complaints of giddiness followed by LOC for 20 mnt then recovered. . No h / o chest pain. . breathlessness. . or profuse sweating. . Pt conscious Pulse feeble BP. 90/60 mmhg. . Spo2 ..92 %..room air. 1.. clinical diagnosis? 2 . ECG FINDINGS? 3 . treatment? just now pt admitted. .I'll update further progress. . Plz share your views. .

A 45 year old construction worker ref with history of cough, breathlessnes, and chest pain since 6 months . Not a smoker or alcoholic, no haemoptysis . Routine investigations WNL and sputum for AFB neg . further management options please

23 year old female admitted with h/o polyarthralgia for last 2 months along with pain in abdomen; malena; skin rash for last 10 days H/o fever twice in last 2 months Outside c-ANCA(by IFA) + Creat-3.3 UGIE- erosive gastroduodenopathy USG-b/l early medical renal disease with hepatomegaly no hemoptysis sequential BAL Picture attached DD Managent ??

11 year male child diagnosed wit irritant dermatitis two weeks ago, was kept on anti histamine, emollient, anti biotic, but rashes to certain extent got reduced but re occurred back wit more intensity and pedal oedema and his coagulation profile, s create, stool routine, cbc are normal could it be? h s p or need of steroids d- d