constantly raised Pt,INR

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 55 year old male who had been misdiagnosed as a case of Pulmonary TB in the past and given 6 months of ATT, then also his sputum was negative, CT chest and CBNAAT was not done then, and complaints were same as today *Chief Complaints* He presented with complaints of hemoptysis and cough with expectotation, passing out thick mucus plugs on first visit, now he is relieved a little but still has mucus plugs sometimes with day to day weakness *History* Known case of T2DM on OADs *Investigations* His HRCT Thorax is attached Sputum for AFB was negative for both samples Sputum for CBNAAT he didnt undergo CBC was normal *Management* His treatment started from my end is - Tab Idofnib 150 BD, Tab Wysolone DT 10mg OD, Cap Itraconazole 200 OD, PPI + Prokinetic Syp Ascoril LS 2tsf TDS Tab Montemac FX at bedtime And other adjuvant treatment of multivitamin syrup/tablets How about using inhalers for this case? Regimen of oral steroids in this case? Please guide me regarding treatment for this case

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

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.

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 ??