DUPUYTREN'S CONTRACTURE

36 yr old G3 P2 at 6 weeks presented with abdinal pain *Chief Complaints* History of amenorrhea for one and half months. Lower abdominal pain since one day. *History* Pt had previous 2 normal vaginal deliveries. This time she had amenorrhea and abdominal pain . No bleeding pv *Vitals* Pulse was 106 / min. BP was 110/70 mmHg. *Physical Examination* Per abdomen- tenderness present in suprapubic region. No guarding or rigidity. PV done uterus normal size, Anteverted , right side forniceal bogginess felt. CET positive *Investigations* Hb- 8 gm%. Ultrasound revealed right adnexal mass 3*3 cm and hemoperitoneum 3 +. *Diagnosis* Pt was taken up for laparotomy . OT findings- right sided ruptured isthmic tubal ectopic pregnancy with actuve bleeding and hemoperitoneum of 500 ml *Management* Right sided salpingectomy with left sided tubal ligation done( consent taken).

### 55 years old man with such deformity since 7 months. He is having pain in the joints of the fingers and also unable to extend his fingers. Diagnosis and treatment??? What investigations should be given in this case???

blood ozing out from nipple during breastfeeding from 15 Days also ulcer type lesion developed on both nipple, delivery date on 10/01/2021 Please suggest any treatment & ointment

A male patient aged 30 yrs C/O- Multiple red Large Patches all over body since 20 days Kindly advise for further management

56 year old male Diabetic and hypertensive treated for Covid positive in October 2020. Develops this kind of rash all over the body after 2 weeks of treatment for Covid. Scaling and itching rashes all over the body still continues. What is the diagnosis and treatment?