F 8yr C/o. Lower limbs pain O/e afebrile S/e NAD She is sickle cell positive HB.

46 year old lady with triple negative breast cancer underwent a MRM 1year back at Agra. Following surgery, she underwent adjuvant chemotherapy but did not take radiotherapy despite having 5/15 lymph nodes positive. She came to us with a local recurrence and we did a wide local excision for the recurrence. How would you plan her adjuvant treatment?

7 yr old male with axillary freckling with right eye swelling .vision is normal.diagnosis.mx.when to operate.?role of chemotherapy. ?

This is an x-ray chest PA view from a 26-year-old boy who presented with a left scrotal swelling for 6 months and low grade fever for 2 months. On examination, built and nourishment is below average, afebrile. No lymphadenopathy, clubbing. Mild pallor present. A swelling of size 2 X 3 cm is found in left scrotum arising from left spermatic cord, non tender with no local rise of temperature. Rest of the systems WNL. The case is open for discussion.

35 yrs old female presented with C/o easy fatigability and loss of weight since 15days. Symptoms are insidious in onset and gradually progressive. She was treated at a local hospital for cellulitis of left leg. O/e Pallor++ PR 120/min, BP 150/100mwmhg, Spo2 60% room air, 90-94% with O2, RS: decreased breath sounds and dull note percussion on right side with crepts and rhonchi. P/a soft, diffuse tenderness+ CNS: No focal neurological deficit. All basic investigations attached. Patient was not affordable for further investigations because of financial constraints. Kindly discuss the case to R/o the cause and Rx.

76y/M ex smoker, COPD, CAD with history of fever appetite loss 15days . pleural fluid- lymphocytic exudative, low ADA, no malignant cells CT chest finding ? DD ? next sequence of diagnostic investigations and treatment?