Female patient age 7 complains of fever for last 3 days had covid

38 y f pt. Suffering with difficulty of breathing since yesterday unable to walk please suggest further treatment and development

A 22 year old female married for 2.5 months presented to ER with fever since 8 days low to moderate grade, intermittent.and yellowish discolouration of sclera and skin since 3/4 days and altered sensorium since 1 day. On examination: Vitals normal Pallor + Icterus +++ Rest GPE wnl Patient deeply comatosed E1V1M1 No neck rigidity no kernigs. Planter b\l flexor Liver just palpable ( span 11.5 cm) On enquiring her husband and mother, there is history of ayurvedic medicine intake for a month bt that too 2 months back for lump in left breast which seems to be a lipomatous 0.5*0.5 cm swelling. Lmp was 1.5 mnth back. History if rats in house is there. No major prev illness Husband told that she developed rashes on day 1 and 2 and as per description were maculopapular but no scars are seen now. LMP 1.5 month back UPT negative. Leptospira igM sent, hbsag hcv awaited. Reat reports attached. Started ceftriaxone , doxycycline, ppi, emset, ivf, lactulose, rt feed. Kindly give your valuable opinion for further plan.

Read carefully and tell me the probable dd 30 yrs female Leucorhoea +,oligomenorrhoea + Retrosternal chest pain with chest discomfort with doe type 2,with uneasiness with severe anorexia with pallor with severe generalised weakness with pitting pedal oedema ,puffiness of face since last two years .dropsy++ O/E bp 110/70 mmhg Pulse 80/minute regular Spo2 92% Ecg gross st-t changes tall r in v1, and avr Jvp raised and visible Cvs -pansystolic murmur +s1s2+ Rs aebe +,clear and equal Already adviced 2decho,cardiologist opinion to rule out - Rhd,mitral valve prolapse,dcmp,subendocardial infarction,ccf Adv:-abg,kft cbc rft thyroid profile,cpk total cpk mb tropnin hrct chest

16 months boy with c/o fever cough cold since 5 days, rashes since yesterday over the body no relief with cefpodoxime 100 His investigation reports are attached Kindly suggest for dx and rx

a 12 yr girl come with fever on&off since last 10 days. complaint of abdomen pain and weaknesses. o/e liver and spleen enlarge, paller, febrile...plz suggest TT and cause of incre. plt. count