Haemoptasis with TarryBlood feaces in Dog suggest treatment with prababil etiology

a 25 yr male with fever cough since 4to 5 days vomitting since yday with following reports pls guide regarding indoor management

A 46 year old female presented with bleeding gums and bruises on both forearms for the last 2 days. For the preceding 10 days she had been experiencing a high fever and rigors. In addition, she complains of a rash over both forearms, but she is unable to further characterize it. She noted severe pain in both legs during the febrile portion of her illness. There was no history of hematuria, melena, cough, or hemoptysis. What is the diagnosis and mx of the case.

A 43 year old woman presented to the ED with a 2 day history of bleeding from her gums. For the past month, the patient has also experienced progressive weakness and occasional bruising over the buttocks, thighs, and shoulders without significant trauma. For the past year the patient has been intermittently using oral analgesics for low back pain. She denies any history of hematemesis, melena, hemoptysis, epistaxis, fever, or rash. The patient does not smoke or use illicit drugs, but she does consume 1-2 cans of beer daily. She denies using any regular medications, including oral contraceptives. There is no history of any gastrointestinal or genitourinary illnesses. comment on the case please.

A 44 year old female presents to the ED with bleeding gums and bruises on both forearms for the last 2 days. She has fever since 1 week. She noted severe pain in both legs. There was no history of hematuria, melena, cough, or hemoptysis. She is not taking any routine prescription medications. She has no known drug allergies. She is married with 5 children. There is no travel history or any history of sick contacts. What is the most likely diagnosis and comment on Rx.

7 yrs, male sympyomatic for 5 days Multiple episodes of hematemesis and melena history of echymosis at i.m. site prolonged bleed after cirumcision Elder male sibling having similar complaints Another male sibling died at the age of 9 days due to intracranial bleed(CT proven) Investigation: PT 21.6 (13.5) INR 1.84 aPTT 42.2 (28) Platelets 4.5 lacs Hb 5 TLC 25000 (80 percent neutrophils) Urea 70 Creat 1.8 Albumin 3.9 Globulin 1.2 LFT normal