Obeticholic Acid

The patient is a 43 year old male presented with Hepatitis C. Diagnose the HPE of hepatectomy specimen.

A 68 y/o male who was admitted to the hospital after 1 week of dyspnea and cough (sometimes productive) along with fever & chills. He was diagnosed with COPD exacerbation. He has prescribed azithromycin but has not improved after 3 days of antibiotics. He has a history of COPD, HTN, dyslipidemia & alcoholic cirrhosis. He routinely takes lisinopril, atorvastatin, tiotropium, and salmeterol, and has albuterol inhaler. VITALS: Temp: 101 degree c, BP: 140/86 mmhg, HR: 89 bpm, RR: 18 Bpm, Oxygen saturation: 84% in room air, 98% on 4L nasal cannula. PHYSICAL EXAM: Resp : Coarse breath sounds, rhonchi and wheezes heard throughout. CARDIAC: Regular rate and rhythm, no murmurs, rubs, or gallops ABDOMEN: Slightly distended NEURO: Slightly altered, but baseline. Chest X-ray: showed focal consolidation in the right lower lobe, suggestive of pneumonia. Patient has not had any Pneumococcal conjugate vaccine. Labs & Micro & Sputum Culture results are posted below. How to proceed with the case?

Patient Age 40 Yrs Old With History of Chronic Alcoholic With Complaint Absent of Urination & Pain Abdomen.Previously History Of Diagnosis With DM & TB.Here Is I Am Attaching Some Of Reports. Please Suggest Further Management. Thank You.

Patient aged about 62 years ,presented with these types of signs and symptoms . SGOT AND SGPT VALUES ARE VERY HIGH . USG REPORT WILL BE SHOWN AS ITS AWAITED . Kindly suggest opinion regarding this case .Treatment wise and diagnosis wise as well as further investigations regarding the case .Dr.Rajesh Gopal MBBS IMA PMC Reg no.35726 .Santosh clinic Ludhiana.

Patient known alcoholic now came with jaundice , pedal edema and decreased appetite. As a screening tool i have advised complete LFT, INR, USG abdomen and OGD scopy. Incedentally OGD shows this lind of picture in the stomach , what it could be ? Rest labs are like Hb10 ,Platlet 70000, INR 1.5, T Bili 3.2, Albumin 3.2, rest labs are normal . uSG shows mild ascites with corrhotic liver and large spleen.