How to Treat..

48yrs old male with no significant past medical history presented to ED with Severe right sided hemiplegia and aphasia,the symptoms began approximately 6hrs before arrival to emergency.No travel history or fever,cough or Respiratory illness.O/e - Pupils - Left 7mm SRTL,Right 4mm RTL,GCS - E3VAM4-5,BP -180/90mmhg,PR -73/mt,RR -22.Negative for COVID,ECG normal, Coagulation profile normal,TLC -18000,Hb -9.0 WHAT ABNORMALITY SEEN IN CT HEAD, MANAGEMENT PLAN?

42 year old male patient with history of fever sice -5 days not had taken treatment any came with breathlessness and after examination DIABETIC rbs 377 patinet was intubated and his vitals are PR 140 BP 120/90 chest bilateral crepts present investigations hb 14.4 platelets 42000 s.creatinine 1.5 tsb 9.4 urine ketones negative please help

70 yr old male presented to casualty with sudden onset of headache and vomiting followed by rapid worsening in the sensorium yesterday at 12 midnight. At presentation GCS was E1M3V1.Pupils - Lt - 2mm SRTL,Rt - 5mm RTL Diagnosis and approach to the patient??

a 28 years old male came to casulaty with h.o stab injury over chest 4 hrs back. no complaints at present. o. e p. 90/min bp 130/80 mm hg CVS. s1 s2 + cns. gcs 15/15 chest. r.s air entry both side equal p. a . soft . no tenderness l. e 2 cm incised wound over 5th intercoastal space in midclavicular line. depth cannot be appreciated. usg abdomen thorax . normal study. line of management ?

A 28 year old male presented to OPD on 27.09.2020 with complaints of high grade fever accompanied with headache and a generalised body ache since 27th morning. He also adds from 27th till today 30.09.2020 about the pain abdomen and feeling nauseated most of the day. 27th investigations attached On 27th, we had started him on ceftriaxone plus oflox 12 hourly On 29th September, upon fever not getting subsided we did Dengue test and NS1 came out to be positive *Chief Complaints* The main complaints debilitating for him are pain abdomen accompanied with nausea and a generalised body ache *Vitals* He has had fever in the range of 102.1 F, but today morning it was 99 F BP 110/80 Pulse 70 *Management* My concerns are - 1) I am advising him IVF DNS with optineuron infusion @ 100ml/hr in morning and IVF RL @ 100ml/hr in evening and during the day time I have advised him to take plenty oral fluids which includes ORS, fruit juices and so on. Is it wise what I am following considering his PCV? 2) Regarding pain abdomen, nausea and for generalised well being, what can be advised? I am already giving perinorm 24 hourly and pantop 12 hourly. For analgesia, is something safe besides PCM? Can Levosulpiride be advised 25mg TDS? 3) His Platelets are going down today which is the natural course of disease, I have started him on Caripill TDS since yesterday only. Anything else needed? 4) I have seen a lot of doctors giving lumerax 80 to dengue NS1 positive? Any rationale behind it?