LEUCONYCHIA TREATED WITH MULTIVITAMINS!! THANK YOU FOR REPLY.

18 year old female no complaints of patients no any changes of investigation no h /o any disease pt tip of tongue is black pigmegnt please diagnosed and treatment

A 62 yrs old female came on Ed with h/o SOB during walk, increased weight, loss of appetite, dizziness, chest pain, low back pain, vitals bp- 130/80mm/hg, pulse 85BPM, R.R. 18, RBS 105mg/DL, SpO2 96% wt. 87kg, PMH - Bronchus Asthma, HTN, Hyperthyroidism, Comment on ECG & suggest your valuable opinion

Pt had taken allopathy Treatment of asthma before 3month and meanwhile his nails become like this plz give dx rx!!,?? This happens in last 3month and still its nail are becoming big..and it causes pain and stiffness of fingers

pt. 38.f c/o Dyspnea on exertion, cough with sputum, fatigue plz comments..

76yr old female diagnosed Interstitial lung disease.... Presented with fever breathlessness to casualty After careful examination Culture showed kleibshella ...pneumonia... Later patient was put on antibiotic according to culture report..... No improvent seen Patient still had wheeze and breathlessness and fever Changed the antibiotic to meropenam and colistin Still no improvement is seen Today ct showed image 1 Cavitation???? Fungal ball??? Aspergillosis?? But previous ct and X-rays in 2016 showed cavity too.... Patient is kept on ntg as Bp is 180/100 in titration dose 3ltrs of oxygen.... without tat patient not able to maintain saturation Ecg showed some irregular rhythm was taken advice from cardiologist and put on calaptin tablet 40.... Please suggest further suggestion n opinion