a56 yr old Male patient Known case of diabetes and htn on treatment, today morning presented with fall in bathroom and recovered After that pt went outside and fell down, unconscious. pt brought with unconscious with froth in mouth PR 74per min BP 170/90, plantar bil extensar, snoring present.E1VIM1. History of head injury 30yrsback ,1yr back fell down from bike investigated outside and started on levipill500mg bd , phenytoin 100mg bd, and oxcarbapazine. ct and blood report's attached.ecg normal. what is the diagnosis, and treatment.

2yr male child fall from 10feet height four hours back.H/o vomting one episode present.No h/o seizures,loss of consciousness, ear nose throat bleeding.Child is active.GCS 15/15.What is the further Management???{chest&abdomen are normal}

A 8.5 months old infant brought by mother on 12 Sep 2016 with history of Fever for 2 day duration, with common cold. Examination didn't revealed any significant finding. CBC and NS1 Ag, IgM & IgG for Dengue, MP and Paracheck was advised. Syp PCM and ORS were given and called to report back with report on next day. Mother brought the child on 14 Sep 2016 at 1300 hr with report of NS1 Ag, which was positive, although IgM & IgG for Dengue was negative. Though Fever was not there and baby was active and playful along with normal vitals, still child was admitted for observation and in view of young age, positive NS1, absence of CBC especially platelet count report and highly endemic region. Once baby reached to the ward where sample were collected. While securing canula and sampling, baby was crying, so staff nurse advised to console n feed the baby. Then suddenly baby started threwing seizure in form of tonic posturing with uprolling of eyeball, which led to gasping respiration and cardiorespiratory arrest. Baby was immediately resuscitated with initial bag and mask ventilation followed by endotracheal intubation. There was severe bradycardia which was not responded to adequate resuscitative effort and expired at 1550 hrs. Duration of hospital stay - 2hrs 50 min. While resuscitation the following cranial images were taken. Sorry for the quality of images as theae were taken while resuscitative action was on. Initially it was thought it's a severe thrombocytopenia which led to this intracranial hemorrhage. But later on post demise CBC report is as under:- Hb 9.2, TLC 3700, DLC P30L62M2E6, Platelet 338x10^3, Kindly Review this case and discuss critically without mercy.

42yrs old male RTA patient sustained head injury,brought in ED in gasping state.The patient vomits and subsequently intubated as per ATLS guidelines.He had no history of HTN,CAD or any other vascular disease,Upon arrival findings are; O/e - CNS - Deeply unconscious pupils - B/l dilated fixed non reactive to light GCS - E1M2V1 Bp - 150/90mmhg HR - 68/mt Diagnosis and Suggest management plan and outcomes after surgery???

A patient came to Shri Vinoba Bhave civil hospital, D&NH with a brown pigmented lesion over left surface of face. The lesion is from birth. Patient gives history of gingivectomy done 8 years back. Since 8 years gradually the inflammation of gums increased again. Present swelling of gums is from last 3 months. No bleeding on touch and there is a pit on pressure. Patient is on antioxidants and gum astringent s for last 3 months. Thorough scaling is done. Sufficient improvement in general condition.