51 year old female presents with red rash on bilateral lower extremities. Pt also presented with swollen feet/ankles with +4 putting edema. Pt states the swelling gets worse progressively throughout the day and is the worst at night but improves upon waking. Pt states she is tired most of the time and has shortness of breath upon exertion. Pt has a history of a hypertensive crisis that required a hospitalization. Pt takes Losartan and Amplodipine daily to control her hypertension. What is your diagnosis?

A female patient age of 22 yr C/0 for about 10-12 years from head to the feet there is heavyness and light pain on the left side of the body. sometimes in the left hand there is a slight pain in the left leg,and left side of the head.When I saw both legs it was thicker left leg than right leg. "Sometimes the "Tongue"becomes thick. In the lower part of the abdomen from the last one month there is slight pain and soreness in the left side She has treated far enough Doctors but no response found. My Respected Doctors Sir/Ma'am Suggest me what I should do about this patient.

A 78 year old male with congestive heart failure came with dyspnoea and palpitations. In auscultation : aortic murmur is heard. Chest x rat shows enlarged left ventricle & aortic calcifications. ECG attached. What you say?

elderly patient with shortness of breath ' palpatation' dry cough ' ..ECG show LVH with Wide QRS...chest x ray as shown

80 yr f thin built fever cough dyspnoea at rest.came to er rr40.bp140mmhg.spo2 room air 70only.admiteed rx with o2 bipap.nebu inj piptaz 4.5gm inj moxiflox.n tab clarithral.pt spo2 now 96on o2 4 litmin.rrstill 30 hr 140min.bedside echo not avialble.rx as cap.?chf.tlc 11200.sr creat2.sr na126.ddx n rx .