65yrs/F Diabetic and hypertensive presented with H/o Sudden onset drop in conscious level and vomiting yesterday. *Chief Complaints* Altered mental status, vomitting *History* HTN, Diabetes *Vitals* Bp -180/90,HR -110,RR -24,Spo2 -98% on room air *Physical Examination* GCS -11/15,Pupils - B// Small size reactive to light,Plantars B/l extensors *Diagnosis* DIAGNOSIS *Management* MANAGEMENT PLAN?

85yrs/F...c/o severe breathlessness since yesterday night 11 pm associated with frothy sputum... O/e pt is unconscious not responding to painful stimuli...pupils reacting to light, GCS 3/15.. Rs- B/l severe crepirations present along with b/l wheeze... Bp-190/110..Had history of wheezing 2 episodes one week before...but pt got stabilized with levolin nebulization.... Now pts breathlessness has not settles even after 3 cycles of levolin plus NS neb...pt was not taken to hospital...we visited her in her house... Gave 40mg lasix iv in view of acute pulmonary edema...inj hydrocortisone 100mg iv stat... Isdn 5mg sublingually... Pt's bp suddenly dropped to 98/60mm of hg...after a few minutes slowly increased to 140/80mm hg... Pt catheterized...only 300 ml of urine output was seen since 9 am in the morning till now... Oxygen was kept 4l/min...

pt is old man came with ho sudden unconsciousness at his residence came to er in gasping stage kco DM htn post ptca pt is on ventilator interpret CT findings

58 years old known Diabetic n hypertensive male on irregular medication. O/e - GCS : E3VAM6 Pupils : B/l 4mm RTL Left hemiparesis Pulse : 72/min BP : 180/90 mmHg Temp : Normal,RBS -400mg/dl H/L : NAD PLAN OF ACTION? If conservative what would you prescribe and why? If surgery what would you do?

70yr old female c/o right sided upper and lower limb weakness since 2days.k/c/o HTN and type 2DM uncontrolled.ur comments on the case and CT head pls!!!