Pitting oedema in legs prominent veins are seen with complain of low bp no complain of diabetes, low hemoglobin level 6 gm/dl. There is patches also present on whole body patches are centrally silvery and peripheral erythematous

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Hypotension, petting pedal edema is can be seen in low heamoglobin Kidney insufficiency should rule out. Tinea corporis and Cruris is an fungal infection characteristic feature as @Dr. Deepak Ambastha told ( central healing and active peripheral borders are clinching feature for tinea infections) Management work up Peripheral smear to do for detection of cause TIBC Sr Ferritin Treatment Vitamin B12 Supplements. Inj iron sucrose or ferriccarboxymaltose injection weekly once is useful For tinea infection Tab.itraconazole once daily for 20day Tab. Flucanazole weekly twice for 3 weeks to followed after 20 days Cream.Amorolfine 0.2% twice daily application on lesions

Severe anaemia likely iron defiency, with chronic fungal inf centrally healed and peripherally active (Ringworm ). Treat anaemia, oedema will subsides also chronic fungal inf but have to give antifungal also. Also do a thyroid profile.

SHE POSSIBLY HAS .. .PSORIASIS PALLOR + EDEMA MAY BE DUE TO 1 MALNUTRITION DUE TO LOW INTAKE / MALABSORPTION 2 CKD WHERE BP REMAINS HIGH NOT LOW 3 CH LIVER DISEASE SHE IS TOLD TO HAVE " LOW B P " PL MENTION HER BP

1st hb 6 so needs transfusion 2nd sclera is yellow so consider it 3rd pitting edema if unilateral then cause is local but if bilateral then look for cardiac origin Go for Ecg , may be hf due to anemia 4th patches looks like tinea corporis incognito and cercinata This pt must be malnourished and immunocompromised so do complete work up Thnx@dr. Shubham gour

Thanx sir
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Hypoprotenimia with Anameia;-Rx; Tab-ivoral Once a week X3, Ensure po wder BD,Dexorang syp or caps, tab-syscan150 sos

Varicosities with ? fungal infection. Rule out hemorrhoids ( H/o bleeding PR). Complete work up for anemia, stool for occult blood venous doppler etc)

Thyroid profile. D/D. iron def anemia. edema may be due to weight . rule out connective tissue ds.

Sir there is one more editing plz rule out it also
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Iron deficiency disease,Tenia corporis

CONCRETIONS IN THE LOWER FORNEX OF CONJUCTIVA NEEDS REMOVAL UNDER SURFACE ANASTHESIA

Ro hypothyroidism, cushiongoid, stop steroids if any. Treat anemia ,teania

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