Premature greying of hairs

A 9year old Child having eruption on whole body since 6 months *Chief Complaints* Itching Eruptions Gradually increase from one place to other Supurating Redness Skin cracked and pain after scratching Movement difficult *History* All family are affected from this *Vitals* All vitals are normal *Investigations* CBC - normal SGPT/SGOT- normal IgE - 400 *Diagnosis* Pls Suggest Dx/Rx

58 yrs male pt goes into the gov.OPD with the Complain of cough, cold, fever headache,occ.constipation, burning in throat , n in stomach ,ithiching on the whole body , severe Breathlessness since 4 to 5 days... VITALS P- 138/min RR-28 ,b/min BP-132/86mmHg Spo2-89% without O2 support was given T-101ંF CVS- S1S2(+) RS-BLAE(+) CVS- conscious,oriented Due to severe Breathlessness and O2 Detoriation pt was admitted into the COVID-19 SUSPECTED WARD... In covid-19 suspected ward , pt was puted on NRBM with 15%lit/min O2 support was given... RT-PCR was done on 14/2/21 which was (+Ve) CT score -30 Consultant started a treatment... Inj. Remdesivir 100 mg in 100 ml NS OD (on the 1st day 2 dose than 1+1+1+1 upto 5 days.. Inj.piptaz 40mg in 100 ml NS iv 8 hrly + fluconazole 150 mg once / week Inj.Rantak 2cc iv 12 hrly Inj Heparin drip 25000 IU/in 50 cc NS iv 5 ml/hr Tab-pantoxyphylline 1-0-1 Tab-Aspirin 75mg 0-2-0 Tab-pcm- sos Tab-vit-C 1-0-1 Tab -zinc 1-0-1 Tab-MVBC 1-0-1 Tab-cal+2 ,0-0-1 Tab- Vt D3 sachet once/week DMR syrup 1 table spoon tds Lactulose syrup 2 table spoon ,sos * On second day of Admission Treatment was given... same VITALS P-108/min BP- 128/86mmHg Spo2- 95% with NRBM-7%lit/ min O2 suppprt was given T-98્F CVS-S1S2(+) RS-BLAE (+) In evening Vitals P- 102/min BP-124/82mmHg Sop2-94%,95%, and 96% Fluctuate NRBM 5%lit/min O2 support was given T-(N) CVS-S1S2 (+) RS-BLAE (+) *On the Third day of Admission Vitals P- 104/min BP-126/84mmHg Spo2 -95% ,NP-4%lit/min (O2 support )trial was given T-(N) CVS-S1S2 (+) RS-BLAE (+) In Evening Vitals P-102/min BP-128/78mmHg Spo2-98% Without O2 support was given (pt was on Room air ) T-(N) CVS-S1S2 (+) RS-BLAE (+) Pt Maintaing O2 bt on the third day pt start to Complaining about severe burning pain into the both feet , knee fold krke beth gya pair ko apne hatho se pkd liya n he said bhut jalan ho rhi hai, bhut hi dard ho rha hai.kuchh kijiye aap doctor hoo aap pde likhe hoo muje to isme kuchh smj nhi aata pr kuchh to kro meri or dhyan do...me chal bhi nhi pa rha hu...muje nind bhi nhi aati iski vjah se bas ye thik krdo fir me thik hi hu Completely... O/E :blackish discolouration can seen in both feet, coldness can feel , sensation decrease in both lower limb as compare to upper limb.... Same treatment was given accept inj remdesivir , inj piptaz upto 22/2/21 pt was Discharged after RT -PCR -ve Bt still pt have severe burning pain which is going day by day worse...n blackish discouration still present in both feet .pt told me koi nhi sun rha mujse ab nhi rha jata bhut jalan ho rhi hai, kuchh to kro....he was literally crying during narrating this symptoms Whenver i hv been seen him he was start crying loudly...else Continuesly crying Slowly slowly... Modalities < walking ,pressure ,touch slight feels better by rest I have attached reports, Kindly give ur views Regarding this case ...what can we help to this pt...

tell me which type # n which surgery required n management

pt came with c/o severe headache with fever (101*) frequent urination..... h/o htn on treat ment tab amlong5mg sos...bp at present 140/90...hr 102 ...pls tell diagnos and treatment immediately ......

1.Identify the intraoperative complication 2. what measures can be taken to prevent it. 3. how to proceed further in case we encounter such condition?