Role of mifepristone in missed abortion

42 year old lady with a fungating breast lesion X 5 months duration. Extensive matted LN in right Axillary and Lymphedema in the right UL. Supraclav LN present as well. IDC - grade 3. TNBC. Metastasis to lungs, liver. Let's discuss the management. It is sad to see such advanced cases.

40f Co severe hypogatric pain sudden onset no fever vomiting no urinary complaints kco intramural 25mm uterine fibroid; ho irregular menses 2-3 month back treated with duoluton L cynomycin 100mg initially then crina ncr 10mg pausext dotarin later for 21 days after this Pt had pv bleeding for 2 days then on 3rd day above mention abdominal pain followed by passage of this thing per vaginally at night...my question is what is this? ???????

A 46 year old woman presents with complaints of heart palpitations which begun few months back, but have more frequent recently. She is also feeling extremely anxious, sometimes for no reason at all and is concerned that she may be having hot flashes of menopause because she feels he and begins sweating even when no one else there feels hot. she has lost nearly 9kg in the last 2 months even without any major change in diet or exercise. O/E fine tremor of the extended hands

young couple married for 2 yrs trying to conceive ... female with irregular cycles since 8 months male hypertensive with empirical treatment started for lymphadenopathy (stopped medicine) by own . reports as attached

35 year old female inserted a plastic device into her vagina to satisfy her sexual feelings. This plastic device escaped into the vagina 3 days back and couldn't be taken out by the patient inspite of her attempts to remove it. When i examined her,the edge of the plastic device was abutting against the lateral vaginal wall and couldn't be removed.So under G/A it was removed.