50 YRS OLD MALE ... CLINICAL FINDINGS? MOST PROPABLE CLINICAL DIAGNOSIS? PLZ SHARE YOUR VIEWS

38 years old male - raised R.B.C count , Hb , hematocrit , and AEC with c/O headache and vague Psychosomatic symptoms. Diagnosis and management

23 yrs male student by profession came with the complaints of hearing heart sounds while sleeping on left side and SOB classifying grade 2 of NYHA... Vitals:- Bp-140/100 in both arms fluctuating on repeating..R.R-18 per minute(At rest) ..heart beats around 100-105 per minute..non diabetic.. Patient observed this changes since he left the gym workout in the lockdown..he gained nearly 12 kgs in the lockdown with out any work,...plz interpret the reports below showing mildly elevated haemoglobin and pcv, lymphocytes and basophills..RFT is normal...Is it diagnosed as polychythemia vera?? What tests should be done and how to approach this case further.. And treatment plz

28y m pt suffering with fever since last 5days. Platelets count 165000 and widal positive general weakness please suggest further treatment and development

Good morning Dear Friends, Presenting a case of a boy , 10yr old who was having history of fever, headache n vomiting for last 10 days. Had history of exertional dyspnoea. His father gives history of him becoming bluish when he used to cry at age of 4 to 5 years old. But due to financial constraints never got any medical help. Present Examination revealed Grade 3 Clubbing, Cyanotic nail bed, suffused conjunctiva, systolic thrill is present anteriorly along the left sternal border. A harsh systolic ejection murmur (SEM) is heard over the pulmonic area and left sternal border. The S2 is single. His Blood investigation revealed Hb 18.5 & HCT 63. WBC was 23000 with shift to left. RFT, LFT were normal. X ray is placed below. CECT Brain Revealed an Abscess. Q.. 1. Diagnose the clinical scenario. 2. Detailed management plan for this young boy. Regards.