A 28 year old Indian male IT worker residing alone in London for past 1 year with h/o outside food intake ,had indigestion problem for past 6 month like burping, difficulty passing in stool , flatus passage often , bloating abdomen on and off, after each food intake audible bowel sound heard . now for the past one week he noticed left side supraclavicular lymph node enlargement 5× 6 cm size firm to hard in consistency no signs of inflammation present over the swelling .there is no significant weight loss or appetite loss ,not an alcoholic or smoker ,no night sweats ,no fever,no other swelling elsewhere in the body .h/o appendicectomy done 15 years back. No other significant past history ?!! What can be the DD and management for this case ?? *Physical Examination* Left side supraclavicular node palpation—soft to firm fluctuatant friable mass of 2*3 cm size ,no signs of inflammation, not matted, not attached to underlying tissue or not attached to skin. Right side supraclavicular node - not involved Per abdomen palpation— soft and no abnormal visible intestinal movement ,no free fluid ,no added sound Respiratory system-normal bronchovesicular breathing on both the side ,no added sound Cardiovascular system-no abnormality detected Cns- no abnormality detected *Investigations* X-ray chest — right side crowding of ribs , Hilar lymph node not involved Blood investigation—hb-12.5 g/ml Wbc—10,100 cells per mm3 Platelet normal , tlc normal with lymphocyte being reduced to 11%,urine routine-normal,thyroid function test normal , lipid and diabetic profile normal , serology negative,echo and ecg normal , serum electrolytes normal , rft and lft- normal Usg abdomen - para aortic and precaval lymph node enlarged (2cm size),,,rest other normal in usg abdomen

Right axillary swelling. What are the possibilities?

This patient has long history of 45 years.A naevus was burst & day by day it increase in size & now this lesion happened. He admitted into Hospital with complain of pain, burning sensations in the lesion how u prceed the dx & rx?

24 years old unmarried female, hard, rounded painful extra growth since last 6 months. she was taking Hommoeopathic medicine from other place since last 3 months without any response. less appetite. weight is only 33 kg. fair complexion. menses are accurate. his elder brother was a patient of tuberculosis .no any other complaint. Whats your diagnosis medicine and Management please.

1 yr fch presented with fever & swelling on the neck -2days. single swelling firm in consistentncy in post cervical area. tonsils and pharynx normal. Dx & Rx