USFDA APPROVES DAPAGLIFLOZIN FOR USE IN NON DIABETICS BASED ON DAPA HF

76 years old male - k/c/o CAD -HTN- DM Operated for right lower limb both bone # . Nine days back - all measures were taken post surgery and diabetes was controlled - clexane stopped after five days due to rectal bleed . yesterday night patient c/o breathlessness - Spo2 - 80% RA - B/l crepts present - patient started on CPAP - patient stabilised - today morning around 7 am patient arrested abg showed mixed acidosis - patient reverted and intubated - started on inotropes still BP is 95/66 mm hg - Cbg- 346 mg Dl - spo2 - 97 on 60 Fio2 - ? Differential diagnosis ? Further management ?

65 yrs old male presented with dyspnea pedal oedema Old copd Hypertension Diabetes Plz comment on xray

I have a 45 yrs old patient who is a known T2 diabetic of 3 yrs duration. He is a marketing manager, who has a erratic eating pattern and a hectic roaming field work He is very content with my treatment because just last month,he has achieved good glycemic control with a HbA1c of 6.52 % , FBS 96 mg/dl , PPBS 128 mg/dl. He has no other comorbid conditions or any complications. He is neither a hypertensive nor hypothyroid. His Medication includes DAONIL 5mg 1 tablet Before breakfast, VOGLIBOSE .3 mg 1 tablet three times before meals . Today at around 230 PM, He called me very agitated on my mobile to say that he has not been feeling well since 2 hrs. He was complaining that he has been feeling weak, giddy, heart beating faster and some trembling of hands. He doubted this situation to be an episode of hypoglycaemia and confirmed with his glucometer reading at 62 mg/dl. He took his lunch one hour early comprising 2 rotis and potato curry but still has been having the same troublesome symptoms. What do you think I should have suggested him on the phone to relieve him of his hypoglycaemia immediately as he cannot come to your clinic at that moment ?

female 28 yrs.... presented with both leg swelling, with multiple lesion, oozing fluid, and pain in both legs... over a short span of 10 days. There is h/o steroid intake(oral prednisolone), oral antibiotics, analgesics. She had mild dyspnoea and facial puffiness Rx and Dx please

73/male known DM/ HTN came with dry cough since 7 days and breathing difficulty since 1 day; echo showed moderately severe LV dysfunction with EF 45% , anterior wall thinned out and akinetic; interpret cxr and management