Adult intestinal toxemia botulism

29 y F C/o- Constant dry spasmodic cough, nasal blockage,smell and test loss,. Appt- Less Thrst-Less Des- sour, Chilli Avrs- food Sweat- Scanty, Stool- Loose Sleep- Distrub due to cough Mind -Irritable, easily anger Dr suggest your opinion

A 30 years man with this skin rashes over his right scapular region What is the Dx and Rx Seniors plz guide

A 27 years married woman suffering with low hemoglobin associated with menorrhagia for 3 years. Blood is profuse, coagulated, dark colour. Hot pt. Appetite-good Craving- cold foods and drinks Thirst- profuse Perspiration- moderate Stool-regular Urine-normal Menses-regular but profuse Mind- Anxious, always in hurry Nervous Weak memory, forgets easily Please respected doctors suggest your views on this case.

Pain in tongue, often tongue bit. Ill dentures since five years, 52years aged poor women.Tongue swelling, under chin lymph nodes swelling. Teeth are extracted by Dentist in Gov. Hospital. Holding cold water in mouth is amelioration of pain. *Chief Complaints* Pain in tongue. Speaking and eating problem. *History* It occurs three years ago, she treated by Dentist but pain not subside. *Vitals* Anaemic Hb%-9, ESR - 80+, *Physical Examination* Ill dentures dental sharpness causes laceration on tongue, gum infection caused lymph nodes swelling. Glossopharyngeal nerve involved. Tongue swelling causes speaking and eating problem. *Investigations* Need X-ray of gum, but not done. *Diagnosis* Ulceerative Stomatitis I think. *Management* Plantago Q and Merc sol cure swelling tongue, but pain gone by applications of Mullen oil internally and as well as externally. Scar gone by one dose Causticum 1m.

The term ‘Vitiligo’ may be derived from the Greek ‘vitellius - calf’s white patches’. It is an acquired disorder of loss of skin pigmentation of unknown etiology. Histologically, it is characterized by loss of epidermal melanocytes. Please share your experiences with this disease which has a lot of social stigma.....