Goiter

Findings please.

Placenta Percreta *Chief Complaints* 32 year old female Gravida 3 Para 2 at 30.5 weeks with previous 2 LSCS presented with grade 4 breathlessness . *History* Patient had severe polyhydramnios and breathlessness which had worsened over one day. *Vitals* Pulse 126/ min regular good volume. BP -116/80 mmHg. Respiratory rate 36 /min *Physical Examination* Per Abdomen uterus was over distended. Pfannenstiel scars noted . Liqour severely increased. FHS presented. *Investigations* Ultrasound done revealed severe polyhydramnios. *Diagnosis* 32 year old Gravida 3 Para 2 with previous 2 LSCS with severe polyhydramnios *Management* As patient was in respiratory distress patient was taken up for Caesarean section OT findings Placenta Percreta Caesarean hysterectomy done. Mother fine. Baby preterm in NICU doing well

Barium meal x-ray. Diagnosis please.

Ba.meal x-ray. Ba.mral x-ray 5mts .erect PA. Prone oblique Diagnosis please

M.56yrs. Injury back. 15 days.