Goitre

Studies show microplastics are increasingly found in human blood. Select the major source you believe contribute to microplastic exposure in the bloodstream.

Obese people often have vitamin D deficiency. However, not everyone with obesity will experience a vitamin D deficiency, but the chances are more.

M.27yrs. Pain & swelling left ankle & foot 5 months

A 33-year-old male has a history of tubercular meningitis and had brain surgery in Dubai. An implant (don't know the detail) was placed in the brain 7 years back. Post surgery he came to India and was put on steroids and anti-tubercular drugs which he stopped taking 1 year back. He is still not able to walk properly after these many years. But goes for 15-20 minutes' walk 2-3 times a day. He also complaints of left hand swelling with pain and right knee pain often (for 1-2 days in a week), which gets relieved with pain killers to some extent. He is a well-educated intellectual person, sometimes he forgets things which happened 1 hour or a day ago and has Slutter speech. He doesn't remember any details about the time of surgery and was in coma for many days. I don't have much detail about the case, I might arrange if you have any doubt. MRI at the point is not possible as he can't tolerate long MRI scan. What do you think about this case and its prognosis doctors?

Diabetic gangrenous toe *Chief Complaints* Pain less Foul smelling toe with discolouration of toe *History* Known case of diabetic since 15 years history of Ingrowing toe since 15 years *Vitals* Stable *Physical Examination* Pain less toe with discolouration of toe *Investigations* Routine blood test all r stable for amputation *Diagnosis* Dry Gangrene *Management* Amputation