Purine nucleoside phosphorylase

Although wellbeing is a combination of physical, mental, emotional, and social health factors, which aspect of wellbeing holds the greatest significance for you as a healthcare professional?

*How do you think general population in India typically dispose expired medicines?*

Female age 40 yr Macules all over body since 4-5 days K/c/o dm and hypothyroidism Taking tab og sugar and thyroxine C/0 pain in body ghabrahat weakness Bp 130 /80 Temp 98.4 Pr 105 Spo2 98 Rbs 41 not taken medicine of sugar from yesterday

Diagnosis please.

Lower left quadrant pain and Epigastric region *History* 16 yrs/m Epigastric and lower left quadrant region pain,body pain *Vitals* Normal *Physical Examination* Bowel sound :- Absent Mild yellowish eyes *Investigations* USG W/A CBC,ESR,S.Bilirubin,SGOT,SGPT,CRP *Chief Complaints* Lower left quadrant region pain nd constipation for 3 days *Management* Inj Aciloc 2ml bd Inj Vomikind 4mg bd Inj Ceftrixone 1gm bd Inj Mikacin 500mg od Inj Dynapar IM Syp Duphalac 20ml hs Plz suggest ur valuable opinion