Retinol deficiency

Mch.15 yrs. Pain & swelling Left lower thigh 3 months. H/O Injury left knee 5 months.

Diagnosis please.

Cervical Fibroid Polyp with Cystic Degeneration *Chief Complaints* Infertility *History* 28 year old patient...married for 2 years presented to Our OPD with history of inability to conceive. Patient gave history of mass coming out per vaginum since 6 months. The mass used to reposit on itself on lying down. No history of intermenstrual bleeding. No history any menstrual irregularities. *Vitals* Vitals were stable. Pulse 80/ min. BP 116/ 80 mmHg. *Physical Examination* Per abdomen- soft non tender. No mass palpable. Per speculum examination revealed 9*9 cm polyp occupying full of vagina. It was difficult to make out whether it was fibroid polyp or uterine inversion. Probe test was not possible. On per vaginal examination polyp was 9*9 cm and uterus was felt separately and was normal size. Origin of the polyp was difficult to make out. *Investigations* Ultrasound done revealed uterus normal size with 8 mm endometrial thickness and mass in vagina with cystic areas within with a stalk on anterior lip of cervix. *Diagnosis* Cervical Fobroid Polyp With Cystic Degeneration. *Management* Patient was taken for examination under anaesthesia followed by cervical Fibroid polypectomy. Cervical fibroid polyp had undergone cystic degeneration with locules filled with whitish colored fluid.

F.13 yrs. Findings & Diagnosis Please. MCU.

M.63yrs. Blood in urine Frequent urination Pain during urination. 4 months.