Secondary polycythemia

40% of Indian women use sanitary pads during menstruation. Studies suggest, these pads contain many heavy metals like arsenic, cadmium, cobalt, chromium, lead, zinc and chemicals like phthalates & dioxin. Considering high absorbency of vagina, do you think these substances pose a risk to women's physical and reproductive health?

In India 1,042,500 deaths were linked to antimicrobial resistance (AMR) in 2019. Which of the following strategies do you believe is most crucial for tackling AMR?

In any crush injury with muscle tear application of drain is a must *Chief Complaints* Bleeding from the forearm pain swelling *History* History of cutting blade causes lacerations *Vitals* All stable *Physical Examination* Irregular margin clw with muscle fiber damaged over extensions *Investigations* Routine blood test done *Diagnosis* Clw over the forearm *Management* Just debridement and repair done with drain applied

Mch.5 yrs. Nasal obstruction Heavyness of head. Occassional nasal bleeding. 2 months.

27 year female has this bump from childhood in between of breast (just at Sternal line) , this bump never progressed in size from childhood But sometimes in a 6 months or so it become tender and swollen as shown in picture. Otherwise in normal days it remains small bump, asymptomatic She is asymptomatic, on examination it appears lymphnode. She has no family history of breast related disease