Sick sinus syndrome

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age- 26 yrs c/o- irregular menses with dysmenorrhea since 6 months cycle-28-40 days menses- 5 days blood- dark red, clotted, sometimes offensive Patient has desire of salty things and sweet things Dislikes sour things urine and stool normal thirst- increased, drinks a lot at a time Appeitite- normal thermals- Hot+++ she is restless, wants to be alone ambitious, fear of dark stress of his career , no family tension Suggest Rx doctors

A patient of 45 yrs male *Chief Complaints* complained of pain and stiffness in knee joints since 2-years aggravation on walking for long duration better by rest & warm application *Investigations* X-ray- knee- Osteoarthritic changes seen no other complaint generals -appetite, thirst, urine- normal stool- constipated with occasional diarrhea sleep- normal desire- sweet things aversion- n.s mentally patient is very talkative moves from one topic to another doesn't like company of too many people angry easily Suggest medicine

A 63 yo woman with exertional angina is taking atenolol (Tenormin) 100 mg qd for management of her angina. While the drug appears to be effective in reducing her heart rate, it has not provided an adequate change in her double product (heart rate x systolic blood pressure) at the time of onset of anginal pain during a treadmill test. A second drug that could be added to her drug regimen that could improve her treadmill performance would be:

The patient came to me with the complaint of severe itching and discharge from the eruptions on the left forearm. The patient had multiple scattered red eruptions on the left arm. *Chief Complaints* Oozing of transparent,watery fluid from some of the vesicles. No smell from the discharge. *History* It all started when the patient got wet in rain 5 days back . As the patient had recently got this tattoo on his arm ,it was advised to keep it dry but due to some circumstances the patient got wet .Since then the eruptions appear on the arm and he also got fever . He was advised for citrezene by a doctor but got no relief .Now the major problem with this patient is extensive itching and the appearance of the hand. *Vitals* Temp 99.2° F Pulse 74 R.R 14 B.P 124/82 *Physical Examination* No swelling of the hand No erythema Skin moist *Management* I gave him Rhus tox 30 bds And now i m waiting for the eruptions to fade away. Then i m planning to start with Hepar suplh to dry up. Dear Drs, Correct me if I'm wrong and please advice me regarding the selection of remedy and its dosage.