1. A 25 year old student has presented with fever, cough, and epistaxis over the last 1 week. He apparently normal before that. On examination, he has pallor and subconjunctival hemorrhage. There is tenderness over the middle of the chest anteriorly.
What is your diagnosis?
Justify you diagnosis and describe the expected complications in this condition.

2. A middle aged female estate worker has presented with vague pain abdomen in the left upper quadrant. She noticed it about 2 months back and was treated by a general practitioner with antacids which did not offer much relief. On examination, the only significant finding is the presence of a palpable mass in the left hypochondrium that is extending up to the umbilicus.
What is the diagnosis?
Justify you diagnosis and describe the specific investigations required to confirm the diagnosis.

3. A 13 year old boy has noticed a swelling in the right side of neck about 1 week back. It has been increasing in size gradually and it is about 5cm X 3cm in size now. There is no other abnormality on examination.
What is the diagnosis?
Justify you diagnosis and describe the specific investigations required to confirm the diagnosis.

4. A 28 year old man, a known patient of  thalassemia major is on regular blood transfusion. He complains of progressive darkening of his skin over the last 6 months.
What is the diagnosis?
Justify your diagnosis and describe the complications of long term blood transfusion.

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