Miliary tuberculosis

30 years non diabetic male presented with feet deformities, trophic ulcer and osteomyelitis of the right foot gradually increasing since 3 years. He consulted many doctors but was not diagnosed for 3 years. Health system delay for diagnosis could've been avoided. What a price to pay for a delayed diagnosis! What is your diagnosis? Awareness and knowledge will minimise health system delay. Thank you.

How would you describe the current understanding of autism in Indian population?

Tibial aplasia and prosthetic Leg restoration. *Chief Complaints* Due to congenital anomalies she walks with abnormal gait patterns. *History* When she was born 28 years ago with such congenital anomalies. Her parents never thought that their 5th girl child would be the same as others 4 . But she had different problems with tibial aplasia and others 4 having complex syndactyly in both hands. Same as their father having complex syndactyly. *Vitals* Unable to perform activities of daily living. *Physical Examination* Problem with walking and gripping and grasping. *Management* 28 years old girl looking for Prosthetics management for tibial aplasia. Our team takes measurements and casting for Prosthetic Leg restoration. Now she walks comfortably with a new prosthetic Leg.