52 Year old male came to Casuality with chief complaints of Fever since 1week associated with Generalised Weakness and Decreased appetite and Vomitings Following food Intake. History of wt loss of 5kg in Last 5 months. History of Back Pain since 1 month. No H/o DM, Htn,Asthma,Epilepsy. Past History Not A K/C/O DM,HTN,Asthma,Epilepsy. No Allergies No Past Surgical History Personal History Diet -Mixed Appeteite- Decreased Bowel And Bladder Movements Regular Addictions Absent Family History No Significant Family History. Vitals Bp 120/90 Pulse82 RR 15cpm GRBS 112 mg/dl General Examination Pallor -Present Icterus - Absent Clubbing - Absent Koilonychia - Spoon Shaped Fingers Lymphadenopathy -Left Supra clavicular Lymphnode Enlarged Systemic Examination CVS S1 S2 Heard RS BAE Present P/A Soft ,Non Tender. Provisional Diagnosis : Anaemia Under Evaluation Left Supraclavicular Lymphnode Investigation Chest xr...