Which enzyme is deficient in Gaucher’s disease?
| Option | Description |
|---|---|
| Hexosaminidase A | Enzyme involved in Tay-Sachs disease |
| Glucocerebrosidase | Deficient in Gaucher’s disease |
| Alpha-galactosidase A | Related to Fabry disease |
| Sphingomyelinase | Deficient in Niemann-Pick disease |
What is the management of the endoscopic finding given in the image?

A patient presents with no pulse, and the ECG shows the following rhythm. What is the next appropriate step? 