Concluded Case

5yr female child.Hb.5gm/dl,tlc 13000..lft wnl Other cbc values r normal...severe anamic,lethargy.

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Leucocytosis suggest sepsis with ? Hemolyitic anaemia Needs iv fluids iv antibiotics and sos BT
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Leucocytosis suggest sepsis with ? Hemolyitic anaemia Needs iv fluids iv antibiotics and sos BT
Thanx dr Ashok Leel
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Need to investigate anemia 1) CBC to check whether it microcytic , or megaloblastic , reti count , PS for type of anemia. and parasites . 2) Serum iron, ferritin ,,IBC , haptoglobin , 3) Coombs test, hemoglobin electrophoresis to rule out hemolytic anemia, thalasemia, Spherocytosis , sickle cell disease Treatment will be according to results . She may require urgent red cell transfusions
Thank you, Doctor
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May be Nutrition deficiencies. Like iron. Folate, B12. .infections. Malaria Hookworms Schistosomiass TB Hiv. Inherited red cell disorders. G6PD deficiency. Thalasemia Sickle cell anemia. Hereditary spherocytosis. Malignancy Investigation. Bloos smear. Reticulocytes count. Urinalysis Stool examination Sickling test. HIV serology. Malaria boold slide CBC
Hemolytic anaemia Needs further investigation and evaluation to conclude. Till reports complied. BT and iv fluids . Antibiotics orally or iv. Good nutritious balanced diet. Multivitamin and antioxidant orally or iv.
Thanks Dr Shivraj Agarwal
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Required presenting complaint with detailed history of same... Anthropometry....peripheral smear study....rbc indices......stool routine.....systemic examination esp..liver/spleen
PBF for type of anemia Abnormal cells Bone marrow exam Stool for ova & cyst Urine exam complete & microscopic Haematuria C B C ESR
IT'S A..CASE OF.. ? ANEMIA WITH.. LEUKOCYTOSIS.. NEED'S.. * ANEMIA PROFILE.. * MP..WIDAL.. * INVESTIGATIONS FOR THALASSEMIA..
SUGGESTIVE of SEPSIS SYSTEMIC. INFECTION WITH ANAEMIA ADVISABLE BLOOD. AND. URINE. ....C/ S
Iron profile and Bone marrow examination to rule out the cause
Thank you doctor
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Thailesemiea profile Any blood disorder Peripheral blood film
Thank you doctor
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