17 yr old female pt with h/o mild fever ,loss of appetite ,weakness ,heavy menstrual blood flow during menses. what is diagnosis and treatment. her blood investigations shown below.

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any splenomegaly.,sir.this is a case of hemolytic jaundice.sir rule out malaria., first transfuse 1pint of packed cells of comptable blood group.give her antibiotic taxim200mg bd for 7days.ask her to take liv52.and glucond.ask her to take fruits,low fat diet.if anaemia is corrected.i think it will subside.do her thyroid profile, USG of abdomen and pelvis.

thank you sir.
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Do widal & Dengue test injection of iron sucrose m.v.i. high protein dite avoid excessive oil & chilles fat ree dite as serum bilirubin's are increase give hepato protection cap. essential-L syrup - sorbiline Iv fluids DNS avoid hepatotoxic drugs a short courses of steroids like tab. prednisolone 5 mg bd for 5 dys

thank you sir.
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Pancytopenia. give iron and folic acid and vitamin b12. rdw rules out thalassemia. rule out aplastic or hypoplasia anemia. if needed do blood transfusion.

thank you sir.
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Patient has pancytopaenia with raised s bilirubin with h/o heavy menstrual bleeding with fever generalised weakness and decreased appetite suggests recent viral or other infection associated with underlying disease and most probable is cirrhosis of liver. Inv on that line and manage accordingly. Pancytopaenia does not occur in acute set up.

pancytopenia. rx accordingly with systemic multivitamin. short course steroid in tapered manner & protein free diet

Pancytopenia with bilirubinemia look haemolytic anaemia admit investigate ferritin reticulocyte count haemogram bone marrow

detailed menstrual history .. bleeding since...amount of bleeding.. upt to be done,usg pelvis abdomen liver function tests ,viral markers,dengue ,malaria,coagulation profile. symptomatic treatment .if actively bleeding give tranexamic acid 500mg tid,antibiotics,blood transfusion.

ok sir thanks.
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menorrhagia - so Do a basic hormonal profile S.TSH and S.Prolactin Rule out TB ,MP and Dengue...give 2 doses of FCM 1000 mg each 20 days apart after fever subsides... Consult hematologist if needed... Sometimes we may miss the causes of mild jaundice which may exaggerate...

first of all find out the cause before giving blood,mostly behind this infective pathology like malaria etc.. give tablets/inj of sylate to stop the menstrual blood loss. Don't give too much IV fluids ,to avoid cardiac overload.

bleeding only during menses 4-5 days of Menses. flow of Menses is more than normal blood flow. thank you mam.
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in recent scenario and By seeing this type reports and symptoms this might be a case of complicated viral fever either dengue or chikungunya or any other viral etiology

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