Concluded Case

Severe Anemia

24yr female was brought by her parents after fainting while working in home. On arrival patient regained consciousness. Examination revealed severe pallor. Vitals on arrival BP 90/60 PR 118/min SPO2 97% on RA. There was no history of bleeding from external orifices. Menstrual flow was normal. No history of any drug intake.No history of PICA. She was admited and investigations were done. Her Hb was 2.2gm%.. BT was planned .3 units of PRBC were given. Other investigations were done (reports attached). Now what next ? Should I order for bone marrow examination?. How to manage raised eosinophilic count? Plz guide me. thanks and regards.

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Concluded answer

Microcytic hypochromic anaemia:-fainting because this lack of oxygen can happen because the body does not have enough red blood cells, or because the red blood cells do not contain enough hemoglobin serum iron level and TIBC is normal May be serum ferritin level or stain of bone marrow specimen for iron to be advice Blood transfusion is right decision to done in this case Add inj Vitcofoa as Dr Mansukh sir advice Antibiotics PPI Symptomatically treatment to be given Proper nutritional to be given

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Severe microcytic hypochromic anemia . Needs investigations to rule out hemolytic anemia, spherocytosis ( Reti count, PS, Coomb's test, Haptoglobin, sickling etc ) Bone marrow needed Packed cell transfusions needed till Hemoglobi is atleast 8 gms. Better to avoid iron till diagnosis is known

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Microcytic hypochromic anaemia:-fainting because this lack of oxygen can happen because the body does not have enough red blood cells, or because the red blood cells do not contain enough hemoglobin serum iron level and TIBC is normal May be serum ferritin level or stain of bone marrow specimen for iron to be advice Blood transfusion is right decision to done in this case Add inj Vitcofoa as Dr Mansukh sir advice Antibiotics PPI Symptomatically treatment to be given Proper nutritional to be given

Thank you doctor
0

Microcytic hypochromic anemia but serum iron and IBC is normal.To rule out hemoglobinopathy. Cause of eosinophilia may be due to some allergy or parasitic infeststion.Can be treated with deworming and a course of hetrazan tablet D

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Microcytic anaemia With leucocytosis Eosinophilia Do absolute count ferritin rdw B12 deficiency 3 point blood transfusion Inj vitcofol2 cc im10

Check the S.Feritin. Electrophoresis... Blood tra transfusion. But priority should be to conclude the diagnosis. Consult Hematologist.

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? ANEMIA.. NEED'S.. ANEMIA PROFILE..AND.. BT ..

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