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.
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
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
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
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
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.
Cases that would interest you
- Login to View the image
35 yrs male -peripheral smear and cbc your opinions
Dr. Dommeti Durga Prasad1 Like14 Answers - Login to View the image
1.5 yr child.....TLC....15000. neutrophil...45 : lymphocyte. 45. ....eosonophil....04 mono...06 platelets....11 lakhs....comment
Dr. Abhay Prakash0 Like10 Answers - Login to View the image
a girl child with h / o wheat allergy is now taking wheat without any problems but her ttg test is still positive. my question is whether one should stop her wheat diet.on other diet plans she start losing wt and appetite and her parents give her wheat again .she gains wt and has no other symptoms whatsoever while on wheat
Dr. Shantnu Sharma4 Likes25 Answers - Login to View the image
1 yr f child fever since 8 days on & off after medication Plz Dx n Rx
Dr. Ram Golde1 Like16 Answers - Login to View the image
female of 16yrs, no other complaints,, in her words "iam healthy n comfortable with my work".brought by her brother saying h/o sudden fall , so he did this report n came for opinion...pls comment...
Dr. Jayanth Chilakala5 Likes33 Answers
2 Likes