40 yr female.urea 112.cr 13.0 HB 5.tlc3900.plt 113.

A young female aged 14 years presented with complaints of jaundice (on/off), severe fatigue and weakness since 2 months....On examination she was found to have severe anemia along with Jaundice....CBC showed Pancytopenia....A diagnosis of Hemolysis was made...Comment on the clinical approach and investisgations required to treat the patient...

19 yr female admitted with severe anemia hb 3.6 with severe menstrual bleeding., took 2 units of blood still hb not rising. recent history of admission in to another hospital and treated for malaria and hepatitis{ no records available}. no past history of such symptoms. examination revealed no specific findings. investigation reports attached. patient is now on blood transfusion. please suggest next line of management. reports showing pancytopenia, what may be the cause.

60yr male,,came with history of fever and cough,,and persistent pancytopenia.. ESR 160,, kindly give ur opinions fr this bone marrow aspiration slides..

A 68 years old female known case of COPD presented with worsening anemia, thrombocytopenia, renal insufficiency and markedly elevated calcium and uric acid. Peripheral Blood & Bone Marrow smear was prepared. Comment on the images.