45 yr old female non diabetic non hypertensive c/o frequent urge to defecate throughout the day and anorexia Menstrual history- irregular episodes of menstrual cycle. Menses occur twice in a month since 3 years. Menstrual flow occus for 4-5 days cbc- report attached. esr- raised rbs/hba1c- wnl rft/lft/tyroid profile/s.vit d3/s.vit b12/crp/anti ttg(iga)- wnl dd/investigations/Rx??? kindly reply.
She is a case of AUB- with anemia Advise , USG for endometrial thickness... Conservative management Give her a course of antibiotic- oflox -oz for 7 days Deworming Iron BD dosage Start on progestogen
R/O HIV 1 & 2
POSSIBLY.... IMMUNO COMPROMISED.... ADVISABLE.... 1. COMPLETE. SCREENING. AND. INVESTIGATIONS 2. BLOOD. AND. URINE. CULTURE. AND. SENSITIVITY 3. SYMPTOMATIC. MANAGEMENT...... TILL. THE. INVESTIGATION. REPORTS. ARE AVAILABLE
@its amebiasis, put her on oq oz, 5d,1 course of albendazole, then correct anemia, hygiene
Agree with Dr Sepuri Krishna Mohan
Repeat stool examination atleast 3 times. If normal,sigmoidoscopy should be performed.Treat iron def. Anaemia. Do not use antibiotics unless stools indicate presence of dysentery.
She is a case of AUB- with anemia Advise , USG for endometrial thickness... Conservative management Give her a course of antibiotic- oflox -oz for 7 days Deworming Iron BD dosage Start on progestogen
Iron def Anemia due to polymenorrhoea. Correct Anemia.Gynaec opinion. Sigmoidoscopy.
Screen for HIV. And familial polyposis. For her menstrual history, go for usg abdomen and thyroid function tests. Treat depending on the results.
Plz give evycare syrup 10ml bd for one month & syrup renalka 10ml bd after food its totally ayruvedic & this medication gives good result
Syrup haeminor 10 ml bd for one month & every weekly iron sucrose injection u give
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