Concluded Case

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.

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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

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R/O HIV 1 & 2

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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

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@its amebiasis, put her on oq oz, 5d,1 course of albendazole, then correct anemia, hygiene

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Agree with Dr Sepuri Krishna Mohan

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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.

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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

Pelvic floor exercises..
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Iron def Anemia due to polymenorrhoea. Correct Anemia.Gynaec opinion. Sigmoidoscopy.

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Screen for HIV. And familial polyposis. For her menstrual history, go for usg abdomen and thyroid function tests. Treat depending on the results.

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Plz give evycare syrup 10ml bd for one month & syrup renalka 10ml bd after food its totally ayruvedic & this medication gives good result

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Syrup haeminor 10 ml bd for one month & every weekly iron sucrose injection u give

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