Concluded Case

❄ 53yrs male, non hypertensive, non diabetic, presents with gum bleeding, fatigue, dizziness, nausea & headache for last 3days. Oral hygiene is fair enough & bleeding without provocation. Complete haemogram & bleeding profile ordered the same day. Investigations repeated within 12hrs for confirmation. Kind Dx..

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Case of pancytopenia... Is there any organomegaly or lymphadenopathy... If no.. It may be Aplastic anemia, if yes may be aleukemic leukemia or bone marrow infiltration.. Go for GBP and BM

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As per history & blood investigation report it's a c/o PANCYTOPENIA with GINGIVITIS. PANCYTOPENIA is relatively common hematological entity,it is striking feature of many other life threatening illness.like simple drug induced bone marrow hypoplasia , megaloblastic anemia , fetal bone marrow aplasia and leukemia .so it is necessary to investigate briefly it will be better to refer to Hematologist

Get a peripheral smear done , looks like leukemia picture.. and then bome marrow study.. bosophils zero , so may nt be cml, ALL usually occurs in childhood but can'tbe ruled out in elderly, AML needs smear and various staining techniques .. can be myelodysplastic syndrome too.. going into aplastic crisis.. most probably ALL in aplastic crisis

All symptoms fit into leukemia picture.. it can't be a vitamin defficiency as mcv , mch , mchc are in normal or low normal range .. probability of viral infections (leukemoid reaction) still there..
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Leucopenia iepredomintaly neutrpenia with lymhocytosis marked rise in esr and throbcytopenia .this is a pict of pancytopenia may ALL bleeding gums are bcz of thrmbocytopenia. Adv bone marrow to rule out leukaemias

Thanks for your valuable suggestions.. Presently patient is under C/O hematologist, diagnosed - Aplastic Anemia & is said to be improving. Thanks once again.

A case of pancytopenia including platelet. Thrombocytopenia could be the explanation for bleeding gums Do an immediate PS and rule out any infective etiology including dengue Better to give platelet transfusion before any invasive procedures like BM..

Two cell line depressed with bleeding gums. PS and Bone marrow examination is required Platelet function and clotting profile is to be checked. Review with reports

Adv. PBF, BM Aspiration biopsy. Inj. Vit K Vit c orally or iv Proceed after BM/ conservative trt. for dengue and tests.

Case of pancytopenia... Is there any organomegaly or lymphadenopathy... If no.. It may be Aplastic anemia, if yes may be aleukemic leukemia or bone marrow infiltration.. Go for GBP and BM

Type -2 gungivitis???? B/z lymphocytes are increased. But decreased in neutrophil also present in case of viral and typhoid cases.... Here bleeding gum may be reveals about type -2 gingivitis???

Clinically a case of leukemia. Please do bone marrow examinatiom. Give detail h/o symptoms/signs like hepato spleenomegaly l.n.etc.detail peripheral picture.CD marker.special staining etc.&TREAT ACCORDINGLY. .

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