Concluded Case

Anaemia with thrombocytopenia.

54 yrs Male Peripheral smear GBP

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Concluded answer

Macrocytic Anaemia with thrombocytopenia. Sugg Iron profile Vit B12

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Megaloblastic anemia ( Low Hb, macrocytic RBCs, thrombocytopenia ) Vitamin B12 , and Folic acid assay, and iron profile. LDH and bone marrow aspiration can be done. Inj Methycobalamine ,1000 mcg , once daily for 1 week, followed by once a month

Macrocytosis. Exaggerated rouleaux. Few atypical nucleolated mononuclears Low platelets. Please exclude dysproteinaemia... and plasma cell disorder. dd. lymphoproliferative disorder. Sug. Clinical correlation Skeletal survey Bone marrow dtudy Serum protein electrophoresis.

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By looking reports and PS Looks Megaloblastic Anemia D/d Haemolytic Anemia Myeloma Adv : HB electrophoresis LDH, LFT, vit b12 level

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HB .. 5.6 .. PLATELETS COUNT.. 73000 .. ? ANEMIA WITH.. THROMBOCYTOPENIA..

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macrocytic anaemia with lymphocytosis and thrombocytopenia. BMA suggested

Macrocytic Anaemia with thrombocytopenia. Sugg Iron profile Vit B12

Plasma cell leukaemia Hairy cell leukaemia Workup is needed to rule out these two conditions.

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macrocytic anemia with thrombocytopenia

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