Hematology

19yrs female presented with giddiness and lethargy for past 3 weeks...on evaluation, severe pallor (+).no icterus/lymphadenopathy...P/A - no organomegaly... blood investigation as attached... patient also had intermittent fever on and off... USG and - mild spleenomegaly... patient was transfused with 4 units of PRBC...can it be essential thrombocytosis? what else would be the cause? planning for bone marrow study.

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Ferritin level is very high Hb very low, CBC suggests Iron deficiency anaemia Go for Liver biopsy & bone marrow study R/O autoimmune disease, hyperthyroidism
Thank you doctor
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Case of severe anemia Further evaluation is required for diagnosis
I agree
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Requires bone marrow biopsy for further evaluation
Probably malignancy
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Yes ask for Bone marrow investigation
Thank you doctor
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.The main Reason of low platelet count. 1-Defective production(bone marrow) 2-Spleen problems 3-other systemic diseases 4- Idiopathic Therefore approaches will defer According to my experience Ayurvedic treatment responds in over 20,000 with combination conventional approach Medicines.... Alma juice+goo Mutra 15ml Manducparni Svaras 15m Kushamnd Svras or rasyan Giloya satva+Asgandha Papaya leaf svaras. . Please consider the cause first.
Rule out haemoglobinopathy...go for hplc
Thank you doctor
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