Concluded Case

Anaemia under investigations

A 67 years old male with sudden onset anaemia with Hb.4.2 gm % , a normal s.iron , Ultrasound abdomen is normal except mild splenomegaly , stool for occult blood negative, X- ray - bilateral mild pleural effusion, pedal oedema + , Received 2 units of blood . Further management protocol

LikeAnswersShare
Concluded answer
Cxray shows hyperinflation Changes of COPD emphysema. Bil CP angles obliterated possibly emphysema related or min pleural effusion. Aortic knuckle calcification seen. Fasting hyperglycemia. Adv peripheral smear study and retic count. Needs to evaluate for active blood loss. Colloids/ PCV replacement to achieve hemodynamic stability.
All Answers
Both anaemia and splenomegaly are not diseases. There are many underlying causes which causes anaemia with spleenomegaly. but spleenomegaly causes anaemia There are many causes of anaemia with spleenomegaly which filters abnormal red blood cells from blood stream to cause anaemia and enlarged spleen Causes A. Parasitic infection like malaria B. Cirrhosis and other diseases affecting the liver C various types of haemolytic anaemia characterized by early destruction of red blood cell D. Blood cancer like leukemia and myeloproliferative neopkasm E. Lymphomas F. Thalassemia Now needs to be clinically evaluated the cause Bloood examinations for WBC, RBC , platelet count USG /CT. to see the texture and size of the spleen and any other organ crowding MRI to trace the flow of blood through spleen Bone marrow biopsy Treatment depends the reports if the test.
Thanks Dr Madhav Lele.
0
Cxray shows hyperinflation Changes of COPD emphysema. Bil CP angles obliterated possibly emphysema related or min pleural effusion. Aortic knuckle calcification seen. Fasting hyperglycemia. Adv peripheral smear study and retic count. Needs to evaluate for active blood loss. Colloids/ PCV replacement to achieve hemodynamic stability.
Thank you doctor
0

View 1 other reply

Xray chest shows blunting of cp angles b/l but effusion is likely on lt side ie too minimal Rest of lung fields are clear Lab workout suggest anaemia With deranged liver enzymes Bsl fasting is higher Usg suggest splenomegaly Pedal oedema+ Pt seems to be a c/o hemolytic anaemia Further workout
Admit the patient. Stable. Do urgent CBC with PBS and Bone Marrow Aspiration ( rule out leukaemia).
Endoscopy also

Cases that would interest you