A male pt.2yrs suffering from rt.inguinal hernia. Patient is

a male Pt.2yrs suffering from rt.inguinal hernia. Patient is anemic hb-9.4 .Take general Surgeons opinion. suggest treat anemia first.inj.vitcofol 1cc a/d.st.orofer-st 5mlbd.advise further management sir

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Refer to surgeon for Herniotomy

In addition give scortal support

Hernia

After correction of anaemia, right sided herniotomy for right inguinal hernia

Thanks sir for your valuable opinion
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Rule out hemolytic anemia Cbc, CRP, pbs Iron study Rt side inguinal hernia

Surgary

Herniotomy is indicated after correction of anaemia.

Rt sided inguinal hernia

Adv. CBC, COMMENT ON PERIPHERAL SMEAR, RETICULOCYTE COUNT., SERUM FERRITIN LEVEL CONTINUE THE MEDICINES AS ADV BY YOU TILL REPORTS OBTAINED
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Rule out hemolytic anaemia, chronic infections Do HPLC, complete hemogram with peripheral smear & reticulocyte count, iron studies Albendazole Iron 4-6 mg/kg/day 3 months

If other parameters are normal,do a semi emergency herniotomy
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Surgery as early as possible to prevent gangrene

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