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A young female aged 26 yrs presented with complaints of Severe Dyspnea (on/off), Pale body color, Extreme body weakness and Occ cough since 1 month....She was quite active and had no comorbidities ever....Comment on her reports and discuss the clinical approach
Dr. Hardik Ahuja3 Likes14 Answers - Login to View the image
A 64 year old male presented to OPD with complaints of shortness of breath and generalised body ache No H/O HTN and DM, Thyroid, Heart, Kidney Disorders Vitals WNL He had been admitted in March 2020 with similar complaints and diagnosed as severe anemia megaloblastic, he was transfused PRBC 3 units and iron sucrose infusions and was discharged with 7.5gm% Hb. At the time of admission , he had mild deranged LFT and widal was positive. USG revealed circumferential bowel wall thickness in terminal ileum and hepatosplenomegaly( USG report attached) He had been prescribed a combination of ferrous ascorbate 100mg + Folic Acid 1.5mg and Cyancobalamin 7.5 mcg OD along with other adjunctive treatment upon discharge. He complaints of constipation when taking oral iron, so he stopped from last 2 weeks. He also takes pilex tablet for piles, but presently has no constipation or blood from anal region Kindly throw light upon megaloblastic anemia.
Dr. Ajeet Pal Singh1 Like10 Answers - Login to View the image
9month baby with watery stools 12-15times a day, should one give antibiotic ,how long should one wait?
Dr. Rahul4 Likes18 Answers - Login to View the image
A 22years old female is brought with c/o Shortness of Breath, Fatigue, Pedal edema. koilonychia+ O/E pt is lethargic , PR-134/min, BP-120/60mmHg,RR-22/min, H/L- Clear,Spo2-99% on Room air. Lab reports- Hb- 1.8g/dl , LFT&RFT within Normal limits. No H/o menorrhagia/ polymenorrhoea. Opine Diagnosis & Treatment.
Dr. Togaru Naresh6 Likes27 Answers - Login to View the image
32yr Female ..C/o..High grade fever with chills ..s.headache from 15days h/o .d&c 25days before..R.b.s 114 ..other investigation below ...severe anaemic ..widal positive ...vitals normal pulse increased...Need your opinion docs
Dr. Shahbaz Khan3 Likes21 Answers