Splenectomy

19 yr female admitted with severe anemia hb 3.6 with severe menstrual bleeding., took 2 units of blood still hb not rising. recent history of admission in to another hospital and treated for malaria and hepatitis{ no records available}. no past history of such symptoms. examination revealed no specific findings. investigation reports attached. patient is now on blood transfusion. please suggest next line of management. reports showing pancytopenia, what may be the cause.

16 yrs male with Indirect coomb’s test positive Peripheral smear with cbc Your opinion

A 66 y/o male concerned for multiple red spots on his lips, tongue, and oral mucosa. The spots bled spontaneously and with minimal contact. The lesions bled with minor trauma during cleaning. Some lesions are slightly elevated and blanched with pressure H/O : frequent nosebleeds, chronic anemia What is diagnosis and differntials according to you and treatment for this?

22 years female second gravida with 20wks pregnancy her usg report showing given below what should be our further step induction or what else

a girl child with h / o wheat allergy is now taking wheat without any problems but her ttg test is still positive. my question is whether one should stop her wheat diet.on other diet plans she start losing wt and appetite and her parents give her wheat again .she gains wt and has no other symptoms whatsoever while on wheat