50yr woman with Iron deficiency anemia with hypoproliferative bone marrow
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Here is a case i have seen
Patient was apparently alright 5 days back.Then she had fall from bike (met with accident).she had injury to her teeth.
No h/o loss of consciousness, vomitings,headache , blurring of vision, bleeding from ears.No h/o head trauma.
She went to dental OPD for fixing of teeth.
Her routine investigations revealed anemia , for which she was referred to medicine department. No h/o fever , burning micturition.No h/o bleeding manifestations.
Not a k/c/o Dm2/HTN/asthama/TB/Epilepsy/Thyroid abnormalities.
No h/o blood transfusion in the past
No previous surgeries done.
No significant family history.
She attained menarche at 12yrs of age and has regular cycles for 2 days every month .No clots and dysmenorrhoea.
Personal history:Mixed diet ,normal appetite, adequate sleep,normal bowel and bladder movements.
Vitals:Temp-Afebrile
Bp: 110/70 mm hg
PR: 68 bpm
General examination:patient is conscious , coherent and cooperative.Moderately built and moderately nourished.
Pallor+, koilonychia+
No icterus , cyanosis, clubbing,generalised lymphadenopathy or pedal edema.
Cvs : s1s2 heard, no murmurs
Rs: B/l air entry + ,no added sounds
CNS: No abnormality detected.