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anemia- severe, pl. help !
age:21, ht: 5'3', wt: 42 kghistory:
two occasion of profuse ( heavy) menses from 6th. to 12th.july and 16th. to 18th. july 2007.
(treated with sec200/1, chin30/1). after 3-4 days frequent urination (30-35 times/day).for 5-6-days ( treated with lyc200/1)
after those two attack profound prostration developed. with palpitation ( visible) < slight exertion,
feverishness with burning of skin and eyes < evening to midnight, insomnia ( night), sleepy by day.
weakness +++, perspiration +++, face and skin pale yellowish, palm and sole- white.
blood test report: 03/08/07
hemoglobin - 3.3
total count (wbc) - 5400
e.s.r. - 175
total bilirubin 1.2
congugated: 0.5
noncongugated: 0.7
sodium: 141
potassium: 3.9
peripheral smear:
rbc: marked degree microcytic & hypochromic with poikilocytic.
target cell & polychromatic cell few. tear drop cell present.
neucleated rbc - 20/100 wbc
wbc: no abnormal cell seen
plt: adequate in number
urine report
pus cell : 0-2/h.p.f
epithelial cell: 3-5/h.p.f
phosphate: nil
albumin: trace
suger: nil
rbc: nil
micro organism: present (+)
drngdas on 2007-08-04
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