OSPE No 4.
meal history - A25 year old caucasian female with a medical history of shortness of
breath, fatigue, and pallor, brittle nails,
hair loss.
RBC Index Value
HB - 6gm
MCV - 65fl
MCH -
20pg
MCHC - 26 g/dl
RDW (CV) - 25%
Study the peripheralsmear picture and correlate with above
clinical findings.
Give your diagnosis.
OSPE - 23
CLINICAL HISTORY 5 years female was admitted with sudden cnsel
delirium & neck rigidity after 2 days fever.
LP was done in emergency.
CSF Findings: -
Physical
Colour; - Colourless
Appearance:- Clear
Coagulum:- Absent
Chemical
Protein: - 75 mg%
Sugar: - 65 mg%
Chloride: 700mg%
Microscopic
Cell count: - 10/[Link].
Most cells are lymphocytes.
Gram Stain
organism isolated
GIVEYOUR DIAGNOSIS
USPE -2y
6. Interpret the Haemogram
Hb
8 gms%
TRBC
2.4 mill/cumm
PCV
25%
MCV
104 fl.
MCH
32 pgm.
MCHC
33%
PBS
RBCS show :Anisocytosis &anisopoikilocytosis with occasional
nucleated red cels with macro ovalocytes.
WBC show: Hypersegmented neutrophils.
Platelet:appaear scanty.
ier
Answer the following Question
1) Give your diagnosis.
2) Write causes?
0s Pe-2
OSPE-26
PRESENTS
WITH FEVER.
BOY PAIN AND
YEAR OLD
7
CLINICAL HISTORY ACUTE
ABDOMINAL
NAUSEA,
SUDDEN
ONSET INLOWER
CRAMPS OD
LIMBS.
++.ICTERUS -+.
PALLOR -
O/E NO SPLENOMEGALY.
OVER SHIN OF TIBIA.
CHRONICULCERS
INVESTIGATIONS
BLOOD HEMOGRAM
MCV => 85 fl.
Hb => 6 g/dl MCH > 80 pg
TLC=> 15,500/ [Link]
6mm/ 1S hr. MCHC =>32 g/dl
ESR
TPC => 4lacks/[Link]
RETICULOCYTE COUNT > 8%.
PERIPHERAL SMEAR =>
NORMOCYTIC, NORMOCHROMIC RBCs.
RBC>
SOME MACROCYTES SEEN.
SICKLE SHAPED POIKILOCYTES -+.
OCCASIONAL TARGET CELL - +.
HOWELL - JOLLY BODIES - +.
POLYCHROMATICRBCs - ++.
NORMOBLASTS- 25/100 WBCs
(INTERMEDIATE AND LATE).
WBC > TLC INCREASED.
DLC -NEUTROPHILIA.
SHIFT TO LEFT WITH METAMYEL0C YTES
AND BAND FORMS.
PLATELETS => ADEQUATE.
GIVE YOUR DIA GNOSIS
0sPe-g2.
CLINICAL HISTORY COMPLAINING OF
12 YEAR OLD FEMALE YELLOW
WEAKNESS, LOSS OF APPETITE,
DISCOLORATION OF SCLERA AND
COLICKY PAIN IN RIGHT
HYPOCHONDRIUM.
OE PALLOR -++, ICTERUS - +
SPLENOMEGALY.
USG ABDOMEN- CHOLELITHIASIS.
INVESTIGATIONS
BLOOD HEMOGRAM
Hb > 06g/dl MCV => 72fl.
TLC > 10,500 / [Link] MCH => 27 pg
ESR 16 mm/ 1T hr. MCHC >36 g/dl
TPC => 2 lakh/[Link]
RETICULOCYTE COUNT => 8%
PERIPHERAL SMEAR>
RBC> 2 POPULATIONS OF RBCs -
i-NORMOCYTIC, NORMOCHROMIC
ii- MILDLY MICROCYTIC, HYPOCHROMIC.
MICROSPHEROCYTES WITHNO CENTRAL
PALLOR.
GOOD [Link] LARGE POLYCHROMATIC
RBCs.
NORMOBLASTS --5/100 WBCs.
Celll t+
WBC> TLC & DLC WITHIN NORMAL LIMITS.
PLATELETS >ADEQUATE
GIV3 VOUR DIAGNOSIS
OsE - 4L
4 Interpret the CSF Findings
Physical Examination:
Appearance Turbid
Cobweb formation/Coagulum formation present
Chemical Examination
Protein
100mg/dl
Sugar
25 mg/ dl
Chlorides
500mg / dl
Microscopic Examination
Lymphocytes 300 cells/ [Link].
Answer the following
Questions
1) Give your diagnosis.
2) How will you
further investigate the case?
OSPE NO 42
A3year old male child nresented with
mild pallor, icterus
and history of transfusion3 months back &
on and off
dbdominal and joint pains. Onexamination the child had
mild splenomegaly.
Results of the automated blood cell
count
Hb 7.7 g/dl RBC 2.44x 109/| RDW 26.6%
MCV 97.1 fl MCH 31.4 pg MCHC 32.3 g/dl
There was occasional nRBC and relative
neutrophila.
[Link] the diagnosis.
2. Name any two test for this condition.