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Hematology Cases: Anemia Diagnoses

This document contains 6 cases presenting with various symptoms of anemia such as fatigue, paleness, and shortness of breath. It asks for the diagnosis, further investigations needed, and treatment for each case. The cases include pernicious anemia, iron deficiency anemia, megaloblastic anemia, immune thrombocytopenic purpura (ITP), and multiple myeloma. A full workup including blood tests, imaging, and bone marrow biopsy are often recommended to determine the specific cause and guide management.

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24 views2 pages

Hematology Cases: Anemia Diagnoses

This document contains 6 cases presenting with various symptoms of anemia such as fatigue, paleness, and shortness of breath. It asks for the diagnosis, further investigations needed, and treatment for each case. The cases include pernicious anemia, iron deficiency anemia, megaloblastic anemia, immune thrombocytopenic purpura (ITP), and multiple myeloma. A full workup including blood tests, imaging, and bone marrow biopsy are often recommended to determine the specific cause and guide management.

Uploaded by

fr.faisal8265
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

HEMATOLOGY

1. A 35 year old female presented with easy fatigue,


Tiredness, pallor of the body and dyspnea on exertion.
Examination reveal positive pallor with unremarkable
systemic examination. Investigations shows Hb 9.0
mg/dl,MCV 110 fl, MCH 34 pg, oval macrocystosis,
poikkylocystosis, neutrophil hypersegmentation on
peripheral smear examination.
a. Give Dx?(pernicious anemia0
b. What further investigations are required.
c. How will you manage this case?
2. A 35 year old man who is having history of dyspepsia
now present with progressive SOB and easy fatigue for
last 5 month lab result shows
HB 6.6g/dl
TLC 6000/cm
Platelet count 225.000/cm
MCV 63
PCV o.15
Reticulocyte count 2.5%
a. Give DX(iron deficiency anemia)
b. Investigations
c. Treatment
3. A 13 year old girl is brought to you in OPD for follow up
O/E she is pale and spleen is palpable her blood test
shows Hb 8mg/dl MCV 550 platelet 300X 109/L RBC
6.8 X 1012/l WCC 6X 109L blood film hypochromic
microcytosis
a. Give Dx? (Iron deficiency anemia)
b. Investigations
c. Treatment
4. A 58 year old lady is complaining of easy fatigue
breathlessness as well as numbness and pins and needles
in her feet and legs. She also says that immediate after
taking meal she develops nausea bloating sweating and
palpitations in her past medical history it is noted that
she underwent partial gastrectomy seven years ago her
hb is 8.8g/dl and MCV 104 fl she is negative for [Link]
a. What is the cause of anemia?(megaloblastic anemia)
b. How would explain her post prandial symptoms
c. What is explanation of her pins and needles.
5. A 39 year old lady has 2 year history of easy bruisability
of skin she has presented to emergency with epistaxis on
physical examination no lymph node was palpable blood
cp shows hb 9.8 with TLC of 4800mm3 peripheral
smear shows normal mature white cell normal liver and
spleen on USG
a. Give Dx?(ITP)
b. Investigations
c. Treatment
6. A 60 year old male presented with history of bone pain
for one month duration O/E he is pale with no
lymphadenopathy live and spleen are not palpable he has
been having repeated respiratory tract imfection for 4
months on xray multiple lytic lesions serum calcium
level is 14mg/dl
a. Give dx
b. Investigations
c. Management
Farhan-59

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