37,F IRON DEFICIENCY ANEMIA

This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input.




This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome.


I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input

37,F
Diagnosis IRON DEFICIENCY ANEMIA (NUTRITIONAL/DIETERY CAUSE) Case History and Clinical Findings PATIENT CAME TO CASUALTY WITH CHIEF COMPLAINTS OF-DIZZINEES AND GENERALISED WEAKNESS SINCE 1 MONTH- DYSPNEA ON EXERTION AND ON CLIMBING STAIRS SINCE 1 MONTH.

 HOPI:PATIENT WAS APPARENTLY ASYMPTOMATIC 3 YEARS BACK,THEN SHE DEVELOPED FEVER, SOB,FACIAL PUFFINESS AND PEDAL EDEMA, BODY PAINS FOR WHICHSHE WAS INVESTIGATED AT PRIVATE HOPITAL &DIAGNOSED WITH HB =4 G/DL AND TRANSFUSED BLOOD.C/O DIZZINEES AND GENERALISED WEAKNESS SINCE 1MONTH ASSOCIATED WITH DYSPNEA ONEXERTION AND ON CLIMBING STAIRS .NO H/O FEVER, MALENA,HEMOPTYSIS HEMATURIA NOT ASSOCIATED WITH MENSTRUAL IRREGULARITIES.NO H/O FEVER,MALENA,HEMOPTYSIS,HEMATURIA AND NOT ASSOCIATED WITH MENSTRUAL IRREGULARITIES.NO H/0 JAUNDICE

 PAST HISTORY:N/K/C/O HTN,DM,TB,BA,CVDH/O BLOOD TRANSFUSION AND POST TRANSFUSION WAS UNEVENFUL 
PERSONAL HISTORY
 LOSS OF APPETITEBOWEL AND BLADDER MOVEMENTS REGULAR
WEIGHT-38KG HEIGHT-152CM BMI-18
DIET- EATS VEGETABLES DAILY,NON VEG CHICKEN, MUTTON ONCE IN A WEEK,LEAFY VEGETABLES ONCE IN A WEEK 
MENSTRUAL HISTORY 
AGE OF MENARCHE -14 YEAR,2/28AGE AT MARRIAGE-22 
VITALS 
BP-90/70MMHGPR-99BPMRR-32CPMSPO2 AT ROOM AIR -98GRBS-109MG/DL 
PALLOR - PRESENT NO ICTERUS/CLUBBING/EDEMA/LYMPHADENOPATHY CVS-S1S2 HEARDRS-BAE PRESENTP/A- SOFT ,NON TENDERCNS-NAD.

Investigation
 USG ABDOMEN-NO SONOLOGICAL ABNORMALITY 
Treatment Given(Enter only Generic Name)

 COURSE IN HOSPITALPATIENT WAS ADMITTED WITH H/O GENERALISED WEAKNESS AND SOB ON EXERTION,ON EVALUATION WAS FOUND TO HAVE IRON DEFICIENCY ANEMIA(HB:4.8).IV IRON WAS GIVEN -IRON SUCROSE 500MG OVER 5-6DAYS .NOW IS BEING DISCHARGED IN HEMODYNAMICALLY STABLE STATUS WITH THE FOLLOWING ADVICE TREATMENT GIVEN 1.IRON SUCROSE 200MG+100ML NS 2.TAB OROFER XT PO OD 3.TAB NEUROBION FORTE OD Advice at Discharge 1.IRON RICH DIET 2.TAB OROFER XT PO OD x 1MONTH 3.TAB NEUROBION FORTE OD X 15DAYS
On follow up:No limitation in physical activity

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