Nursery Total – 28 Adm – 7 Ward Total – 55 Admission – 8 . Bleeding diathesis . Bronchioloitis Emergency Total – 110 Male – 60 Female – 50 Admissions – 8 Discharge – 102 Received Dead – 0 OPD – 52 Short stay – 50 . Bronchiolitis . AWD . URTI
Fida Hussain s/o Iftikhar Ahmed, 2 1/2 years old young child, resident of Sialkot admitted via emergency with c/o : Easy bruisability – 2 years
According to mother, Child was alright 2 years back when he had gradual onset of easy bruisability at the age of 6 months . There is no history of fever, jaundice, hematemesis, malena, hematuria, epistaxis, gum bleed, prolonged bleeding from the circumcision wound, joint pains, oliguria, progressive pallor. There is history of prolonged bleeding from the site of wound, formation of bruises with minor trauma.
Past history : Patient was treated for the same problem at DHQ Sialkot with 2 blood transfusions 2 months apart and multiple investigations. Family history : No significant past history of such illness in the family, maternal uncles. No history of tuberculosis in the family. Drug History : Patient is taking anti-tuberculous therapy for last 7 months.
Birth history : Born via SVD at hospital uneventfully. Feeding history : Breast fed for 6 months. Patient is now on average family diet. Vaccination history : Patient is vaccinated according to EPI. Development history : Developmentally normal
Personal history : Child lives in a house with 2 rooms and 6 family members. Patient is 3 rd among the 4 siblings. All the others are normal. Examination : A young irritable child having multiple bruises of multiple sizes and different ages below the eyes, over the trunk and limbs. No pallor, jaundice, lymphadenopathy. HR = 102/min ; Resp = 30/min ; Temp = 99F CVS = S1 + S2 + with no abnormal sounds CNS = Intact GIT = No visceromegaly Resp = HVB + with no added sounds