case histories of anemia,jaundice

1. CASE HISTORIES

2. CASE HISTORY:
• A women aged 30 years complains of general fatigue,
breathlessness on exertion, giddiness, headache,
palpitation anorexia and dysphagia on examination the
patient showed pallor of the skin and mucus membranes,
tachycardia, glottis, spooning of nails, (sometimes tingling
in the fingers and toes) and edema of the dependent parts
of the body.
• INVESTIGATIONS REVEALED
• Hemoglobin : 6 g/100ml RBC count : 3 millions/c.mm of
blood
• M.C.H.C : 28 gms/100 ml.cells
• M.C.V : 60 cubic microns
• W.B.C : Esinophillia
• Stool exam : hook worm ova present

3. • QUESTIONS
• 1.What is the type of anemia in this patient?
• 2.What is the cause of anemia in this patient?
• 3.Mention the principles involved in the
treatment of this patient.

4. CASE HISTORY
• A female aged 55 years came to a doctor with the
complaint of intermittent soreness of the tongue and
periodic diarrhea in addition to fatigue, breathless,
anorexia and pins and needles sensation.
• INVESTIGATIONS REVELED
• 1. Histamine-fast achlorhydria
• 2. RBC count:1 million /mm of blood
• 3. RBC’s are irregular in size and shape.
• 4. Occasionally nucleated RBC present in peripheral
blood
• 5. Thrombocytopenia

5. • QUESTIONS
• 1. What is the type of anemia in this patient?
• 2. What is the most probable cause of anemia
in this patient?
• 3. What are the principles involved in the
treatment of this patient

6. CASE HISTORY
• A patient comes to doctor with a history of yellowish
discoloration of the sclera and skin. The stool was
pale. Itching and loss of appetite. On examinations
there was bradycardia, the sclera, mucous
membranes and skin were stained yellow.
• INVESTIGATIONS REVEALED THE FOLLOWING
RESULTS
• Stool : Stercobilinogen-absent
• Van den Bergh test : direct positive
• Urine : Bilirubin-present

7. • Blood : Coagulation prolonged
• Serum albumin-lowered
• Serum bilirubin-6 mg/100ml
• liver function tests-serum enzyme test elevated
• QUESTIONS
• 1.What is your diagnosis?
• 2.Why the stool was pale, bulky and foul smelling?
• 3.Why the van den Bergh test was direct positive?