40. A 45 year old bank clerk, woke up one morning with
redish colored urine. This cleared after some time.
He got worried, when it recurred after that in 3 days
THIS IS CLASSICAL EXAMPLES OF ANEMIA OF ACUTE OR CHRONIC CONDITIONS WHEN THERE IS ACUTE ANEMIA THERE IS NO COMSENTAORY MECHANISM TO COMPENSATE FOR HEART AND HB WHERE AS PERSON WITH CHRONIS ANEMIA WILL NOT BBREATHLESS EVEN HB IS 5..
40-50
WHEN WE SEE CASE OF PANCYTOPENIA ,WE KEEP PATIENT ON IRON THERAPY AND WE MISSED TO TREAT FOR VIT B12 DEFECENCIES.IDA=NO THROMBOCYTOPENIA OR PANCYTOPENIA, BUT PANCYTOPENIA.
FEVER
LENALIDOMIDE HAS THROMBOSIS AND PULMONARY EMBOLISM.
GRANULOCYTE COLONY STILUMATING FACTOR
ANKORING PROTEIN CD55 AND CD 59 DUE TO PIGA GENE AND WHICH CAN LEAD TO COMPLEMENT MEDIATED HEMOLYISIS
ALTHOUGH 90 % CASES OF AML HAS HIGH COUNT VERY RARE 10 % PATIENT HAS PANCYTOPENIA.