14 year female with Anemia
A VISHAL
1701006001
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12 yr old female patient came to the opd with chief complaints of
1)Fever 3 days back.
2)Cough associated with sputum since yesterday.
HOPI:-
Patient was Apparently asymptomatic till 7 days back then she had low-grade fever for 2 days,went to a private hospital and found to have low hemoglobin& low platelet count .Then after 5 days patient had cough associated with sputum.
PAST HISTORY:-
No similar complaints in the past .
Not a known case of DM,HTN,TB,ASTHMA, EPILEPSY.
EXAMINATION:-
Patient was conscious coherent cooperative
Temp -Afebrile.
PR-77bpm
RR-24 cpm
Bp-90/70 mm hg
Cvs-s1 S2+
CNS-NAD
P/A- soft ,non tender
R/s- BAE+
INVESTIGATIONS :-
25/08/22
HEMOGRAM
DIAGNOSIS:-
SEVERE ANEMIA UNDER EVALUATION
TREATMENT:-
INJ.OPTINEURON in 100ml NS over 30 mins.IV/OD.
Discharge summary:-