Pernicious anemia
If you have anemia, your blood does not carry enough oxygen to the rest of your body. The most common cause of anemia is not having enough iron. Your body needs iron to make hemoglobin. Hemoglobin is an iron-rich protein that gives the red color to blood. It carries oxygen from the lungs to the rest of the body.Anemia has three main causes: blood loss, lack of red blood cell production, and high rates of red blood cell destruction.Conditions that may lead to anemia includeHeavy periodsPregnancyUlcersColon polyps or colon cancerInherited disordersA diet that does not have enough iron, folic acid or vitamin B12Blood disorders such as sickle cell anemia and thalassemia, or cancerAplastic anemia, a condition that can be inherited or acquiredG6PD deficiency, a metabolic disorderAnemia can make you feel tired, cold, dizzy, and irritable. You may be short of breath or have a headache.Your doctor will diagnose anemia with a physical exam and blood tests. Treatment depends on the kind of anemia you have.NIH: National Heart, Lung, and Blood Institute
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Diagnosis please.
Dr. Syam Sundar Patro1 Like8 Answers - Login to View the image
Findings and diagnosis please.
Dr. Syam Sundar Patro0 Like6 Answers - Login to View the image
Mch.7yrs Nasal congestion Mouth breathing Noisy breathing Sleep apnea 2 months
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Diagnosis please.
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30 weeks size mass per abdomen *Chief Complaints* 45 year old Para 2 with previous history of myomectomy presented with mass per abdomen and abdominal doscomfort. *History* 45 year female presented with mass per abdomen. She had two normal deliveries. History of myomectomy done for fibroid uterus 8 years back. Papers of surgery were not available. H/o heaviness in lower abdomen and discomfort. No history of heavy menstrual bleeding. *Vitals* Pulse 88/ min. BP 114/80 mmHg. *Physical Examination* Per abdomen . Mass palpable per abdomen around 30 weeks size of gravid uterus irregular , restricted mobility. Well defined margins, firm in consistency, non tender. No guarding/ rigidity/ free fluid. Per speculum examination revealed cervix and vagina normal. Per vaginal examination. Same mass felt per abdomen and multiple fibroids palpable in uterus on posterior wall and lateral walls *Investigations* Ultraound revealed multiple fibroids largest posterior wall fibroid 20*18 cm. *Diagnosis* Fibroid Uterus *Management* Patient underwent adhesiolysis followed by TAH + BSO. OT findings: Uterus irregularly enlarged to 30 weeks with multiple fibroids largest left postero lateral fibroid 20*18 cm. Dense adhesions noted between posterior wall of uterus and sigmoid and rectum. Also adhesions between left adnexa and left lateral pelvic wall. All adhesions were dissected using sharp dissection and Hysterectomy done.
Dr. Viraj R. Naik1 Like3 Answers
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