A 35 year old female came to casualty with dizziness and generalised weakness

This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box"

Patient came to casualty with chief complaints of
-dizzinees and generalised weakness since  1 month
- dyspnea on exertion and on Climbing stairs since 1 month.

HOPI:Patient was apparently  asymptomatic 3 years back,then she developed fever, SOB,facial puffiness and pedal edema, body pains for which
she was investigated at private  hopital & diagnosed with Hb =4 g/dl and transfused blood.
c/o dizzinees and generalised weakness since 1month associated with dyspnea on
exertion and on Climbing stairs .
No h/o fever, malena,hemoptysis 
hematuria not associated with menstrual irregularities.
No h/o fever,Malena,hemoptysis,hematuria and not associated with menstrual irregularities.
No H/0 Jaundice

Past history:N/k/c/o HTN,DM,TB,BA,CVD
H/o blood transfusion and post transfusion was unevenful

Personal History
Loss of appetite
Bowel and bladder movements -regular
Weight-38kg
Height-152cm
BMI-18
Diet- eats Vegetables daily,non veg - chicken, mutton once in a week,leafy vegetables once in a week

Menstrual history 
Age of menarche -14 year,2/28
Age at marriage-22

Vitals 
BP-90/70mmhg
PR-99bpm
RR-32cpm
SpO2 at room air -98
Grbs-109mg/dl

Pallor - present
no icterus/clubbing/edema/lymphadenopathy

Cvs-s1s2heard
Rs-BAE present
P/A- soft ,non tender
Cns-Nad

Ecg
2decho
Usg of abdomen
19/5/22
Hb-4.7 
Tlc-3000
Rbc-3.43
Plt-1.63
Pcv-17.5
Mcv-50.9
Mch-13.6
Mchc-26.6
Rdw-cv-22.3
Provisional diagnosis - ? Iron deficiency anemia

18//5/22
S-headache

O- patient is conscious, coherent, cooperative 
Vitals
Bp-100/60 mmhg
PR-88bpm
SpO2- 98%,@ RA
Temp-afebrile
CVS - S1,S2 +
RD - BAE +
CNS- NAD
P/A -soft ,non tender

A-Anemia under evaluation ? iron deficiency anemia

P-
1) inj iron sucrose 100 amp+ 100 ml Ns iv od

19/5/22
S-no complaints

O- patient is conscious, coherent, cooperative 
Vitals
Bp-100/60 mmhg
PR-92bpm
SpO2- 98%,@ RA
Temp-afebrile
CVS - S1,S2 +
RD - BAE +
CNS- NAD
P/A -soft ,non tender

A-Anemia under evaluation ? iron deficiency anemia

P-
1) injection iron sucrose 200 mg in 100 ml ns IV/OD

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