Nagaiah

18 year old student came with the chief complaints of Fatigue since 1 month SOB on exertion and physical activity since 1 month ( Grade -3 ) She was unable to do work on exertion. H/o chest pain which was relieved at rest. Palpitations positive. Pedal edema Grade - 1 since 7 days , Facial puffiness since 7 days , Nausea & Vomitings since 3 days associated with food particles & not associated with blood. No h/o Abdominal pain , pale colored stools, blood in stools H/o Tingling since 20 days observed at rest , no tingling at regular work Age of menarche - 12 years , 3/30 , Normal flow , No clots Dietary history - H/o taking food twice a day mostly pickles , She consumes all vegetables ( not adequate ) , Less fruit intake PAST HISTORY - No DM , HTN , CAD , ASTHMA , TB FAMILY HISTORY - NAD PERSONAL HISTORY - Appetite - Normal Diet - Mixed Bowel & Bladder - Regular Sleep - Adequate Addictions - None GENERAL EXAMINATION : Pallor - Present , Edema of feet - Present No Icterus , Cyanosis , Clubbing , Lymphadenopathy VITALS : PR - 120 bpm BP - 80/50 mmhg RR - 21 cpm TEMP - AFEBRILE SYSTEMIC EXAMINATION : CVS - PSM heard RS - BAE P/A - Soft , Non tender CNS - NAD PROVISIONAL DIAGNOSIS : Anemia under evaluation , Microcytic Hypochromic , IDA?? INVESTIGATIONS : TREATMENT : 1. Inj. Iron Sucrose 1 Amp in 100 ml NS IV /OD 2. Inj. Methylcobalamine 1000 micrograms in 100 ml NS IV / OD

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