24/F chronic anemia 2° dietary iron deficiency ?







This is an online e log book to discuss our patient identified health data shared after taking his/her guardian signed informed consent. Here we discuss our individual patient problems through a series of inputs from available global online community of experts with a aim to solve those patients clinical problem with collective current best evidence based inputs.

This blog also reflects my patient centered online learning portfolio and valuable inputs on the comments box is welcome.

I have been given this case to solve in an attempts to understand the topic of patient clinical data analysis, to develop my competency in reading and comprehending clinical data including history, clinical finding, investigation

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A 24 year old woman Ms.A a student by occupation and a resident of west bengal came to the medicine opd with c/o

-nausea and dizziness since 4 months 

history of presenting illness 

patient was apparently asymptomatic 7 years ago , when she developed nausea and dizziness it was aggravated on walking and relieved on taking rest , she also noticed hairfall and dry skin , after a routine blood investigation it was discovered that her Hb was 7.2 gm/dl for which she was treated by giving iron injections over the course of one week , patient has been asymptomatic since then , 4 months ago she gave history of similar complains associated with SOB grade 3 according to NYDA classification .





history of past illness 

k/c/o Diabetes Mellitus sibce 1 year 

n/k/c/o HTN , TB , asthma

surgical history 

h/o cholecystectomy 4 months back due to cholithiasis  

treatment history 

metformin tablets once a day since one year


-before breakfast : lipoglobin -HP 

-after breakfast Diapride M1


-before dinner: lipoglobin -HP 

-after dinner: vildagliptin tablets OP and  folvite


menstrual history 

age at menarch : 11 years 

regular cycles 5/30

3 pads per day 

associated with clots 1cm * 0.5cm 

associated with pain 

LMP : 3/05/2023

-IRREGULAR PERIODS SINCE 2 MONTHS ; hypomenorrhea , oligomenorhhea

family history 

mother is a known case of hypothyroid

personal history 

diet : mixed 

appetite : loss of appetite since


sleep : adequate 

bowel and bladder : normal and regular

occasionally consumes alcohol 

no known allergies

GENERAL EXAMINATION 

patient was c/c/c oriented to space , time and person

weight : 52kg 

height : 5 feet 


months 






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