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Viziteu Dragos Case 17
Viziteu Dragos Case 17
CASE SUMMARY
PATIENT’S NAME: (Anonymized)
AGE: 68 SEX: F MARITAL STATUS: Unknown
OCCUPATION:Retired
PRESENT COMPLAINT:
Spontaneous bruising on legs, notciceable for 3/52.
Has suffered of a major epistaxis. c/o tiredeness and
SOBOE
EXAMINATION:
General condition: Multiple areas of purpura, spontaneous bleeding from the gums, two mouth bullae,retinal
haemorrhages
ENT-NAD
RS-SOBOE
CVS-NAD
GIS-NAD
GUS-NAD
CNS-NAD
PAST MEDICAL HISTORY:
No history of traume
MEDICATION HISTORY:
None
POINTS OF NOTE:
Late onset of disease-suggests non-hereditary
INVESTIGATIONS:
Hb -
WBC +
PLT ---
Clotting screen:normal
DIAGNOSIS:
Pancytopenia caused by AML
MANAGEMENT/TREATMENT PLAN/PROGNOSIS:
Further investigations: Bone marrow biopsy
Platelet transfunsion
Tratment of AML