Topics Hypochromic
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Hypochromic

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my daughter with age of 10 months having fever from last five days ,i consultated many doctors and they told me go for following tests urine xamnations which reported heavy traces of albumin andleucocuytes 0-1 and amorphours phosphates (+) and some blood tests like tlc =15500 and neutrphilli= 75 mcv=79.8 and mch= 24 which are marked yellow and pbf comments was=RBCS ARE MICROCYCTIC HYPOCHROMIC.AND WBCS SERIES SHOW NEUTROPHILIC LEUOCYTOSIS AND ALSO WIDAL TEST SHOWS YELLOW MARKED REPORT LIKE A TITAND RISE IS TITER AFTERER OF 1;80 OR MORE IS CONSIDERDERD SIGNIFICANT AND RISE IN TITER AFTER FEW DAYS WILL CONFIRM THE DIAGONASIS. KINDLY TELL ME ABOUT THE DIEASES OF DAUGHTER AND PROPER DIAGONASIS .OR WHAT WILL I DO NOW .. RIGHT NOW DOCTOR HAS PRESCRIBED MONCEF 200MG INJECTION TWICE A DAY AND CALPOL SUSPENSION . BUT FEVER DIDNT GOES OUT .. IF SOMETIMES IT LOWERS BUT AFTER SOMETIME IT WAS 103 DEGREES

Hi, The history you have given to me suggests that she got fever and infection since 5 days or may be a little more which has also affected her kidneys as that shows albumin in urine. Tlc is not significant in kids, and exactly it can be told only by blood culture,but we can wait and see is she responding to drugs or not and if she does not respond then we can get a culture done. The blood indices should be done in more details so as to know the cause why rbc's are microcytic and hypochromic. A ...

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Name – Biman Das Age – 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint – Weakness since 1year. Hi…. Below are the complete tests I have done two days back….. Blood Urea Nitrogen – 11.00 mg/dl Serum Creatinine – 1 mg/dl Serum Glucose – 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total – 1.30 mg/dl Billirubin – direct – 0.30 mg/dl SGOT/AST (P5P, IFCC) – 63.00 IU/ml SGPT/ALT (P5P, IFCC) – 142.00 IU/ml ALP – 74 IU/ml Total protein – 7.80 g/dl Serum Albumin – 4.90 g/dl Serum Globulin – 2.90 g/dl ALB/GLOB Ratio – 1.69 g/dl SERUM TSH (ECLIA) – 6.240 IU/mL COMPLETE BLOOD COUNT WBC – 9300.00 /cu.mm RBC – 6.15 million/cu.mm Hemoglobin – 11.90 g/dl Haemotocrit (PCV) – 37.00 % MCV – 61.00 fL MCH – 19.40 Pg MCHC – 31.30 g/dl Platelet count – 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils – 52 % Lymphocytes – 43 % Monocytes – 3.00 % Eosinophils – 2.00 % ESR – 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBC’s – Leucocytes are normal in total count and distribution Plateletes – Plateletes are reduced. Macroplateletes noted. Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS – Routine Urine analysis – All values are normal ECG – Normal study X-Ray of chest – PA View – Normal Study MY HABBITS – Non veg 3 days a week Beer – 3 days a week( 700ml per day) drinking since 10 years. Smoking – 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER – History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver – Fatty Liver 18th October 2012 – Liver function test – All values are normal 18th October 2012 – Pulmonary test – Normal spirometery 18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das

Hi, I am not sure,your doctor must have examined you so he can might be telling better,but i belive you should have complet liver tests including pt aptt and coagulation profile and billirubin levels and also repeat the tests you already have. Although yellow eyes can also be due to mddy sclera,some people have muddy sclera. Your tsh is also raised so he might be telling you for some test or may be you could be directly be put on medicines for this. Time taken is different for diffirent person ...

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Dr. Puneet Madan

  • General Physician
  •  New Delhi, India
  •  1434 Doc Points
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