baryar
Forum Newbie
Topics: 6
Posts: 26
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case info..
age=50 yrs, male
non-hypertensive,non-diabetic,
smoker....10 pack years of smoking
presenting complaint......bleeding from gums, and epistaxis for last 15 days
complete blood picture
hb= 13.6 gm/dl
esr=10mm after 1st hour
tlc= 4600/ul
neutrophils= 30%
lymphocytes=67%
eosinophils=2%
basophils=1%
retic count =1.5%
platelet count 39,000/ul
clotting profile
prothrombin time....14 sec (control 14 seconds)
APTT = 42 SEC ( control 42 seconds)
bleeding time and clotting time also in normal ranges
peripheral film
normocytic,normochromic...neutropenia and thrombocytopenia
bone-marrow-analysis (biopsy )
noraml
on examination....massive hepatomegaly ( 25cm in vertical dimensions) ,spleen palpable in left hypochondrium only..( mild splenomegaly )
whats the diagnosis?....are we missing something in labs?
Edited by baryar on 05/02/08 - 11:15 AM
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| baryar
Forum Newbie
Topics: 6
Posts: 26
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is my question wrong or is there no one?
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| kamran865
Forum Newbie
Topics: 0
Posts: 4
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bleeding is explained by thrombocytopenia,massive hepatosplenomegaly suggest parasitic infection etc affecting mega lineage, ur not fully clear what u want ask
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