25/F with generalised weakness and splenomegaly

 25/F daily labourer by occupation came to gen medicine OP with complaints of pain abdomen (on and off) since 1 year, decreased appetite with early satiety since 1 year, hair loss since 1 year and generalised weakness ( on and off) 

Pain abdomen is squeezing type, diffuse not associated with vomiting or nausea

12 years back she had trauma on right foot ( an iron material fell on it) followed by swelling of the foot and later whole body ( anasarca ) 


H/O blood transfusion (2 pints)  after 2-3 months of trauma ( hemoglobin 3.2 gm ) at that time. Injection iron sucrose 10 ampules  transfused on alternate days during her 8th month of 1st gestation (Hb then was 7 ). She had jaundice during the 9th month of her gestation

During delivery emergency LSCS ( august 2019) done due to foetal distress and due to PPH, 2 pints of blood transfusion was done


pallor + 

distended abdomen. spleen palpable + ( upto umbilicus) 

menstrual history: 

Age of menarche -13

duration of cycle -30

no of days of bleeding- 3

normal flow , no clots , dysmenorrhoea on and off 



appetite decreased

mixed diet   , 

bowel bladder activity is normal

no known allergies

no addictions 

no significant family history 










































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