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 bleed