a child 13 yrs old wt. 40 kg c/o throwing blood from mouth for past 2 months.quantity of blood is 10-40ml
always gets headache and vertigo and pain gluteal region and calves before the episode which gets better after vomiting.
first time occurred in nov.now again started feb. onwards with frequent episodes .
history of anemia in childhood ,once had blood transfusion in childhood at the age 6 month . once during diwali time child had suffocative attack as mother left diya in closed room after that for 2-3 yrs had recurrent attacks of dysnoea in summers ,agg dust and smoke, for which nebulization is done, no attack for past 2 yrs.
history of dengue 3 yrs back platelet count went down to 80000
... occasionally epistaxis in summers
has become irritable gets angry easily starts crying
appitite good takes everything
thirst increased from dry mouth
stool normal
urine normal
tongue clean
perspiration face and neck area more
investigations done :hb%=10
haematocrit 31
sgot 73
sgpt40
platelet 151x1000/nm3
endoscopy gastritis, h.pylori
cardiac catheterization and coling of MAPCAs done on 19/3/13
always gets headache and vertigo and pain gluteal region and calves before the episode which gets better after vomiting.
first time occurred in nov.now again started feb. onwards with frequent episodes .
history of anemia in childhood ,once had blood transfusion in childhood at the age 6 month . once during diwali time child had suffocative attack as mother left diya in closed room after that for 2-3 yrs had recurrent attacks of dysnoea in summers ,agg dust and smoke, for which nebulization is done, no attack for past 2 yrs.
history of dengue 3 yrs back platelet count went down to 80000
... occasionally epistaxis in summers
has become irritable gets angry easily starts crying
appitite good takes everything
thirst increased from dry mouth
stool normal
urine normal
tongue clean
perspiration face and neck area more
investigations done :hb%=10
haematocrit 31
sgot 73
sgpt40
platelet 151x1000/nm3
endoscopy gastritis, h.pylori
cardiac catheterization and coling of MAPCAs done on 19/3/13
