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Points : 42144
Join date : 2013-12-26

PostSubject: AMC Clinical exam preparation   Sat Dec 28, 2013 1:58 pm

amc clinical exam

A 55 year old lady with hypochromic microcytic anaemia.
Exactly similar to book case.

My performance

- Explained what is anaemia (She asked me what is haemoglobin )
- Explained what is hypochormic and microcytic
- Explained causes of HMA ( Diet, Losses from GI, Respiratory, Female genital tract, Urinary , Improper absorption )
- Pointed out that Upper and Lower GI endoscopy are needed

She asked me what I am going to look for in Endoscopies. I answer
- Inflammation and bleeding
- Ulcers
- Growths/Any nasty lesions

She says “ What do you mean by nasty lesions”
I reply “ Cancer” . She smiles and says “ You can tell me cancer straight away “

Hb is 83.
So, I started iron tablets. Explained SEs and when to repeat FBC. And referral to Gastroenterologsit straight away for possible blood transfusion
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