PCL 12 Scribe

Case:
Lily Mohd, Female, 15 years old
Weak, tired, stressed, sleepy
Athletics , plays badmintonbecame harder recently
Normal and regular period, but came 2 weeks after the recent period
Sick feelings in stomach
Vegan diet
Went for blood test
She might have: anemia
What we want to know:
Family history: thalassemia?
Blood profile
Dietany supplements other than vege?
Any medications? Aspirin for stomach pain?--> GI bleed, melenic stool(upper GI)-black colour
Bowel history
Any easy bruises?
Any symptoms to suggest blood lost? 2 periods in a month
Menstrual history volume, duration, blood clots, period pain?
Duration of symptoms
Sleeping pattern
Other symptoms of anemia: looks pale
Fava beanG6PD?
Dizziness, fainting, vertigo?
Travelling history
Hepatosplenomegalythalassemia
Heart problems?
Kidneyis there evidence of blood loss in urine?
Leukemia? Check lymph nodes (rule out), lose weight?
Investigation: full blood count

Learning Issues
1. Normal development and function of red blood cell (Physiology) Thomas
2. Definition of anemia, types of anemia (dietary, iron deficiency and other types of anemia to rule out) Shuhaiba
3. PathophysiologyMeena
4. Causes Irene
• Congenital? Diet? The underlying cause in different age groups
5. Risk Factors Akmez
6. Signs and Symptoms Hai Sherng
• Presenting signs in different age group
7. Complications Li Tatt
8. Investigation Tin Yee
• Full blood count
• Full blood film/picture
• Urinalysis
• Stool
• Iron study-level of iron, serum feritinin
• Folate, B12
9. Treatment and Management Alvin
10. Prevention Ching Mei
11. Controversial issues in blood transfusion Zhi Mei