Selalunya check tangan dan mata patient
Tapi hari ini check tangan dan mata sendiri
O/E : there is palmar pallor
......and conjuctival pallor on both eyes
this is normal
Mata kiri seperti gambar (a)
Mata kanan lebih merah sedikit macam (d)
hurm. anemia ini selalu muncul tiba-tiba.
Symptoms anemia
- tiredness (positive)
- lethargy (.....)
- dyspnoea -sukar nak bernafas (not sure)
Diagnosis?
- History of blood loss? (hurm not significant...)
- Poor dietary intake ~ folate deficiency ( mungkin juga.. betullah tu kut)
What foods provide folate
Leafy green vegetables (like spinach and turnip greens), fruits (like citrus fruits and juices), and dried beans and peas are all natural sources of folate [5].- Other history (like alcoholism, liver disease, hypo/hyperthyroidism, drugs etc) - all may not significant
Oklah. Dah >12jam tak makan... mungkin juga menyumbang
penatlah
s blkg
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