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Pancytopenia and aplastic anemia - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1721 Questions
Doctor :   Hi
Doctor :   How can I help you
Doctor :   are you there ?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
User :   Hi, Sir
Doctor :   Hi
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.l
User :   I was working as a lab tech in private laboratory, then i have done WBC total count and differential count. All cells are decreased on the smear (Pancytopenia) what to do
Doctor :   Did you get Sufficient sample or the Sample was taken by the Lab Technician
Doctor :   only
User :   yes,
Doctor :   It was taken By the Lab Technician
User :   ofcoarse
Doctor :   ok.
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No.
User :   38years Female, Self employ,Mizoram, India, Single, No
Doctor :   Pancytopenia (bone marrow failure syndrome) may be due to inherited or acquired disorders that affect the hematopoietic stem cell.
Doctor :   most common cause of acquired bone marrow failure is aplastic anaemia but it may also be secondary to myelodysplastic syndrome, paroxysmal nocturnal hemoglobinuria or some malignancies.
User :   My finding is WBC = 2850,/cumm, Polymorph 28%, Lymph = 70%, Eosi= 02%, Platelets = 0.47 lakh/cumm.RBC shows Mild Microcytic, Hypochromic, anisocytosis (+)
Doctor :   K
User :   Is it possible a case of Aplastic anaemia?
Doctor :   Since all the Cell Lines are involved i would think in the same lines
Doctor :   but the possibility of the Malignancy needs to be ruled out
User :   What further investigation is needed for?
Doctor :   Did you undertake any medications till now before getting it tested
User :   Already transfused 3 unit of whole blood
Doctor :   ok.
Doctor :   What Is the Diagnosis of the doctor
User :   There is no specialities in our area(remote area). The medical officer diagnosis is Severe anaemia
Doctor :   Bone Marrow Biopsy to get the Exact Cell morphology and the Precursor Cells will be needed
Doctor :   No i would think You will need Higher evaluations and further investigations and based on the findings we will be able to suggest you further measures
Doctor :   Bone marrow biopsy. To confirm a diagnosis, you'll need to undergo a bone marrow biopsy.
User :   Thank you for your information
Doctor :   Please fill this feed back form and tell me when done
User :   Ok,
Doctor :   Have you filled the Feed back form and is there any thing else that you would need
Doctor :   Are you there
User :   sorry i cant get the line, now its ok
Doctor :   ok,
Doctor :   Would you need any further information ?
User :   OK any way i'll tell the case doctor to do further investigation and higher evaluation. thank you so much.
Doctor :   You are Welcome
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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