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Diagnosed With Anaemia, CCF. Had Jaundice, Dysarthria . Lab Tests Done. Recommendations?
A Female Patient was diagnosed with Anemia(Anisopoikilocytosis, Hypochromic, Microcytic, Macro-ovalocytes) with CCF. During the hospital stay she had dysarthria ( on 6th day and 7th day) and she had abnormal behaviour on 7 th day (she was removing her clothes) . Her past medical history: She had jaundice before 8 months and 3 child have died during delivery time. She is alcoholic from 15 years and she chews tobacco from 15 years. Lab data Hb: 6.2g/dl RBC: 2.5 million/mm3 ESR : 62mm/hr L : 41% E : 10% T. Sr Proteins: 5.5g/dl Sr. Albumin: 3.6g/dl BUN : 26mg/dl ALP: 205 IU/L Pus cells: 2-4/hpf Epithelial cells: 3-5/hpf Direct: 0.1mg/dl I would like to know what all the conditions which lead to Dysarthria and psychiatric behaviour
Wed, 18 Sep 2013
Hi. Given her history and background the considerations which i would keep would be a hepatic encephalopathy, delirium due to severe CCF and anemia, beri-beri due to thiamine deficiency which can also cause similar symptoms, or hypoglycemia. The underlying cause when treated should correct these symptoms spontaneously. Hope I have answered your query. Thank you.
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