Prefinal paper 2
40yr old with severe anemia
A 40 yr old female came to hospital with chief complaint of Menorrhagia past 6months HISTORY OF PRESENT ILLNESS: A 40yr old female who was born out of consaginous marriage grade III through a normal vaginal delivery at her mother's sister house. She immediately cried and was breast fed for 1year. Her immunization is not known . Since childhood she used to eat only one meal per day though she had a good appetite because of weakness. She used to sway side by side while walking,sometimes fell down and again she used to get up on her own. She used to get ready to school by herself.(wearing uniform,combing hair) She used to repeat her standard almost 2-3 times. She attained menarche at the age of 14yrs with normal flow 4-5 days/month with no clots. LMP- 5/2/2022 Once she complained of heavy bleeding for a month for which they went to local mbbs doctor who provided medications and her bleeding was relieved. Now since 6 months ,she is having heavy bleeding per vagina du...
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