Centre for adoption

Centre for adoption :genuine .honest.and reliable advise for adoption.

Independent opinion and guidance for adopting a child.

Has 6 years experience in adoption in ranchi.

Having indepth knowledge of development & growth.infective & non infective diseases like metabolic.hormonal.renal.hepatic.blood.respiratory .neuro and congenital anomalies and syndromes.

 Tests to be done before adoption:

1.cbc:hb.tc dc mcv mch mchc rbc platelet and reticulocyte  count are face of many hidden diseases.

2.esr.

3. Na.k.ca.cl.ph.alp

4.lft

5.kft

6.blood grp

7.hiv.hbsag.hcv.vdrl .malaria & typhoid

8.cxr were indicated but always needed for foreign adoptee parents.

9.mx test if  older.

10.torch is not needed but in certain conditions  like microcephaly .hydrocephalus .

hepatosplenomegaly it should be done.

11.growth and motor.social.cognitive .speech & hearing etc assessment.

12.echo if needed.

13.other tests in special circumstances.

[9/18, 14:24] Dr. S Kumar Wp: Crack the final/ultimate diagnosis

40 yrs old male.52kg.increasing pallor .stools of varying consistency for several yrs.mild fever for months.poor appetite .bleeding piles.

T 98.7.spleen firm 3 cm.liver firm 1cm.Pallor +++.no lymph node.edema clubbing.cyanosis.

H/few episodes of cold cough.and blood transfusions.

F/hist ns.

Invest

hb 4.4 wbc 9k.p50.l42.e8.rbc1.8.plt1.5.pcv 15.mcv83.mch 24.mchc 29.ps anisopoikilocytosis.45% rbc have macrocytic changes.

Tsh21.9

Protein5.alb 2.9 globulin 2. 1a:g 1.38.sgot.pt 10 & 15.bil 0.9/0.2

Ca 8.4.

Triglyceride 103 .cholesterol 102.

Create 0.9 na 115.k3.7

Widal+ve o & paratyphi ah 1/320.

Ur pus ++ c/s e coli 100000 and more.

Stool ascaris+ve.

What r the diagnosis and ultimate diag in this patient.

Any further investigation required or not.what?.