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Question

14 year old girl gall stone splenomegaly Hb 7 gm%, Reticulocyte 3.2%, TLC 3,400/cmm, platelet normal, hypochromia (low mch), microcytosis (low mcv), anisocytosis, poikilocytosis, ovalocytosis, RDW abnormally high, LDH abnormally high. ESR 45 mm 1st hour. What may be the probable diagnosis?

Answer

Rule out hemolytic anemia such as sickel cell anemia, hereditary spherocytosis, sickle thal disease. Also rule out hypersplenism.
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