polycythemia
TRANSCRIPT
ON EXAMINATION
Jaundice: Nil Anemic:NilLN:NilCyanosis:NilClubbing:NilOedema:NilDehydration:Nil
VITALS:P:80/minBP:150/100mmHgR/R:20/minT:36.6cWt:102kg
MEDICAL h/o:HTN+,no DM,PTB,Hepatitis
SURGICAL h/o:non significant
ALLERGIC h/O:non significant
PERSONAL h/o:Smoker X 10 years,alcoholic+
INVESTIGATIONS
COMPLETE BLOOD COUNT:
WBC:10.44X10*9/L(N=62.5%),L(29.3%),
RBC:6.56X10*12/L,HB:203g/L,HCT:60.2%
PLT:193X10*9/L
Random Blood Sugar:6.71mmol/L
RENAL FUNCTION TEST:
Urea:4.7mmol/L,Cr:78umol/L
Na:140mmol/L,K:3.78mmol/L
INTRODUCTION
Polycythemia (also known as polycythaemia or polyglobulia) is a disease state in which the proportion of blood volume that is occupied by red blood cells increases.
Blood volume proportion can be measured by
HCT levels.
An increase in the number of red blood cells
Elevated hematocrit measurement
Elevated levels of hemoglobin
Very low levels of erythropoietin
COMPLICATIONS
Blood Clots:Leading to risk of CVA,MI
Massive Splenomegaly
Itching of Skin
Other Blood Disorder:Myelofibrosis,MDS,Acute Leukemia
DEBATABLE POINTS
Why not to use Hydroxyurea ,IFN@?
Is it worthy sending serum EPO?
Random Blood Sugar is high,Patient is obese
to send Fasting Blood Sugar is a must?
While using ASPIRIN,PPI should be used to protect patient from Peptic Ulcer,UGI bleeding?
Reference
www.mayoclinic.orghttp://o.quizlet.com/i/ETrGKdDiTFnjmbW5FpU9xg_m.jpg
http://photos1.blogger.com/blogger/6305/3126/320/MRCP_polycythaemia.png
http://www.bloodjournal.org/content/bloodjournal/120/2/275/F3.large.jpg?sso-checked=true