A study of relationship of clinical findings with laboratory investigations of adult patients with anemia at tertiary health care centre

 

Dilip Pandurang Patil

 

Assistant Professor, Department of Medicine, Krishna institute of Medical sciences " Deemed To Be University" Karad

Dist_ Satara-415539, Maharashtra, INDIA.

Email: patilhospitalkarad@gmail.com

 

Abstract              Background: Anemia is a widespread public health problem associated with an increased risk of morbidity and mortality Aims and Objectives: Study of relationship of clinical findings with laboratory investigations of adult patients with anemia at tertiary health care centre. Methodology: This study was carried out in Krishna Hospital and Medical Research Centre, Karad, Dist: Statara under medicine Department over a period of two years from May 2003 to December 2004. During this period 100 who were admitted for the investigations and treatment of anemia and who fulfilled the required criteria were included in the study. Adult males and females (15-60 yrs), Hemoglobin level less than 10gm% were included into study. All the investigations like USG, X-ray, CBC, Bone marrow, KFT, LFT etc. were done as per the indications. Result: In our study we have seen that The majority of the patients were in the age group of i.e. 56-60 were 25 followed by 21-25 were 11, 15-20 and 51-60 were 10, 26-30 and 35-40 were 8, 46-50 were 7. The majority of the patients were with Hb level 2.1 to 4 gm were 35 followed by 4.1-6 were 32, 6.1-8 were 16, 8.1 to 10 were 15. The most common symptoms were Fatigue in 93, followed by Dyspnea in 68, Annorexia and loss of wt in 54, Gastrointestinal symptoms -26, bleeding manifestations in 21, Swelling of face and feet -21. The most common presenting signs were Pallor in 100, followed by Oedema in 21, Koilonychia in 17. Haemic murmur in 15, Tingling/Paraesthesia in 12, Icterus in 8, Stomatitis/Glossitis in 6, Splenomegaly. In 6, Lymphadenopathy in 4, Hepatomegaly in 4, Knuckle pigmentation in 2 The most common type of anemia was Diamorphic-48 followed by Megaloblastic anemia -20 Iron deficiency anemia -16, Leukemia-7, Anemia of chronic disorder -5, Anemia of chronic disorder -5, Idiopathic thrombocytopenic purpura-2 Conclusion: It can be concluded from our study that majority of the patients were in the age group of i.e. 56-60, The most common symptoms were Fatigue, Dyspnea, Annorexia, The most common presenting signs were Pallor, Oedema, Koilonychia.

Key Words: Anemia, Koilonychia, Dimorphic anemia, Etiology of anemia.