تقرير عزام الاخير ‎⁨مستند PDF⁩

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Patient Name: Altwaireb, Azzam Addel Abdulaziz

MRN: 444063904
Age: 0
Nationality: -
Gender: Male
Report ID: 99627674

30/01/2024 - Patient Medical Report in Children's Specialized Hospital Floor 3 Ward 3


Clinical Notes

Patient Medical Report

Abeer Ali Mohammed Ali, MD at 30/01/2024 16:07


Patient Name: Altwaireb,Azzam Addel Abdulaziz
MRN: 444063904
Age: 0.95
Nationality: SAUDI ARABIA
Gender: Male [2]
Date of Report: 30/01/24
___________________________________________________________________________________________
Medical Report

CLINIC NAME:
Pediatric hematology
DIAGNOSIS:
Hereditary spherocytosis

HISTORY OF PRESENT ILLNESS:


Full Term, SVD,NICU for 12 days due to jaundice on phototherapy but mother discharge him DAMA
At age of 1 months mother notice fever but accidentally found to have anemia Hemoglobin=5,5 then transfused after 2 days reach 8 then
drop to 7 and transfused
Then monitor Every week for Complete Blood Cell Count till last week transfused when Hemoglobin reach 7.4 and reach 13g/dl

Family History:
Parents are first cousin ,mother is 32 years old ,father is 39 years old ,both are healthy
They have 1 boy normal
He came after infertility of 10 years (no clear cause)
No history of abortion.
No family History of similar condition.
No family History of hematological disease.

Labs done:
Patient Name: Altwaireb, Azzam Addel Abdulaziz
MRN: 444063904
Age: 0
Nationality: -
Gender: Male
Report ID: 99627674

30/01/2024 - Patient Medical Report in Children's Specialized Hospital Floor 3 Ward 3 (continued)
Clinical Notes (continued)

Lab Results
Component Value Date
WBC 10.60 30/01/2024
HGB 8.8 (L) 30/01/2024
HCT 27 (L) 30/01/2024
MCV 83.1 30/01/2024
PLT 303 30/01/2024

Lab Results
Component Value Date
NEUTROABS 1.94 30/01/2024

He was started on folic acid and vitamin D

He did not need transfusion over the last 3 months with stable Hemoglobin above 8
O/E:
Looks well with deformed ears and skin rash over face (eczema)
Spleen palpable just below costal margin
Assessment
Patient Name: Altwaireb, Azzam Addel Abdulaziz
MRN: 444063904
Age: 0
Nationality: -
Gender: Male
Report ID: 99627674

30/01/2024 - Patient Medical Report in Children's Specialized Hospital Floor 3 Ward 3 (continued)
Clinical Notes (continued)

11 month old with Hereditary spherocytosis


Holding Hemoglobin above 8
Resolved neutropenia
Normal growth

RECOMMENDATIONS:
Outpatient Department after 3 month with Complete Blood Cell Count.
Ultrasound abdomen
To continue on folic acid daily and for monitoring closely for any signs of hemolysis.
Can take his vaccination
Refer to plastic surgery and dermatology

This report was given according to patient request

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