Scene 1 : 28 G-6-PD deficiency anemia Hb 8

g/dL (normal; 12-16), Hct 22% (normal; 38-48), Total bilirubin 4 mg/L (normal; <1)

Ranitidine (150 mg) 1 tab bid ( 1 )
Cotrimoxazole 2 tab bid ( 3 )
1. G-6-PD deficiency anemia
.
.
.
. Cotrimoxazole
. Ranitidine
2. G-6-PD deficiency anemia
.
.
.
. Hb 8 g/dL (normal; 12-16), Hct 22% (normal; 38-48)
. Total bilirubin 4 mg/L (normal; <1)
3. G-6-PD deficiency anemia
.
. Oxidative stress H2O2
. H2O2 Sulhydryl-hemoglobin
. Macrophage
. G-6-PD Reduced glutathione
4. G-6-PD deficiency anemia
. Heparin
. Primaquine
. Cloxacillin
. Warfarin
. Penicillin
5. Acute anemia
.
.Ferrous sulfate
.Ferrous sulfate Folic acid
. Vitamin B12
. Erythropoietin
6.
.
.
1

.
. Ranitidine
.
7.
. Folic acid
. Vitamin B12
. Dapsone
. Erythropoietin
. Ferrous sulfate
Scene 2 : 37 peptic ulcer 5
15 guaiac-positive lab Hb 8 (12-15), Hct 27 (3644), MCV 75 (80-100), MCHC 30 (31-35), serum iron 40 (60-190 mcg/dL), TIBC 450 (250-400 mcg/dL) Iron
deficiency anemia Ferrous sulfate 1*3 pc
8. Ferrous sulfate
. Ferrous
. Ferrous
. Ferrous Ofloxacin Ferrous sulfate Ofloxacin 2
. Ferrous stone
. Ferrous sulfate Tetracycline Ferrous
9. Hemolytic anemia
. Primaquine, Erythromycin
. Dapsone, Vitamin A
. Sulfasalazine, Erythromycin
. Dapsone, Penicillamine
. Sulfasalazine, Tetracycline
10. Thalassemia Ferrous sulfate
Thalassemia
. Ferrous sulfate
. Vitamin B12
. Folic acid
. Ferrous sulfate
. Deferoxamine Chelating agent Iron overload
Erythropoietin

11. Erythropoietin
.
. Ferrous sulfate
. Freeze
2

.
. Erythropoietin
12. Folic acid

. Water soluble vitamin

. Vitamin B9
. DNA RNA
. Folic acid
. IR chromatogram peak 1,700 cm-1
13. Folic acid
.
.
.
.
.
Scene 3 : 18

14.
. Iron deficiency
. Uremia
. Liver steatosis
. Peripheral neuropathy
. Enlarged spleen
15.

.
.
.
.
.

Scene 4 : Hemovit

16.
.
.
.
.
. drug interaction
17.
. FBC
. Aminoglycosides
. Paracetamol
. Vitamin C
. Calcium supplements
18.
. agglutination
.
.
.
. erythropoietin

Folic acid
19. Folic acid
.
. enteric coat
. 1-5
. emulsion 50
.
20.
. heme ion
. heme ion non-heme ion
.
.

.
H
N

H2N

N
H
N

N
N

H
N

COOH
H

COOH

Folic acid
21. Folic acid
. Folic acid
. Folic acid UV-visible
. Folic acid Fluorescene
. Folic acid Thymidylate
. Folic acid
Scene 5 : 12 3
22.
aspirin
. folicacid
. B12
. ferrous gluconate
.
. ferrous sulfate folic acid
23. G6PD
.aplastic anemia
. hemolyticamemia
. permicious anemia
. chronic renal failure
.iron deficiency failure
24.
.platelet
. folic acid
. vitamin B12
. ferrous sulfate
. packed red cell
25.
.aspirin
.Vitamin C
. amoxicillin
. amitryptyline
.
26.
.
.
.
.
5

.
Scene 6 : Alum gel 30 mL tidpc&hs 4*1,000mL
Ranitidine 150 mg PO bid pc 60 tab
Lorazepam 1 mg po hs 30 tab
Ferrous sulfate 300 mg PO tid pc 90 tab
Folic acid 5 mg OD pc 30 tab
27. Hb ,Hct , MCV ,
Aplastic Anemia
Megaloblastic Anemia
Iron Deficiency Anemia
Sickelcell Anemia
Hemolytic Anemia
28.Ferrous sulfate Ferrous sulfate
. Docusate sodium
. Ascorbic acid
.Benzaclonium chloride
. Pyridoxine
desferatemesylate
Scene 7: 25 4
LAB Hb 10 mg/dl Hct 32% serum ferritin 10 TIBG 400 MCV 60
29.
.
.
.
.
.
(
30.
.
.
.
.
.
31.
. Cyanocobalamine
. Ferrus fumarate
. Ferrus gluconate
. Folic acid
32.
6

. Antacid
. Ascorbic acid
. Cimettidine
. Penicillamide
. Norfloxacin
33. Ferrussulphate Enteric coated tablets
.
.
.
.
.

6 . 53 Case 3
Scene 9 : 40 Hb 9, Hct 27 %,
MCV 67, TIBC 480, Serum feritin 12 smear microcytic anemia
34. anemia
. Iron deficiency
. Hemolytic anemia
. Megaloblastic anemia
. Sickle cell
. B12 deficiency
35.
. Folic acid
. Ferrous sulfate
. Fresh frozen plasma
. Vitamin B 12
. Erythropoietin
36. Ferrous sulfate
. Thalassemia
. Thyroxicosis
. Leucopemia
. Thrombocytopenia
. Hemophilia
37. Ferrous supplement Elemental Iron
. Ferrous fumarate
. Ferrous sulfate (exsicated)
. Ferrous glucanate
. Ferrous sulfate
. Ferrous citrate
38. Ferrous
7

. Folic acid
. Pyridoxime
. Ascorbic acid
. Vitamin B 12
. Lactose
sulfate
- Ferrous sulfate 12.5 g
- Citric acid
0.2 g
- Paraben conc 1 ml
- Syrub add qs
100 ml
39. ferrous sulfate elemental iron 20% 1 elemental iron mg
. 0.625 mg
. 625 mg
. 62.5 mg
. 375 mg
. 125 mg
40. Ferrous sulfate 100
.
.
.
.
.
41. Ferrous
.
.
.
.
.

42