Cose study

D DATE 1 12 12629 PAGE triangei

Cae-1
A 35yeca CumphuiaL beth enes
appe tte apaly
ENamiaaEao GE he palienl evededpullo
Spemt heast te
incaeseel Systoie

Labotohy invertigatisas ol this pakieat weae

uoder
[Refesoce vahe
Relesnce
RRL 9miao LonRelerne vohe 4s-S.5

S. fez.lin Refesnce vae 2-60 ngmln

CRelern ce
igoa binding cupacity [rI0c)
2gtAef. vae 32-26 . )
micacybic

the cboNe
1.
whak eo you thinle Ahipatienti suflegins Fsnr
the anemia thi palient
bascd cinia)
undentaad dbot micey tic Go
hypocho mic ROC o Hhi padieal?
 DATE PAGE
triangel
the
JehcieaL ntaieat
DekineGoemia

of RDC
Descabc the
Synpkab 6!thiJiee

iadgesliaa,
memth
sea satioain hedchd
45-51 appelile
feet
evealed

oputhy
thi patieat ob tained
»laboratazy investian

6 (Relf. vahe 1-2

Reticylorite Couat
 eD DATE PAGE triangel
-Bat)en theabave

1.|wha think
2 ha Cuu se prepheod
See

peziphea adohes
4.ow the de fiocyye tined i
GoemigSeen in patinet with
geilaiaclophy
cwhat ac buetheofhe
he ondi bioo ith khe imah
what Gre Cayel of fheJame
in paonibica
what
huppeod
RanittooGnemia Achlashyaia
Coue 3

A
sycar Comp ained o
Swolen oee alker he fe Crom hiyck
Conphiael Same

eveo
histas
Gllen
ion he
injy
biemator4 the
ncc.
the ti
lwi th how
14i Hh

B-% min, dime

ro12 Sec.
 DATE PAGE Otriangel

-)
Sased the abaueiaieed Scenario

1wha khe pahahde

2ih the time in thipatieak
despite prdaage

S.
the
al phtet doking time

AN factas
SDecoibe
40esLibe
cdating
tiastailic
in hatiLe Etinsic path
 Case stacy
DATE 2 12 12o23PAGE triangej

Aas- Zaoo deficiency aacmiG

aoemiG6-s
An -2odezate
Aas-3aie deficieaty ncmia
Smadles in si2e Gnd e)

Aas.- 4.he ab sozhe

cbsorbed sm slamachand
faom in Sm)intestiae by Acbe
Taon.

ht

disodes which the RR Count

Content togectin
Supph to tisiae
Aat.-&Ctiobgic) cheu fcakion of Anemia
Lots
O1Racmaaahagi
" Acute =) sudden
chauni of

menstabion

ODiekag deliciencie

imadiction
hypersen sikinty
chemica,
 DATE PAGE triangel+

excesive desyuction of RRC

"fatinst de feck »hereditary in aaduae

deikcieny
"Extaiatic
Snalke wcoan I, Jypexsplenita Coues actiuity o! nom
lestouctise medhajo

Aos-2agphabogiceJ chssilcakisa of Anemia

Size
Nuznocytic nugrnchumic

Ccpacty
O|/Macty lit nomochaemic -) RO Sine
Mcvmue than 40
kasge

Oacytic hypa chanaik

hypochaumit

MCHcJes thun 3o4

e DATE PAGE triangel

haeutheine)palpitabiun, cpeahes chetinkedia

ixsibabiliby
Con centation
Tapeteae healche.
 DATE
PAGE
triangel

Case-2
Aa Pexniioyy Anuemit
Ao- feziphea) eupathy Cao
Hhe haa

AoL-3De e the delicieoy

|ONA Syahei aemains imaakute
Ao. -h7ho
coenzycaabca!
GchiNe boac bo prolein, hey painaai abiazhel
Jmall inteskine,Iabione facdor combine wilh v't Br
RRL help pacie DNA, buiodias bloce o hymun bocy
ob the inncy iaing
cell, that wil

AnsdWe Jeefame blood Maaloblestic

Gnemiaeto
pemiciow anemia neuaukgica) disondey davebon but
in eycakabksl Gnemic it oal devebop).
foli aei) to peaniio) aaemik pakeat it
Coded moj k fhedieae hy allouins tho development o.
deteaiotion An simpe RGC
paoce
An. Ia Gchandhychic he Hcd is Ghsence
in the 94 staic Secaelion the
2eeAnd it gcauizo
 DATE
PAGE
triangel

Aoteauphiia
mhin foamedion
Gcbivckox
Sleenghemnphiie
Aac-2.Za
Fine

Aosk1ie mophiie ’3 ypes

le Henaphiis -A: detcicny al lackas vn
1eouphilia C celkcieoy af of factor XT

Ant-sNoyne) vae

P i l l - to l6 sec
chastmal
viL k deficien
Ans-2Roe in Rud collins Cket vesseDefeole mechuniL m
of htood
Repuin
o asthaamhia Seiac poteue
Lo-s-) Ebainogen fhaia huni ) Ca
ANo
G Labide facto) oluclor
Sesiae teze (okacto
-B- Seioe pao keaue Q

Serine paeoteaje Aahihe

Slaa loefoy Stabiizing fado :Sepine
pooteae 3fibin endopeptidase
Dagenun tatoY - Serine
 DATE PAGE

Lathany :Ia khi patheuy borhion olpauthe

obin ackivatoy i) inkate by s(he kislye fhanmbopktn
which i mfonrn e) fain iojs2 lisue
fa thiay Ia lhis pathwy, losmakion Gf pakheka
actiuato i iabiate by _pateletr withiA the bled sbzelt
Ctainsie latoinc fathwas
activate) hy liSiue injy activtbed by
colgen Aben in sbeud'
tisruer
Painai invoued in Raima invoed in
stuppins eternd bdeeding thappia
lepario_ CoymGin deivctives EDTA

A-2

dissahing ialzva sukg chuts

pskeaegtolinaie Gaitte cl inaje
|uadian they Gre
Sitaedion Juch ácute
 Date
Poge
-Ge-1

Apalieal th
Cuto ri (0) bo) Renche
hota ng Caupuciby cf 32c ml an peal
lop Llmia
Fopitory
Jhe pahiea!
which
DePoeinvib apucily
wite sgalicance
in
Soedstacupac,
Tied
Lcapaly

A boa neonele
enamintion 3y chestshowe
CppeavaAce

focion Susdechanl
Seihe Jentikian perfutios 2akio

Aheas choonic Jme ke ame

recode way lorce
Sutfere
whal
Give he
sodes
rhy sicical chonse
he
bui) k Cuy e or An
 why
RV
.
LdiEfereace
Ga o5s bls
JaaasiL
tet which 6
eiuece^
Cpik Camiahios
Fogce
V2 m ou
TcucJ E
Jmokins
l4e
hasbikory She caphy
Sema
fersale S6
ese
Page
Date
 Date
Page

Cale
ycaa apabient Complaial al
tweaknen which impae
compial as zoppins
ke has
dohde viyion Gnd ithachy
Saalleias heacoctar iajech Gnlichakae
eleyaue there

Tlieadby he ciaicaCandian is
ophyiagiazl
tondito
 Poge

Cale-1

Aa2
el hal meanzexe
mean the mGajmy Giy hat
Can ehae in single bacalh,
Spechied hire
peaiod

J:sose
haseves ciasoortiL
)
Jecacased goihcaay Jame gespialtog
Jrease
in ohstive dsease le Gslhs
aodemphylemu
ae2
Aa
praeat

Jadaehentioo in lhe cveol

frcuents collapias 'endtocy Gdvel
2epooshle So stab:zaliooa the
whichi
len dcry
 Page

GBes bih

veahialioo. het
AlNeabs vendioa

ale

Aos caphytoa

- Ssmoke
he myl4) secaebioo

Glveohm1sct Membaune.

igasclleJnakioy
Gxoue to
Dahected haoch:ibi