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    This memo confirms the diagnosis of a 20-year-old male patient with beta thalassemia major since age 3. He requires regular blood transfusions to maintain his hemoglobin levels. His latest tests show increasing iron overload levels despite ongoing chelation therapy. He previously underwent splenectomy and cholecystectomy. He is being followed closely at the hospital's pediatric daycare clinic and outpatient clinic to monitor his condition and iron overload.

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    This memo confirms the diagnosis of a 20-year-old male patient with beta thalassemia major since age 3. He requires regular blood transfusions to maintain his hemoglobin levels. His latest tests show increasing iron overload levels despite ongoing chelation therapy. He previously underwent splenectomy and cholecystectomy. He is being followed closely at the hospital's pediatric daycare clinic and outpatient clinic to monitor his condition and iron overload.

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    8 views1 page

    MEMO1

    Uploaded by

    aminsyakir
    This memo confirms the diagnosis of a 20-year-old male patient with beta thalassemia major since age 3. He requires regular blood transfusions to maintain his hemoglobin levels. His latest tests show increasing iron overload levels despite ongoing chelation therapy. He previously underwent splenectomy and cholecystectomy. He is being followed closely at the hospital's pediatric daycare clinic and outpatient clinic to monitor his condition and iron overload.

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    of 1

    Date : 28/07/2022

    Time : 10:15:27

    HOSPITAL SULTANAH NUR ZAHIRAH


    KUALA TERENGGANU

    MEMO
    Rujukan tuan Tarikh
    Rujukan kami Tarikh 28/07/2022
    Kepada Sesiapa Yang Berkenaan
    Tajuk Memo Pengesahan Penyakit
    Daripada Jabatan Pesakit Luar HSNZ
    Salinan kepada Pusat Latihan Pengajar Dan Kemahiran Lanjutan (CIAST)
    Klasifikasi

    MUHAMMAD AMIN SYAKIR BIN AHMAD ZAIDI


    020110-11-0285

    20 years old Malay Male


    .
    Problem:
    1) Beta Thalassemia Major
    - dx at age of 3
    - Tranfusion dependent
    - on regular blood transfusion
    - aim Hb pre-tx > 8
    - infective screening on 12/01/2022 : NR
    - latest serum ferritin 7201.3(22/08/2021) -→8433.8(12/01/2022) -→ 9264.5 (14/07/2022)
    - done MRI T2* 11/07/2019
    1. Mild liver and myocardial iron overload.
    2. Hepatosplenomegaly
    - echo 11/04/2021 : mild MR, Good LV Sytolic Function, ef 78%
    - done MRI T2 on 29/11/2021
    .
    2) Spelonomegaly with cholelithiasis
    - done splenectomy and cholecystectomy on 25/08/2021
    .
    Current meds:
    T Ferriprox 1g TDS
    Sc desferral 2.5 g od (5-7days/ week)
    Vit c 100 mg od
    Ca lactate 600mg od
    T vit d ->pt buy from pharmacy
    Oral maxolon 10mg tds/prn
    Penicillin

    This patient had regular 4-6 weeks follow up at paediatric daycare clinic adm 2-3 weeks follow up
    on MOPD based on his iron overload.

    DR. AUNI FARZANAH BINTI AWANG DAHAN (90061)


    10.116.190.250/Fisicien-ViewController-context-root/CcDocumentPreviewMai…..

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