IRON DEFICIENCY ANEMIA SECONDARY TO ?NUTRITIONAL CAUSE
44/F Diagnosis :IRON DEFICIENCY ANEMIA SECONDARY TO ? NUTRITIONAL CAUSE WITH LEFT EAR OTOMYCOSIS Case History and Clinical Findings CHIEF COMPLAINTS : -SOB ON EXERTION SINCE 1 MONTH -GENERALIZED WEAKNESS SINCE 1MONTH -LT.EAR PAIN SINCE 1 MONTH HISTORY OF PRESENTING ILLNESS: Patient was apparently asymptomatic 1 month back and then she noticed SOB on exertion(while doing work) since 1 month and stopped her work 20 days back &ggeneralised weakness since 1 month. No h/o fever,cough ,PND, orthopnea SEQUENCE OF EVENTS: 5 years back(in 2017) patient had chest pain and SOB on exertion and was diagnosed with anemia and had PRBC transfusion.she used to take oral iron(orofer) for 1 yr after that. In 2021,August she came with complaints of headache(right occipital region),vomitings and giddiness and got treated for the same.she had one more PRBC transfusion Now,she complaints of left ear pain and left ear discharge since 1 month and diagnosed with otomycosis,is on medications DAILY ROUT