Özet:

Pancytopenia is a condition in which decrease level of RBC, WBC and platelets which cause anemia, Leukopenia . Thrombocytopenia is a condition in which the platelet count is low. The risk of splenic rupture has been associated with hepatic cirrhosis, splenomegaly, and portal hypertension. A case with pancytopenia, cirrhosis of the liver, portal hypertension, and splenomegaly, aggravated by hypersplenism and splenic intra cystic hemorrhage. Present complaints and investigations:- A20 year old female patient registered to the medicine department with the main complaints of fever with chills 2 day’s vomiting 2 day’s , body aches, weakness after physical examination and investigation carried out and she was diagnosed   pancytopenia, she was known case of cirrhosis of liver with portal hypertension with splenomegaly for that she taking a medication for 5 years. The main diagnosis therapeutic interventions and outcomes:- the doctor identified a case of pancytopenia, cirrhosis of liver with portal hypertension with splenomegaly. After physical examination and investigations. Injection cefatoxime 19mg IV TDS, Injection metrogyl 100ml IV TDS, injection Pantop 40 mg OD, Injection Emset, injection Optineronlarpin 100 ml with normal saline iv OD, Tablet Rifagalt 550 mg BD, Tablet ciplar LA 40 mg OD,  syrup duplac 30 ml, protein powder 2 test spoon. Supplements was given all the treatment was taken and results was good. Conclusion:- She responded to both medicine and physician. Her fever was reduced. Abdominal pain and body aches diminished

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