16year female with c/o itching all over body since 2 months

This is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardian's signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information.

This E blog also reflects my patient-centered online learning portfolio and your valuable input in the comment box is welcome.

I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations, and coming up with diagnosis and treatment plans. is an online e-log book to discuss our patient's de-identified health data shared after taking his / her / guardians' signed informed consent. Here we discuss our individual patients' problems through a series of inputs from the available global online community of experts with an aim to solve those patients' clinical problems with collective current best evidence-based information


Chief complaints:  C/O itching all over the body since 2 months 

HOPI: 
Patient was apparently asymptomatic 2years ago then she developed itching all over the body , increased itching since 2 months. Itching has a diurnal variation.
Patient referred to General Medicine i/v/o Low Haemoglobin levels.
No h/o SOB, Fatigue, palpitations.

Past history: 
N/k/c/o DM,CAD,TB ,EPILEPSY, HTN 

Personal history: 
Diet - mixed 
Appetite- normal
Sleep - adequate 
Bowel and bladder -regular
Addictions- not present
Allergic history:- No history of any kind of allergies for food/drugs

Family history:- no significant family history 

GENERAL EXAMINATION:- 
Patient is conscious coherent and cooperative. 
Pallor: present 
Icterus: absent 
Cyanosis: absent 
Clubbing: absent 
Lymphadenopathy : absent
Edema : absent 

Systemic examination: 
CVS: S1 S2+ 
CNS: NFND 
RS: BAE+ NVBS+ 
P/A : Soft and non tender, no organomegaly 


Provisional diagnosis: 
Anemia of Chronic inflammation 

Investigations: 
Treatment: 
Tab Teczine 5mg po/od
Calasoft af L/A BD 

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