Mr. Sharma, a 71-year-old patient, visited Dr. Ramit, who is considered the best general physician in Vasant Kunj, Delhi. The patient came to the emergency department with a history of weight loss for 2-4 months.
Dr. Ramit found that the patient had a generalized weakness, anorexia, abdominal discomfort, and a lump on the abdomen's left side for 2 months. Upon examination, Dr. Ramit also found that Mr. Sharma had few lymph nodes in the occipital region on examination.
The patient had no fever, cough, SOB, chest pain, burning in urine. No past medical or surgical history. Non-smoker and non-alcoholic. No record of recent travel. Upon further investigation, the doctor analysed that the:
- USG WA( 3/4/21) - Spleen measured 16.7 cm
- USG WA( 9/4/21)- Spleen measured 18.4 cm
- TLC - 20,100
- Platelet count- 56,000
- Hb- 10.8, neutrophil- 24, lymphocytes- 70, eosinophils- 6
- MP slide- Negative
- Typhidot- Negative
Mr. Sharma was admitted for the following investigations: CBC, LFT, KFT, Urine culture and routine, CECT whole abdomen, CECT whole abdomen chest and neck, peripheral blood smear, FNAC Occipital lymph node, BCR-ABL, FISH, 2D ECHO, ECG, chest Xray.
After the test, Dr Ramit concluded that the patient was suffering from myelodysplastic syndrome and lymphoma. So, the doctor treated him with symptomatic management.