PBL 1 ANEMIA by wardina dayana https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng Made with a quick smile en-us 2022-01-25 04:13:13 UTC 2025-12-05 16:36:41 UTC hello@padlet.com Puan Fatimah,35 years old, female nrwrdnadyna https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010305639 2022-01-25 04:17:14 UTC https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010305639 Further History nrwrdnadyna https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010307250 past medical injury

- had a knee injury that resulted in OA (osteoarthritis) of the right knee

-took NSAIDs for last 2 years
-lead to peptic ulcer]]> 2022-01-25 04:18:29 UTC https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010307250 symptoms nrwrdnadyna https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010307423
  • getting tired easily
  • Difficult to complete daily activities
  • bloating
  • black tarry stools
  • epigastric discomfort
  • belching



    • ]]>     2022-01-25 04:18:39 UTC https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010307423     physical examination ameeramazydah https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010307537 vital signs - normal
    Pallor but no jaundice



    ]]>     2022-01-25 04:18:46 UTC https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010307537     Management and Treatment https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010308073 1) iron supplements [improve the hemoglobin levels] 
    2) proton pump inhibitor [to treat underlying peptic ulcer disease]
    3) Good nutritious diet (meat, green leafy vegetables) to improve hemoglobin level
    4) Stop NSAIDs intake]]>     2022-01-25 04:19:09 UTC https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010308073     investigation ameeramazydah https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010308693 Complete Blood Count
    Low: Hb, MCV, MCH

    Iron Studies:
    low: serum iron, serum ferritin
    high: TIBC

    Stool for occult blood: Positive

    OGDS: 
    ulcer in the antrum of stomach and inflamed surrounding mucosa]]>     2022-01-25 04:19:40 UTC https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010308693     Abdominal Examination nrwrdnadyna https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010318968 mild tenderness in epigastrium
    no rebound tenderness and guarding
    black stool]]>     2022-01-25 04:28:14 UTC https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010318968     Diagnosis nrwrdnadyna https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010326366 Iron Deficiency Anemia secondary to NSAIDs induce gastric erosion]]> 2022-01-25 04:34:21 UTC https://padlet.com/nrwrdnadyna/q8pp0qs0i1l2weng/wish/2010326366