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OVERVIEW • Sickle cell anaemia occurs commonly in individuals from African, Middle Eastern and Indian populations • Neonatal screening of appropriate populations can result in a signifi cant decrease in

OVERVIEW • Macrocytic red cells (MCV greater than 95fl ) may be associated with a megaloblastic or normoblastic bone marrow • Deficiencies of either vitamin B12 or folate lead to defective DNA synthesis,

Overview • Iron defi ciency is the commonest cause of anaemia worldwide • Iron defi ciency is usually easily diagnosed from the red cell indices • A drop in haemoglobin is generally a late feature of iron

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C/C: Fever and headache With Throat pain Age: 7 years

Round circular

Before operation After opening the area After removing the pathological part and securing bleeding Feel free to ask any questions regarding this

2years of age Sudden onset Itching in nature Increasing in size No h/o insect bite Watery fluid inside the blister

Sudden swelling of both ear after sleep And forehead, Itching in nature No history of Trauma, insect bite, no fever.

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