Thursday, September 23, 2010
Patient with recurrent bone pains with hypertension with anemia with hepatospleenomegaly? -
Chronic congestive heart failure is most probable.Cirrhosis of liver is the next one.Chronic cor pulmonale is the third possibility.Very severe malnutrition ,and malignancy(cancer )with secondaries is one more possibility.Thorouh examination should precede any treatment.
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