Polyarthralgia,throat pain,haematemesis,Petechiae
lab reports :
hb ; 4.1
reticulocyte 6%
peripheral smear ; narmocytic, narmochromatic anaemia with neutrphilic leucocytosis and reactive theombocytosis.
sickling test ; negative
stool occult blood ; negative
creatinine spot urine test ; 116.4
heptoglobin ; 341.0
coombs test negative
and these tests are repeated for two times from january.
treatment ;
5 blood transfusions