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āĻ•েāχāϏ_āĻĄিāϏāĻ•াāĻļāύ ā§§

#āĻ•েāχāϏ_āĻĄিāϏāĻ•াāĻļāύ

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⬛ ā§Ŧā§Ē āĻŦāĻ›āϰ āĻŦ⧟āϏ্āĻ• āϏাāĻŽাāĻĻ āϏাāĻšেāĻŦ āĻāĻ•āϜāύ Known Diabetic, Non-Hypertensive āĻĒেāĻļেāύ্āϟ। ā§Š āĻŦāĻ›āϰ āφāĻ—ে āϤাāϰ Ischaemic stroke āĻšā§Ÿ āφāϰ āĻ—āϤ āĻŦāĻ›āϰ āϤাāϰ āĻšাāϰ্āϟ āĻ…্āϝাāϟাāĻ•েāϰ āĻšিāϏ্āϟ্āϰিāĻ“ āφāĻ›ে, āϝাāϰ āϜāύ্āϝ āϤিāύি āϟ্āϰিāϟāĻŽেāύ্āϟ āĻĒে⧟ে āϰিāĻ•āĻ­াāϰāĻ“ āĻ•āϰেāĻ›েāύ।
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⬛ āĻāĻ–āύ āϤিāύি āφāĻĒāύাāϰ āĻ•াāĻ›ে āĻ•āĻŽāĻĒ্āϞেāχāύ āύি⧟ে āφāϏāϞেāύ āϝে āϤাāϰ āϤাāϰ āĻļāϰীāϰেāϰ āĻŦিāĻ­িāύ্āύ āϜাāϝ়āĻ—াāϝ় āĻ—āϤ ⧍ āĻŽাāϏ āϧāϰে Multiple bleeding Spot āĻšā§ŸেāĻ›ে āφāϰ āĻŽাāĻে āĻŽাāĻে āĻĻাঁāϤেāϰ āĻŽা⧜ি āĻĨেāĻ•ে āϰāĻ•্āϤ āĻĒ⧜ে। āϤাāϰ āĻĒ্āϰিāĻ­ি⧟াāϏ āĻ•োāύ Bleeding Disorder āĻāϰ āĻšিāϏ্āϟ্āϰি āύেāχ।
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⬛ āĻĒেāĻļেāύ্āϟ āĻāĻ•্āϏাāĻŽিāύেāĻļāύ āĻ•āϰে āĻĻেāĻ–āϞেāύ āϝে, BP-125/80 mmHg, Pulse-70/min, Multiple Purpura and Ecchymoses on different parts of the body, āϚাāĻĒ āĻĻি⧟ে āĻĻেāĻ–āϞেāύ āϏ্āĻĒāϟ āĻ—ুāϞো āĻŽিāĻļে āϝাāϚ্āĻ›েāύা, āϚাāĻĒ āĻĻিāϞে āĻŦ্āϝāĻĨাāĻ“ āύেāχ।
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⬛ āĻ•িāĻ›ু āχāύāĻ­েāϏ্āϟিāĻ—েāĻļāύ āĻ•āϰāϤে āĻĻিāϞেāύ -
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➡ CBC :
-Hb – 13.4 g/dL,
-WBC – 12,100/cmm,
-Neutrophils- 70%,
-Lymphocytes – 25%,
-Monocytes – 5%,
-ESR – 20 mm
-Platelets – 3,75,000/cmm (Normal Count)

➡ PT - 15 sec (control 13)
➡ APTT  - 46 sec (control 36)
➡ TT  - 12 sec (control 12)
➡ Bleeding time - 14.5 minutes (normal <8.5 min)
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āĻĒ্āϰāĻļ্āύ āĻšāϞ,
⬛  āĻ•ি āĻ•াāϰāύে āĻāĻŽāύāϟা āĻšāϞ ? Most Possible Cause āĻ•ি āĻšāϤে āĻĒাāϰে ?
⬛ āφāĻĒāύি āϰোāĻ—ীāĻ•ে āĻ•ি āϚিāĻ•িā§ŽāϏা/āωāĻĒāĻĻেāĻļ āĻĻিāĻŦেāύ ?
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āĻ…āύেāĻ•েāχ āϏāĻ িāĻ• āωāϤ্āϤāϰ āĻĻি⧟েāĻ›েāύ। āĻ•িāύ্āϤু āĻ•েāωāχ āĻŦāϞেāύāύি āϚিāĻ•িā§ŽāϏা āĻŦা āωāĻĒāĻĻেāĻļ āĻ•ি āĻšāĻŦে।
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Answer:
ā§§. āĻĒেāϏেāύ্āϟেāϰ āĻšাāϰ্āϟ āĻ…্āϝাāϟাāĻ•েāϰ (MI) āĻšিāϏ্āϟ্āϰি āĻ›িāϞ āĻāĻŦং āϟ্āϰিāϟāĻŽেāύ্āϟāĻ“ āĻĒে⧟ে āϰিāĻ•āĻ­াāϰ āĻ•āϰেāĻ›িāϞেāύ। āĻāĻ–āύ āφāĻŽāϰা āϜাāύি MI āĻāϰ Rx āĻšিāϏেāĻŦে āϞাāχāĻĢ āϞং Low dose Aspirin āĻĻেāĻ“ā§Ÿা āĻšā§Ÿ। āĻāχ low dose Aspirin āĻāϰ anti-Platelet effects āĻāϰ āĻ•াāϰāύেāχ āĻŽুāϞāϤ āĻŦ্āϞিāĻĄিং āϟেāύ্āĻĄেāύāϏি āĻĄেāĻ­েāϞāĻĒ āĻ•āϰāϤে āĻĒাāϰে। āĻāχ āĻĒেāĻļেāύ্āϟেāĻ“ āϤাāχ āĻšā§ŸেāĻ›ে।
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⧍. Rx/Advice : Stop the Aspirin therapy.
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⬛ N.B. Prolonged use of low dose aspirin causes prolonged prothrombin time(PT), prolonged bleeding time(BT), prolonged APTT

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