A 22 yr old female with generalized weakness and easy fatiguability since 2 months
A 22 yr old female who is a student came with complaints of generalized weakness and easy fatiguability since 2 months History of Presenting illness Pt was apparently asymptomatic 5 years back then she started to have desire to eat non edible material and went to the hospital and was diagnosed with Anemia (Hb 4gm/dl) and 2 units of PRBC transfusion was done Now since 2 months she is complaining of easy fatiguability with generalized weakness C/o SOB(grade ll-III) insidious in onset, gradually progressive to grade III,c/o exertional dyspnea No c/o chest pain, palpitations, orthopnea,pnd No c/o fever,loose stools, vomitings PAST HISTORY H/o similar complaints in the past H/o two PRBC transfusion N/k/c/o diabetes HTN TB Asthma Epilepsy thyroid disorders PERSONAL HISTORY Diet Mixed Appetite normal Sleep adequate Bowel and bladder regular Addictions No Daily routine Pt wakes up around 7 am takes breakfast and goes for coaching institute and comes back at 6 am and takes dinner at