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Asking for Sister, Female, 40 years old, Lodhran

My sis is facing rapid weight loss low hb pale skin abdominal pain and weakness loss of appetite back pain can't walk and sit comfortably plz tell what's the issue? Dr is saying its TB but tell cancer to nh ha na?

General Physician in Karachi - Dr. Homayoun Sheikh

Dr. Homayoun Sheikh - General Physician

MD, Specialty Certificate (Acute Medicine) UK, MRCP (UK), Post Graduate Diploma of cardiologist (UK) | Karachi

review-stars

11 Positive Reviews

for proper diagnosis and management need to be visited by a senior general physician specialist

Member

Post Owner


We have visited muneer azhar Chaudhary (bahawalpur) here i attached his prescription plz check

2 months ago

Member of Marham-Forum

We have visited dr muneer azhar Chaudhary bahawalpur and here i attached his prescription plz see is it safe to take?


Nutritionist in Rahim Yar Khan - Ms. Maryam Tahir

Ms. Maryam Tahir - Nutritionist

BS (Hons.) Food & Nutrition | Rahim Yar Khan

review-stars

5 Positive Reviews

texting you all the plan

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Post Owner


Yes plz i am waiting

2 months ago

Nutritionist in Rahim Yar Khan - Ms. Maryam Tahir
Ms. Maryam Tahir - Nutritionist

BS (Hons.) Food & Nutrition | Rahim Yar Khan | Book Appointment

review-stars 5 Positive Reviews

I text you on whtsapp plz chck

2 months ago

General Physician in Karachi - Dr. Ameet Kumar

Dr. Ameet Kumar - General Physician

MBBS, FCPS (Medicine), ECFMG certified | Karachi

review-stars

76 Positive Reviews

I have reviewed all reports attached in detail. This is complicated case of generalized lymphadenopathy. Need some more tests and lymph node biopsy for final diagnosis. She is severely neutropenic, can easily acquire infection.
Get her these tests done:
UCE
LDH Level
Flowcytometry test
Cervical/Axillary lymph node excisional biopsy (from a general surgeon)

Meanwhile, I would suggest not to start ATT now. Waut for the results. Contact me for further management options.

Member

Post Owner


Do you feel it's cancer or dangerous?

2 months ago

Member

Post Owner


Here is serum LDH report is attached

2 months ago

General Physician in Karachi - Dr. Sarah Waseem

she has extensive lymph node enlargement, for tb a sputum gram staun and culture is required which has not been done. for further evaluation, she needs an excisional biopsy in which a lymph node is taken and examined under the microscope. also get a cbc, pet scan and lactate dehydrogenase done , once these tests are done, a diagnosis can be made and treatment can be started.

Member

Post Owner


Cbc report is attached plz check ma'am

2 months ago

Member

Post Owner


Here is the serum LDH report attached

2 months ago

General Physician in Karachi - Dr. Sarah Waseem

i can't find the serum ldh report, the definitive test is a lymph node excisional biopsy, please get it done , i understand that it must have been very stressful for the patient and family.

2 months ago

Member

Post Owner


Serum LDH balue is 161. We have visited dr for biopsy but he said she anemic with very low white blood cells can't undergo surgery at this time so biopsy can't be done what should we do now?

2 months ago

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