Dr. Shiv Lath (Internal Medicine) needs a second opinion on this medical case.
19 yr female admitted with severe anemia hb 3.6 with severe menstrual bleeding., took 2 units of blood still hb not rising. recent history of admission in to another hospital and treated for malaria and hepatitis{ no records available}. no past history of such symptoms. examination revealed no specific findings. investigation reports attached. patient is now on blood transfusion. please suggest next line of management. reports showing pancytopenia, what may be the cause.
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