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Medicine General 21d5e834

Basanti, a 30yearold girl, presents with complaints of fever and weakness. On examination there is splenomegaly of 3 cm below the costal margin. Hb is 8 gm/ dL. TLC is 3, 000/ mm3, platelet count is 80, 000 mm3. Which of the following is the LEAST likely diagnosis: March 2013

A
Aplastic anemia
B
Anemia of chronic diseases
C
Megaloblastic anemia
D
Acute lymphocytic anemia
High-Yield Explanation
Ans. A i.e. Aplastic anemia Aplastic anemia Causes: -- Drugs (chloramphenicol), -- Viruses etc. Feature absent in aplastic anemia: Splenomegaly Most effective treatment of aplastic anemia: Bone marrow transplant

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