Grades of Hepatic encephalopathy 👌🏻

+ hyponatremia
#باطنة

Grades of edema ...

Cervical lymph nodes

🛑 Note :-

Tropical splenomegaly syndrome, also known as hyperreactive malarial splenomegaly, occurs due immunological over-stimulation to repeated attacks of malarial infection over a long period of time. Condition is usually seen in malaria-endemic areas.
د.جميل ❤️

🌸 Causes of Pancytopenia ( Differential Diagnosis):-

1- Aplastic anemia
2-Mylodysplesia , Mylofibrosis ,Myloma
3- leukemia
4- infiltrated Bone marrow by Lymphoma , Solid tumors , Tuberculosis
5- Paroxysmal nocturnal heaoglobinurea
6- Heamophagosytic Syndrome.
7- Spleenomegaly (or Hypersplenism )
8- Megaloblastic anemia ( B12 or folate deficiency)
9- SLE
10- Visceral leishmaniasis
د.جميل

#باطنة