pancytopenia secondary to vitamin B12 deficiency.
27 years old male patient who is preparing for govt. job is also an agriculture worker , came to the opd on 15.9.22 with the complaints of •fever since 15 days •generalized weakness since 1 month. HOPI. patient was apparently asymptomatic 1 month back,then he developed generalized weakness and dizziness. He visited some MBBS doctor for the same complaints,was given some medications and was advised to visit a hospital. • h/o fever since 15 days. On and off. Low grade. Not a/w chills, rigor. No h/o muscle pain. H/o loss of weight of 10 kgs in 6 months He does agricultural work for 6 hours in a day and then he prepares for govt. job at night. H/o decreased intake of food and inadequate sleep since 1 month. No h/o abdominal problem. No h/o cold and cough. No h/o burning micturition. No h/o numbness,tingling sensation • past history. No similar complaints in past. Not a k/c/o TB,asthma,htn,DM,CAD,epilepsy. Personal history: Appetite : less Sleep: inadequate Diet: mixed B/b : regular