Amc 34yr old barber
AMC 4 th bed 34yr/M A 34 yr male barber by occupation came to the opd with chief complaints of giddiness and fall 3 days ago patient was apparently alright 5 years back in 2016- patient had jaundice,for which he used herbal medicine following which he had binge alcohol and severe loose stools,watery consistency (20 episodes/day) - for which he was admitted in outside hospital ,patient reports that he was in altered sensorium for 3 days in ICU during that admission (no records available).3 pints PRBC transfusion in ICU was done at that time of hospital stay.since discharge patient was fine and in 2018 patient went for regular check up ,he says blood investigations were normal at that time 3 days ago- patient c/o giddiness and fall in washroom with injury on left side of forehead ,then he went to a local RMP and on routine investigation was found to have pancytopenia and was referred here ,no h/o any ENT bleed , convulsions,LOC, blood loss during fall ,he complaints of generalised